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Related Concept Videos

Appendicitis01:19

Appendicitis

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Appendicitis is an acute inflammatory condition of the vermiform appendix, most commonly caused by obstruction of its lumen. The appendix is a narrow, blind-ended pouch that extends from the cecum, making it particularly prone to obstruction. Causes include fecaliths, lymphoid hyperplasia (often after viral infections), parasites, tumors, or foreign bodies. This obstruction initiates a cascade of pathological changes.Luminal Obstruction and Early InflammationAfter obstruction, normal mucosal...
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Appendicitis-I: Introduction01:22

Appendicitis-I: Introduction

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The appendix, a small, narrow, blind tube extending from the inferior part of the cecum, is widely regarded as a vestigial organ, having lost much of its original function through evolution. Despite its diminished role, the appendix can become inflamed, a condition known as appendicitis.
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
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Urologic Endoscopic Procedure: Cystoscopic Examination01:28

Urologic Endoscopic Procedure: Cystoscopic Examination

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Meaning of Cystoscopic Examination:Cystoscopy is an essential diagnostic tool in urology that is used to assess the structure and function of the genitourinary system. It provides a direct view of the urethra, bladder, and, in some cases, the ureteral openings. This procedure helps detect structural abnormalities, infections, cancers, and blockages in the urinary tract. There are two types of cystoscopy:Flexible cystoscopy is commonly performed in outpatient settings due to its less invasive...
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Cholecystitis01:20

Cholecystitis

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Cholecystitis is inflammation of the gallbladder, most commonly caused by obstruction of the cystic duct. This blockage prevents bile from draining, leading to gallbladder distension, inflammation, and potentially serious complications. This condition may present acutely or chronically and can happen with or without gallstones.EtiologyAbout 95% of cholecystitis cases are calculous, caused by gallstones blocking the cystic duct, leading to bile accumulation and inflammation of the gallbladder...
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Cirrhosis I: Introduction01:23

Cirrhosis I: Introduction

26
Cirrhosis is a chronic, irreversible liver disease characterized by the widespread replacement of healthy liver tissue with fibrotic scar tissue and the formation of regenerative nodules.Etiology of cirrhosisCirrhosis results from sustained liver injury that triggers progressive fibrosis and structural remodeling. The underlying causes are diverse, encompassing common and less frequent clinical conditions. Regardless of the origin, all causes lead to chronic inflammation, hepatocyte loss, and...
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Inflammatory Bowel Disease II: Crohn's Disease01:30

Inflammatory Bowel Disease II: Crohn's Disease

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Introduction
Inflammatory bowel disease, commonly known as IBD, refers to a collection of disorders that lead to persistent inflammation of the gastrointestinal tract. The two types of IBD are ulcerative colitis, which impacts the colon, and Crohn's disease, which can involve any part of the gastrointestinal segment.
Crohn's disease
Crohn's disease is a chronic, systemic inflammatory bowel disease (IBD) that predominantly affects the gastrointestinal tract. It is marked by...
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Updated: Apr 27, 2026

Microscopic Cyst Resection for the Treatment of Patients Diagnosed with Epididymal Cyst
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Bilateral inflamed paratubal cysts.

M Upadhyaya1, E Cusick1

  • 1Bristol Children's Hospital, Bristol, UK.

Journal of Surgical Case Reports
|June 25, 2014
PubMed
Summary

Paramesonephric duct remnants can cause childhood abdominal issues. This case highlights bilateral inflamed fimbrial cysts presenting as acute abdomen, diagnosed during surgery.

Area of Science:

  • Pediatric Surgery
  • Gynecology
  • Abdominal Imaging

Background:

  • Paramesonephric duct remnants are rare causes of pediatric abdominal symptoms.
  • Preoperative diagnosis is challenging, often requiring surgical confirmation.
  • Inflamed fimbrial cysts are an infrequent manifestation.

Purpose of the Study:

  • To report a rare case of acute abdomen in a child due to bilateral inflamed fimbrial cysts.
  • To emphasize the diagnostic difficulties and surgical management of this condition.

Main Methods:

  • Case report of a pediatric patient presenting with acute abdomen.
  • Diagnostic imaging utilized: Ultrasound.
  • Surgical intervention: Laparotomy with excision of cysts.

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Main Results:

  • Ultrasound identified a multicystic lesion behind the bladder.
  • Diagnosis of bilateral inflamed fimbrial cysts was confirmed intraoperatively via laparotomy.
  • Surgical excision resulted in an uneventful postoperative recovery.

Conclusions:

  • Bilateral inflamed fimbrial cysts are a rare cause of acute abdomen in children.
  • Surgical exploration is often necessary for definitive diagnosis and treatment.
  • Prompt surgical management leads to favorable outcomes.