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Case Reports in Urology

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https://www.readbyqxmd.com/read/30009079/urachal-carcinoma-with-peritoneal-dissemination-treated-with-chemotherapy-and-surgical-resection-leading-to-prolonged-survival-with-no-recurrence
#1
Masato Yasui, Ryosuke Jikuya, Tomoyuki Tatenuma, Kentaro Muraoka, Susumu Umemoto, Masaki Kawai, Tsutomu Kouno, Takeshi Kishida
A 56-year-old man was admitted to our hospital for urachal carcinoma with peritoneal dissemination. He received first-line chemotherapy with gemcitabine and cisplatin. After the fifth cycle, a computed tomography (CT) scan revealed abdominal fluid, and his serum tumor marker levels were increased. The patient was started on second-line therapy with FOLFIRI. After 11 cycles, his tumor decreased in size and no new metastatic lesions were detected. The patient underwent complete tumor resection with partial cystectomy and pelvic lymph node dissection...
2018: Case Reports in Urology
https://www.readbyqxmd.com/read/30009078/a-rare-case-of-human-diphallia-associated-with-hypospadias
#2
Andrey Frolov, Yun Tan, Mohammed Waheed-Uz-Zaman Rana, John R Martin
Diphallia or penile duplication is a rare congenital variant with an estimated frequency of 1 per 5 to 6 million live births. The extent of duplication varies widely and typically occurs with other malformations including urogenital, gastrointestinal, and musculoskeletal anomalies. Here we present a case of human diphallia that was detected during routine dissection of an 84-year-old cadaver. Upon thorough examination, this case was characterized as a complete bifid penis which was accompanied by hypospadias with no other anatomical abnormalities detected...
2018: Case Reports in Urology
https://www.readbyqxmd.com/read/30009077/novel-approach-for-endoscopic-management-of-duodenal-injury-during-perirenal-infected-haematoma-drainage-after-shock-wave-lithotripsy
#3
Nariman Gadzhiev, Dmitry Gorelov, Alexander Smirnov, Salman Al-Shukri, Sergei Petrov
Background. Gaining percutaneous access during percutaneous nephrolithotomy (PNL) can be complicated with the bowel injury. We report a novel approach of management of duodenal injury complicating percutaneous drainage of infected haematoma after Shock-Wave Lithotripsy (SWL). Case Presentation. A 57-year-old patient with the 15 mm right pelvic kidney stone underwent uneventful SWL. Patient visited emergency department 3 days later with high fever and chills with severe right flank pain. CT urography revealed lower pole kidney injury with signs of infected hematoma due to low attenuation areas but without signs of obstruction or urine leakage...
2018: Case Reports in Urology
https://www.readbyqxmd.com/read/29984034/acute-diffuse-peritonitis-caused-by-urinary-retention-a-rare-case-of-gangrenous-cystitis
#4
Konstantinos Kotoulas, Chrysostomos Georgellis, Engkin Kigitzi, Apostolos Liappis, Marios Spounos, Vasiliki Tsalkidou, Emmanouil Patris
Gangrenous cystitis is an umbrella term encompassing conditions from necrosis of the mucosa and submucosa to necrosis of the entire bladder wall that can result in acute peritonitis. Timely diagnosis is challenging as the symptoms are nonspecific and resemble other conditions such as cystitis. We report a case of gangrenous cystitis in a 63-year-old woman who was diagnosed with peritonitis preoperatively by a CT scan of the abdomen. Overdistension of the bladder due to chronic urinary retention was the primary cause...
2018: Case Reports in Urology
https://www.readbyqxmd.com/read/29977641/evaluation-of-tumor-viability-for-primary-and-bone-metastases-in-metastatic-castration-resistant-prostate-cancer-using-whole-body-magnetic-resonance-imaging
#5
Hiromichi Iwamura, Yasuhiro Kaiho, Jun Ito, Go Anan, Nozomi Satani, Tomonori Matsuura, Ryo Tamura, Kazuhiro Murakami, Kaneki Koyama, Makoto Sato
In contrast to bone scan and computed tomography (CT), which depend on osteoblastic response to detect bone metastasis, whole-body magnetic resonance imaging (WB-MRI) may be able to directly detect viable tumors. A 75-year-old male who had progressive metastatic prostate cancer during primary androgen deprivation therapy was referred to our hospital. Although bone scan and CT showed multiple bone metastases, WB-MRI suggested nonviable bone metastasis and viable tumor of the primary lesion. Prostate needle biopsy demonstrated viable prostate cancer cells from 10 of 12 cores...
