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Patient 65-year-old of age who comes to the medical consultation with pain moderated pain in the right hypochondrium of “several years of evolution” but that it increased one week ago. Also, she shows pain in the umbilical region of “many years of evolution”, that is supported according to the patient - in a constant way.rnTo the examination, we observe an umbilical hernia, apparently divided into two parts. The hernia of the external region measures 25.1 centimeters x 18.0 centimeters and the one that occupies the average region measures 12.0 centimeters x 10.0 centimeters.rnPatient who comes to the medical consultation with moderated pain in the right hypochondrium of one year of evolution but it increased one week ago after eat duck.rnIn the ultrasound scan of the region of the right hypochondrium (patient came having breakfast, that is to say, without previous preparation ) we can observe the liver of 123.8 millimeters high, as well as the porta vein with a diameter of 7.3 millimeters.rnOn having observed the Gallbladder, we think that a side wall is increased in 2.7 mm (hyperechogenic) with several “echogenics points” in the interior (”Biliary Mud”).

The measurements of the gallbladder were: 39.0 x 17.4 millimeters.rnWe can appreciates an echogenic image in the interior that it would make think about stone. The stones are identified as echogenic foci casting acoustic shadowing but but this image did not appear and a re-evaluation is decided in 15 days.

Acalculous cholecystopathy which means disease or condition of the gallbladder without the presence of gallstones. You might also call it functional gallbladder disorder or impaired gallbladder emptying. Some causes may be chronic inflammation, a problem with the smooth muscles of the gallbladder or the muscle of the Sphincter of Oddi being too tight.

REMEMBER:
Umbilical hernia is a congenital malformation, especially common in infants of African descent, and more frequent in boys. An Acquired umbilical hernia directly results from increased intra-abdominal pressure and are most commonly seen in obese individuals.
Presentation:A hernia is present at the site of the umbilicus (commonly called a navel, or belly button) in the newborn; although sometimes quite large, these hernias tend to resolve without any treatment by around the age of 5 years. Obstruction and strangulation of the hernia is rare because the underlying defect in the abdominal wall is larger than in an inguinal hernia of the newborn. The size of the base of the herniated tissued is inversely correlated with risk of strangulation (i.e. narrow base is more likely to strangulate).
Babies are prone to this malformation because of the process during fetal development by which the abdominal organs form outside the abdominal cavity, later returning into it through an opening which will become the umbilicus.
Differential diagnosisrnImportantly this type of hernia must be distinguished from a paraumbilical hernia which occurs in adults and involves a defect in the midline near to the umbilicus, and from omphalocele.

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Finding out that you have zero sperm count can be a heartbreaking moment for any man. Azoospermia, the medical term for this condition, doesn't always mean you can’t have a biological child. With the right diagnosis, testing, and treatment, many men go on to father children successfully, offering hope and possibilities.

This episode of Fertility Focus explains everything you need to know about Azoospermia, from causes and types to real options available for hopeful fathers.

What’s covered in this episode?
✅What does a zero sperm count report really mean?
It could be temporary or due to incorrect lab testing—repeat it at an IVF centre.
✅How do you confirm if it’s true Azoospermia or just very low count (Cryptozoospermia)?
Only proper centrifugation by an embryologist can detect hidden sperm.
✅What tests are important after a confirmed Azoospermia diagnosis?
Physical exam, hormone blood tests, and genetic testing are crucial.
✅What is the difference between Obstructive and Non-Obstructive Azoospermia?
Obstructive means sperm is being produced but blocked; non-obstructive means no sperm production.
✅Can injections or hormone therapy help?
Yes, but only in select cases like hypogonadotropic hypogonadism.
✅What is Micro-TESE, and when is it needed?
A surgical sperm retrieval method used in non-obstructive cases where regular aspiration fails.
✅What role does testicular volume play in diagnosis?
Low testicular volume often signals poor sperm production.
✅Should sperm retrieved through aspiration be frozen?
Yes—always freeze immediately during invasive procedures to avoid losing the opportunity.
✅Can a normal pathology lab give accurate Azoospermia results?
No. It must be done at an IVF centre by trained embryologists.

Azoospermia is not the end of the road. With early and accurate diagnosis, personalised testing, and advanced techniques like Micro-TESE, many men can still have a biological child. Consult with fertility specialists and avoid assumptions based on a single test.

If you're seeking expert guidance on male infertility or looking for hope beyond the report, subscribe to our channel and stay updated with Fertility Focus.

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About Dr. Rhythm Gupta and Excel IV

Founded by Dr. Rhythm Gupta, a highly qualified IVF expert in Delhi, Excel IVF offers treatments of an exceptional team of specialists, sonographers, nurses, counselors, etc. who have high-end experience and exceptionally professional in their respective fields.

To know more
Consult Dr. Rhythm Gupta, an Infertility Specialist at Excel IVF.
☎️ 98114-74471 | 89209-63596
📧 drrhythmgupta@gmail.com
🌎 Visit our website: https://excelivf.com/
https://www.instagram.com/excel_ivf/
https://www.facebook.com/excelivf/
https://www.linkedin.com/in/rhythm-ahuja-1a4752b3

#azoospermia #zerospermcount #maleinfertility #cryptozoospermia #ivfindia

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