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Related Concept Videos

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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Muscles of the Abdomen01:21

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The abdominal wall encircles the abdominal cavity, providing flexible protection and shielding the internal organs from harm. It is bordered at the top by the xiphoid process and costal margins, at the back by the vertebral column, and at the bottom by the pelvic bones and inguinal ligament. The abdominal wall is divided into two regions — the anterolateral and posterior regions.
Anterolateral Region
The anterolateral region comprises five paired muscles classified into the lateral and...
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Pneumothorax-II01:27

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Pneumothorax is a medical condition defined by the buildup of air in the pleural space between the lungs and the chest wall. This accumulation of air can lead to partial or complete lung collapse, resulting in a range of clinical manifestations. Understanding the clinical presentation and effective management strategies is crucial for healthcare professionals in providing timely and appropriate care to individuals with pneumothorax.
Clinical Manifestations:
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Muscles of the Pelvic Floor and Perineum01:26

Muscles of the Pelvic Floor and Perineum

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The muscles of the pelvic floor and perineum are crucial for supporting the pelvic organs, controlling continence, and aiding in sexual function, childbirth, and core stability. They are typically divided into the superficial perineal layer and the deep pelvic floor layer.
Perineal Layer
The perineum is a diamond-shaped area below the pelvic diaphragm, divided into an anterior urogenital triangle that contains the external genitals and a posterior anal triangle housing the anus. The urogenital...
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Related Experiment Video

Updated: Nov 3, 2025

Posterior Approach for Debridement of the Psoas Abscess
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Pseudomyxoma retroperitonei masquerading as a psoas abscess.

Padma Vikram Badhe1, Dasari Ravi Kiran2, Harini Seshadri3

  • 1Radiodiagnosis, Seth GS Medical College and KEM Hospital, Mumbai, Maharashtra, India.

BMJ Case Reports
|June 4, 2021
PubMed
Summary

A ruptured appendiceal mucinous neoplasm caused pseudomyxoma retroperitonei, presenting as a complex abscess. Diagnosis was confirmed via histopathology, though the patient declined further treatment.

Keywords:
cancer - see oncologygastrointestinal system

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Area of Science:

  • Gastroenterology
  • Surgical Oncology
  • Radiology

Background:

  • Appendiceal neoplasms can present with rare complications.
  • Pseudomyxoma retroperitonei is a challenging diagnosis often requiring advanced imaging.

Observation:

  • A 52-year-old woman presented with a year-long history of discharging sinuses and swelling.
  • Imaging revealed a large psoas muscle collection with fistulous communication to the cecum and skin.
  • Findings suggested pseudomyxoma retroperitonei secondary to a ruptured appendiceal mucinous neoplasm.

Findings:

  • Histopathology confirmed pseudomyxoma retroperitonei.
  • The patient's treatment plan included ileostomy, cytoreductive surgery, radiotherapy, and chemotherapy.
  • The patient refused further treatment due to financial constraints.

Implications:

  • This case highlights the importance of considering rare diagnoses in complex abdominal presentations.
  • Multidisciplinary management is crucial for appendiceal neoplasms with retroperitoneal spread.
  • Socioeconomic factors can significantly impact treatment adherence and patient outcomes.