2018: Case Reports in Urology
https://www.readbyqxmd.com/read/29955412/bladder-rupture-as-a-complication-of-circumcision-following-total-subcoronal-urethral-ligation
#6
Asal Hojjat, Sorena Keihani, Amir Hassan Mahboubi, Abdol-Mohammad Kajbafzadeh
Circumcision is one of the most commonly performed procedures and generally is considered a safe and minor surgery. However, serious and catastrophic complications may sometime occur if adequate attention is not paid to all aspects of this procedure. Bleeding is the most common early complication of circumcision and sometimes is controlled by applying sutures. We hereby report a case of urethral obstruction after deep suturing of the bleeding site performed at a district center that led to bladder rupture as an exceedingly rare complication following circumcision...
2018: Case Reports in Urology
https://www.readbyqxmd.com/read/29862115/giant-penile-lymphedema-caused-by-chronic-penile-strangulation-with-rubber-band-a-case-report-and-review-of-the-literature
#7
Shunsuke Hori, Yozo Mitsui, Hidenori Iwai, Toshihiro Tai, Hideyuki Kobayashi, Koichi Nakajima, Koichi Nagao
We treated a 65-year-old Japanese man with a giant penile lymphedema due to chronic penile strangulation with a rubber band. He was referred to our hospital with progressive penile swelling that had developed over a period of 2 years from chronic use of a rubber band placed around the penile base for prevention of urinary incontinence. Under a diagnosis of giant penile lymphedema, we performed resection of abnormal penile skin weighing 4.8 kg, followed by a penile plasty procedure. To the best of our knowledge, this is only the seventh report of such a case worldwide, with the present giant penile lymphedema the most reported...
2018: Case Reports in Urology
https://www.readbyqxmd.com/read/29862114/bilateral-traumatic-testicular-dislocation
#8
Nubyhélia Maria Negreiro de Carvalho, Ana Clemilda Ximenes Marques, Ivon Teixeira de Souza, Vanessa Guerreiro Soares, Felipe Gomes do Nascimento, Letícia Macedo Pinto, Luccas Victor Rodrigues Dias, Guilherme Carneiro Teixeira
Traumatic testis dislocation is an uncommon condition and usually occurs after direct impact on the scrotum. We present an uncommon case of bilateral testicular dislocation caused by an automotive accident, which is the most frequently associated cause described in literature today. Although the fact that diagnosis can be made either by physical examination or with the use of basic exams such as Doppler ultrasound, it is not uncommon for cases to go undetected and diagnosed late. In this case, there was a late diagnosis, almost one year after the motorcycle accident...
2018: Case Reports in Urology
https://www.readbyqxmd.com/read/29854553/page-kidney-an-unusual-complication-of-a-renal-transplant-biopsy
#9
Jacob D McFadden, Jason S Hawksworth
Page kidney, a rare phenomenon whereby external compression of renal parenchyma can induce hypertension, can be caused by subcapsular hematoma following renal transplant biopsy. Surgical intervention is often warranted to salvage the transplant kidney. This is a case report of a patient with acute T-cell-mediated rejection and no other risk factors for postprocedural bleeding that developed Page kidney. The patient had no signs or symptoms for >24 hours from the time of biopsy, underscoring the need for awareness of this rare but potentially catastrophic complication of renal transplant biopsies...
2018: Case Reports in Urology
https://www.readbyqxmd.com/read/29854552/crossed-unfused-ectopic-pelvic-kidneys-a-case-illustration
#10
Jad A Degheili, Murad M AbuSamra, Fadi El-Merhi, Albert El-Hajj
Crossed unfused ectopia constitutes a very rare variant of ectopic kidneys, with an approximate incidence of 1 : 75000. We hereby describe a rare case of an incidental finding of crossed unfused ectopic kidneys, in a 45-year-old gentleman incidentally found to have a bladder lesion. The unique blood supply of his kidneys has also been described. The present case also highlights the different subtypes of renal ectopia, the different embryological hypotheses behind their presentation, and the various systematic anomalies, associated with them...
