Man With Painful Erection

Case report: A man on antiretroviral therapy with painful thighs.

A 54 year old man presented with increasing pain in both thighs for three months during a follow up visit at the antiretroviral therapy (ART) clinic of Queen Elizabeth Central Hospital. He was first seen at the same clinic three years and eight months before the current presentation, when he started ART with stavudine-lamivudine-nevirapine. He was in WHO clinical stage III, but it was not docum...

A man with a chronic painful perianal ulcer.

Painful varicocele in an infertile man.

What is the most likely diagnosis? The patient has a varicocele, which is an abnormal, tortuous dilatation of the pampiniform plexus of testicular veins. It occurs in 10%–15% of men, rising to about 25% of men with an abnormal semen analysis. Many varicoceles develop in adolescence, and up to 90% are leftsided. Most varicoceles are painless and idiopathic. It has been postulated that they arise...

a 55-year old man with acute painful flank mass, a case report

lumbar hernias (lh) accounts for less than 1.5% of total hernia incidence. it can occur in two separate triangular areas of the flank. about 300 cases have been reported in the literature. here, we report a 55-year old man with acute painful left side flank mass and final diagnosis of lh. the mass was appeared about three hours before admission and his pain was slight at first but became more s...

Multiple painful bone cysts in a young man.

To confirm the diagnosis of diffuse cystic angiomatosis, it is necessary to biopsy the bone: the walls of the cysts react to immunological markers of the endothelium (antigens related to factor VIII and CD31). Alternatively, lymphography can avoid the necessity for biopsy. Evolution of the condition is variable and depends on the extent of visceral involvement, and usually the extent of soft ti...