Lumbar hernias are a rare form of abdomen wall hernias. As this is a rare disease, treatment options are not standardized. Most case reports, even recent ones, describe open techniques. A minimally invasive method, though feasible, is not done by most surgeons. Among the minimally invasive techniques, the transabdominal method is commonly performed. A totally extraperitoneal (TEP) approach is a good alternative, which can be done with minimal complications. Here, we describe a case report of a patient who had a superior lumbar hernia (Grynfeltt's) and inguinal hernia, who successfully underwent simultaneous TEP repair for the lumbar and inguinal hernia.

19 Jun 2024·2024 21st International Joint Conference on Computer Science and Software Engineering (JCSSE)

Lateralizing Seizure Onset Zone Through Interictal Sleep Scalp EEG High-Frequency Oscillations

Author: Kotegar, Karunakar A ; Achar, Dhruva P ; Radhakrishnan, Kurupath

18 May 2023·Cureus

Accessory Spleen Mimicking an Intrahepatic Neoplasm: A Rare Case Report

Author: Matthew, Catherine ; M S, Peethambaran ; Rajendran, Rajkamal R

Accessory spleen and splenosis are two types of ectopic spleen. An accessory spleen can be found in various sites in the abdomen, but an intrahepatic accessory spleen is very rare though many case reports of intrahepatic splenosis are available. This case report presents the incidental diagnosis of accessory spleen in the liver of a 57-year-old male while undergoing laparoscopic diaphragmatic repair. The patient had a history of splenectomy 27 years ago for hereditary spherocytosis, but his routine haemogram did not show any features of the ectopic splenic function. Intraoperatively, a mass was suspected in the liver and was resected. Histopathology revealed an accessory spleen with well-preserved red and white pulp architecture. Though a history of splenectomy suggested a diagnosis of splenosis, a well-encapsulated and preserved splenic architecture confirmed the diagnosis of accessory spleen. Accessory spleen or splenosis can be diagnosed radiologically using Tc-99m-labeled heat-denatured red blood cells (HRBC) and Tc-99m sulfur colloid scans, but the gold standard is histopathological examination. Ectopic spleen is mostly asymptomatic but usually results in unnecessary surgeries as it is difficult to differentiate from benign or malignant tumors. Thus, a high degree of suspicion and awareness is necessary for early and prompt diagnosis.

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