Dracunculus orchitis: a case report.
The clinical features of dracunculus orchitis as a definite clinical entity are summarized and a case reported.
Biomedical subjects
Publications and source records attributed to A K Pendse.
The clinical features of dracunculus orchitis as a definite clinical entity are summarized and a case reported.
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Fifty-two cases of urinary tract calculus disease were investigated for dietary habits, routine chemical and microscopic urinalysis, bacterial culture, quantitative analysis of 24 h urine sample and qualitative analysis of the stones. 54 out of the 56 stones analysed were of mixed type. Magnesium ammonium phosphate was present in 78.2% stones. Dietary habits revealed principal dependence on cereals, lack of animal proteins, consumption of oxalate rich vegetables and widespread consumption of tea. Urinary tract infection was present in 63.7% of the cases. Significant calcium oxalate crystalluria (2+ to 4+) was present in 34.6% of the cases. Hyperoxaluria, hypercalciuria associated with hyperoxaluria-lower excretion of magnesium and citric acid were important urinary risk factors in the local population. These observations strongly suggest the multifactorial etiology of stone disease in this region. Imbalanced nutrition and urinary tract infection were the principal risk factors for urolithiasis in this study.
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Testicular involvement in dracunculosis is extremely rare, although intrascrotal abscesses do occur in this infestation. Two cases of testicular abscess are reported. In both cases the guinea worm had penetrated the tunica albuginea to be lodged in the testicular as well as the paratesticular tissue. Dracunculosis should be included in the differential diagnosis of testicular swellings in areas where it is endemic.
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Parital obstruction of left renal vein leads to production of varicocele in a fairly short period, i.e.; even within a month. Collateral venous channels play an important role in the formation and degree of varicocele. Varicocele has got a depressive effect on the spermatogenesis on the side of varicocele as well as on opposite testes. Leydig cells and interstitial tissue flourish at the expense of gonadal elements. The factors affecting the spermatogenesis are different from those of other tissues of the testes.
Various aspects of splenic-gonadal fusion are discussed and 1 case of the continuous type is reported. A plea is made to include this condition in the differential diagnosis of scrotal masses, particularly those on the left side.
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