2018: Case Reports in Urology
https://www.readbyqxmd.com/read/29854551/a-rare-case-of-localised-isolated-penile-fournier-s-gangrene-and-a-short-review-of-the-literature
#11
Antonios Katsimantas, Nikolaos Ferakis, Panagiotis Skandalakis, Dimitrios Filippou
Penile Fournier's gangrene (FG) is very rare clinical entity, which is also known as penile necrotizing fasciitis or wet gangrene of the penis. It is associated with increased morbidity and mortality and in the majority of the described cases it affects not only penis but also the adjacent organs and tissues (e.g., bladder, muscles, rectum, testis, and scrotum). We report a rare case of a previously healthy 68-year-old male, who presented with acute isolated penile Fournier's gangrene. Pus culture was identified with pathogens Enterococcus faecalis , Streptococcus gordonii , and Prevotella melaninogenica ...
2018: Case Reports in Urology
https://www.readbyqxmd.com/read/29854550/urethral-steinstrasse-following-laser-lithotripsy-of-prostatic-urethral-calculi
#12
Jennifer Den, Preston S Kerr, Tamer J Dafashy, Christopher D Kosarek, Robyn L Roberts, J Nicholas Sreshta
Symptomatic prostatic calculi are rare occurrences with several management options, the most popular of which is currently transurethral laser lithotripsy. This is a generally well-tolerated procedure with minimal complications. To date, no reported episodes of steinstrasse at the urethral level following prostatic calculi lithotripsy have been documented to our knowledge. We report a unique case of acute urinary retention secondary to obstructive calculi fragments following a transurethral laser lithotripsy of large prostatic calculi, further complicated by stricture at the fossa navicularis...
2018: Case Reports in Urology
https://www.readbyqxmd.com/read/29854549/bladder-neck-contracture-after-transurethral-resection-of-the-prostate-for-benign-prostatic-hyperplasia-treated-with-a-thermo-expandable-metal-stent-memokath%C3%A2-045
#13
Jan Wen, Bettina Nørby, Palle Jörn Sloth Osther
Bladder neck contracture following transurethral resection of the prostate is a rare but feared complication. Treatment is often challenging with significant recurrence rates. In this report, we present a complicated case treated with a simple procedure. A 75-year-old male developed urinary retention due to bladder neck contracture after transurethral resection of the prostate. He was initially treated with several transurethral incisions, but the obstruction recurred few months after each incision. At urethroscopy, the bladder neck was completely obstructed...
2018: Case Reports in Urology
https://www.readbyqxmd.com/read/29854548/retroperitoneal-cystic-nodal-metastasis-of-renal-cell-carcinoma
#14
Takahisa Yamashita, Makoto Morozumi, Morihiro Higashi, Shuji Momose, Jun-Ichi Tamaru
Cystic nodal metastasis of renal cell carcinoma is very rare. The pathogenesis of cystic nodal metastasis is thought to involve obstruction of a lymphoid vessel draining the kidney by tumor cells and retrograde metastasis from the primary site to the lymph node along the lymphatic vessels. In this study, a surgical case of small renal cell carcinoma with retroperitoneal cystic nodal metastasis is reported.
2018: Case Reports in Urology
https://www.readbyqxmd.com/read/29850367/matrix-stone-occupying-an-entire-renal-collecting-system-a-case-report-and-video-of-diagnostic-ureterorenoscopy
#15
Jonathan Cobley, Yih Chyn Phan, Wasim Mahmalji
Renal matrix stones are a rare phenomenon and they present a diagnostic challenge due to their atypical radiological appearances in comparison to more commonly encountered renal tract calculi. We describe a case of known stone former presenting with loin pain and recurrent urinary tract infections who was diagnosed with a matrix stone. The video of the diagnostic flexiureterorenoscopy demonstrating the matrix stone occupying almost the entire right renal collecting system is also presented.
