Acute Vasitis Presenting as an Inguinoscrotal Swelling: A Diagnostic Dilemma

Akanji Akinwunmi O, Akinola Oluwaseun O, *Akinola Rachael A

Vasitis or inflammation of the vas deferens and spermatic cord has been identified as a cause of scrotal swelling and needs to be differentiated from other causes of groin swelling like epididymitis, orchitis, testicular torsion, saphenous varix, femoral and inguinal hernia. This is essential in order to prevent needless surgery in such patients.

Duplex Doppler Ultrasound scanning in expert hand alone is adequate in differentiating acute vasitis from other causes of groin swelling. Computed tomography scan is also often needed to confirm the ultrasound findings. This case is therefore presented to emphasize the difficulty in diagnosing acute vasitis and differentiate it from inguinal hernia, which is the more common clinical diagnosis given in cases of groin swelling.

A Case of Tuberculosis Presented with Syncope and Hypercalcemia

Gözde Şengül Ayçiçek*, Tolga Bakır, Fatih Sümer, Güneş Arık, Büşra Canbaz, Özgür Kara, Nilgün Demirci, Erolcan Sayar, Mehmet Düzlü, Zekeriya Ülger
Gazi University, Department of Internal Medicine, Division of Geriatrics, Ankara, Turkey
Gazi University, Department of Internal Medicine 
Gazi University, Department of Chest Diseases Gazi University, Department of Pathology 
Gazi University, Department of Ear, Nose and Throat Diseases 
Çankaya Hospital, Ankara, Turkey

Bilateral Chronic Osteomyelitis of the Femur with Intramedullary Confined Bulky

JAMES Yaovi Edem*, Walla Atchi, Akpoto Messanvi, Abalo Anani

Osteomyelitis is one of the infectious diseases frequently encountered in developing countries. It is a chronical infection that concerns the long bones’ diaphysis which treatment can be very laborious.

We present two cases of chronic bilateral osteomyelitis of the femur observed on a 42 years lady and a 15 years teenager, both with sickle cell disease, AS the former and homozygote SS the latter. The symptomatology was dominated by persistent pains in both thighs with a bilateral purulent discharge fistulizing the skin. Radiographic assessments have helped to highlight bilateral images of pandiaphysitis bulky with intramedullary receivers in both cases. Surgical treatment consisted of a fistulectomy and a sequestrectomy after achieving a wide flap bilateral femoral diaphysis. Some pus samples were made and allowed to isolate in both cases a Staphylococcus Aureus. Clinical Bilateral forms are rarely found in literature.

In all cases, the germ implicating it as well as the field are predictive factors in the occurrence of this rare clinical form. 

Presistant Visual Noise (Visual Snow Syndrome)- A Case Report in Jordan

Al Mamoori Fawwaz ajan*
Department of Medical Retina and Neurophthalmology, Eye Specialty Hospital, Amman, Jordan.

Difficulty in Diagnosing Stevens-Johnson Syndrome: A case report

Jillian Gallagher*, Paul Tomlinson
Kew Hospital, Invercargill