Doctor insights on:
Umbilical Granuloma In Adults
Yes: Umbilical hernias are quite common in adults. Very often, a small hernia may be present at birth which may temporarily close off. In adulthood, stress to the abdominal wall that may occur with pregnancy, weight gain, excessive lifting, etc., may lead to this hernia re-forming. ...Read moreSee 2 more doctor answers
Inguinal hernia repair w/ PHS mesh in 2008. Since then, a hard lump has formed under the incision scar, and it's painful in 2015. Lipoma? Thoughts?
Does the presence of congenital hernias in children predispose to hernias in adulthood especially since the repair is only a herniotomy but no repair of the posterior wall of the inguinal canal?
Unknown: As you said there is no repair of the posterior (floor) of the inguinal canal. However they are separate entities with different causes and one should not lead to the other or preclude it. Finally on occasion wih long standing child type hernias can lead to weak floors and this is usually reinforced if discovered at the first operation. ...Read moreSee 1 more doctor answer
Yes: Most cases on bilateral pneumonia in children are caused by viruses or bacteria. These organisms can spread through droplets coughed out by the infected child into their surroundings & anyone nearby can inhale those droplets & thus acquire the infection if sufficient number of organisms have entered the lungs to start multiplying in the new host & cause infection. ...Read more
Immune response.: A calcified granuloma is a type of inflammation. Some lung infections (like fungal infections) will trigger a response in the body in which the person's immune system surrounds the invading organisms with specific cells that form discrete clusters in attempt to wall the organism off from the host tissue. Over time, these can calcify. Non-infectious foreign material can also cause granulomas. ...Read more
Surgery worse: Often, surgery in a patient with cirrhosis that is severe enough to lead to that much ascites is more dangerous then the hernia itself. With use of diuretics or paracentesis, the ascites can usually be controlled. If surgery is ever needed, it is important to have a doctor that has experience managing patients with liver disease and portal hypertension. ...Read moreSee 1 more doctor answer
Words matter: Some call a hernia a rupture, signifying the move of an abdominal organ out of its normal location, moving thru a barrier.The belly button or midline abdominal hernia is usually benigh.The belly muscles tighten with age & gradually the hernia disappears.There is some risk of the muscles tightening & trapping the hernia out-but a warm bath can relax baby & release it, if not the surgeon must fix it. ...Read moreSee 2 more doctor answers
Can too much beer damage/ruin an umbilical hernia surgery if it was 2 1/2 weeks post op? (Small hernia/no mesh/open repair) 22 y.o 180 lb male
Very much so if-: -U vomited. That give a very high increase in intra- abdominal pressure . That is something that would B a no no. ...Read more
Probably not: In general, postsacral dimples are found in babies and are related to a coccyx that is retroverted. I believe you probably have a pilonidal sinus. This can drain, get infected and lead to further issues that need to be addressed. I would recommend that it be evaluated. ...Read more
Not knowing for sure: -I would feel it is due 2 the fact that in children it it actively forming bone, adding circumference so is thicker and adhered to the bone by the transformation of periosteum to bone. In adults it is no longer adding circumference by laying down bone, &therefore not as adherent. Would like to hear other responses from other MD's. ...Read more
Why is pituitary adenoma infratentorial in adult tumors but craniopharyngioma is supratentorial in childhood?
Sella Turcica: The tentorium cerebelli separates the cerebellum from the cerebrum. Supratentorial means ABOVE the tentorium and Infratentorial means BELOW. The pituitary gland sits in a special area called the hypophyseal fossa or sella turcia which is technically neither. Craniopharyngioma and pituitary adenoma grow SUPRATENTORIALLY in almost all cases, but rarely invade the clivus into the posterior fossa. ...Read more
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