2018: Case Reports in Urology
https://www.readbyqxmd.com/read/29850366/clinical-impact-of-consolidative-and-salvage-radiotherapy-for-lymph-node-metastasis-in-upper-urinary-tract-urothelial-carcinoma
#16
Hideyuki Kondo, Suguru Shirotake, Takashi Okabe, Soichi Makino, Koshiro Nishimoto, Masafumi Oyama
A 75-year-old Japanese male was referred to our institution for the evaluation of a left ureteral tumor in the ureterovesical junction. Computed tomography and pathologic examination under ureteroscopy revealed an invasive left ureteral urothelial carcinoma with left obturator nodal metastasis without distant metastasis. First, the patient underwent systemic chemotherapy (gemcitabine and cisplatin chemotherapy). We then performed left radical nephroureterectomy and extended lymph node dissection. Pathological examination revealed that the tumor was a high-grade invasive urothelial carcinoma with left common iliac and pelvic lymph node metastasis (pT3N2)...
2018: Case Reports in Urology
https://www.readbyqxmd.com/read/29736289/the-rare-togetherness-of-bladder-leiomyoma-and-neurofibromatosis
#17
Cem Yucel, Salih Budak, Erdem Kisa, Orcun Celik, Zafer Kozacioglu
Neurofibromatosis Type 1 (Von Recklinghausen disease) is a common, autosomal dominant hereditary disorder characterized by involvement of multiple tissues derived from the neural crest. Urinary system involvement in neurofibromatosis is a rare condition. Leiomyoma of the bladder is a rare benign mesenchymal tumor. In this case, our experience and approach regarding the bladder leiomyoma development in a patient diagnosed with neurofibromatosis are presented and the literature data has been reviewed.
2018: Case Reports in Urology
https://www.readbyqxmd.com/read/29732230/strangulation-of-the-penis-by-a-metallic-ring-prevention-is-better-than-cure
#18
Hamza Ichaoui, Sataa Sallami, Ahmed Samet, Zied Bokal, Hassan Touinsi
Strangulation of the penis is a rare condition that requires emergency management. Several objects, metallic or not, can be placed on the penis to increase sexual performance or for self-erotic intentions especially in psychotic patients with unusual sexual impulses. The problem of removing the foreign body and repairing the damage is a real challenge for the practitioner and a great stress for the patient. We report a case of a 42-year-old schizophrenic patient who presented to the emergency department for a strangulation of the penis secondary to a metal ring placed at the base of the penis 10 days before the consultation without urinary disorder...
2018: Case Reports in Urology
https://www.readbyqxmd.com/read/29682392/a-rare-case-of-multifocal-prostatic-blue-nevus
#19
Elias J Farran, Preston S Kerr, Christopher D Kosarek, Joseph Sonstein, Eduardo J Eyzaguirre
Prostatic blue nevus is a rare benign pathologic diagnosis most commonly diagnosed incidentally on many different types of prostate specimens. Blue nevus is the deposition of stromal melanin characterized by spindle cells within the fibromuscular stroma which stains positive for melanin-specific stains Fontana-Masson and S100 and stains negative for CD68, HMB45, and iron stains. We report the case of a multifocal and bilateral blue nevus in a 52-year-old Hispanic male who presented with an elevated prostate-specific antigen of 4...
2018: Case Reports in Urology
https://www.readbyqxmd.com/read/29682391/a-case-of-prostatic-carcinoma-manifesting-as-cutaneous-facial-nodule
#20
Israel Antonio Esquivel-Pinto, Bertha Torres-Alvarez, Ramiro Jetzabel Gómez-Villa, Juan Pablo Castanedo-Cázares
Prostate cancer is the second most frequently diagnosed cancer worldwide and the fifth most common cause of cancer deaths among men. Cutaneous metastasis is an uncommon phenomenon in prostatic cancer, occurring in 0.06-0.3% of cases. Case Presentation. A 56-year-old man presented to our outpatient clinic with a one-month history of a 1.5 cm in diameter, solitary, asymptomatic, purple nodule located on his upper right cheek. After biopsy, prostatic cancer metastasis was diagnosed. Discussion. A literature review revealed 59 articles documenting 71 cases of this diagnosis...
2018: Case Reports in Urology
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