Search

Self-inserted urethral foreign bodies (FBs) are rare. Neither reported case was the self-inflicted FB due to a lack of financial resources nor was either case complicated by Fournier's gangrene. We present a 54-year-old male who inserted a household pipe to relieve his urine retention. Unfortunately, the FB became stuck inside, perforated the urethra, and required perineal exploration. After it was removed, the urethra was closed over a 16F urethral catheter. The wound was complicated by severe infection and resulting Fournier's gangrene. This required an additional surgery for debridement and urine diversion. Retrospectively, it would have been better if the urethra had been left open with SP tube only. We are sharing a clinical lesson learned by the practicing urologist and surgeons. Conclusively, self-inserted FBs in the urethra may lead to a series of complications. Patients with limited financial resources need more attention and care because they may hurt themselves unintentionally.

Rosai-Dorfman disease is an extremely rare disorder characterized by proliferation and accumulation of histiocytes in lymph nodes, usually in the cervical region. In approximately 43% cases, this accumulation occurs in extra nodal sites such as the skin, nasal sinuses, central nervous system, kidney and gastrointestinal tract. We report such a case of extra nodal (cutaneous) Rosai Dorfman disease in a young female patient.

Trichilemmal carcinoma is a rare hair follicle tumour which develops from the outer root sheath of the hair follicle. It is thought to occur from a malignant transformation of a benign Trichilemmoma and is usually found on sun-exposed areas such face, ears, scalp of elderly women. It is a low-grade tumour with low metastatic potential. We present the case of an elderly female patient with low grade Trichilemmal carcinoma of the scalp with cervical lymph node which was clinically and histopathologically proven to be insignificant.