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Case Reports in Urology

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https://www.readbyqxmd.com/read/27882260/intrascrotal-collection-in-an-acute-pancreatitis-a-case-report-and-review-of-the-literature
#1
L Moens, P Yengue Yengue, C Assenmacher
Context. An inguinoscrotal swelling occurring during an acute pancreatitis is very rare. Case Report. We report a case of right inguinoscrotal swelling appearing in connection with an interstitial edematous acute pancreatitis. We have noticed a spontaneous complete reduction of the right inguinoscrotal swelling after 10 days. Conclusion. The management of a scrotal swelling should be the least invasive possible method but also the most complete possible method to avoid unnecessary interventions. The exclusion of a pathology that could affect the vital prognosis of the testis remains the absolute priority...
2016: Case Reports in Urology
https://www.readbyqxmd.com/read/27872789/malignant-peripheral-nerve-sheath-tumor-of-prostate-a-rare-case-report-and-literature-review
#2
Kun-Lin Hsieh, Chih-Cheng Lu, Chien-Feng Li, Yin-Hsun Feng, Alex C Liao
A mid-aged male presented with progressive lower urinary tract symptoms (LUTS) for years. Huge prostate with low serum prostate-specific antigen (PSA) level was detected. The specimen from transurethral resection revealed surprising pathology finding as malignant peripheral nerve sheath tumor (MPNST). Considering its huge size (more than 300 gm) and location, we prescribed neoadjuvant chemotherapy firstly. The tumor became regressive and then radical surgical resection was achieved. Adjuvant multimodality treatment including concurrent chemoradiotherapy (CCRT) and target therapy was given...
2016: Case Reports in Urology
https://www.readbyqxmd.com/read/27872788/concomitant-laparoscopic-burch-urethropexy-and-combined-vaginal-laparoscopic-mesh-sling-removal-x2-for-pain-and-persistent-stress-urinary-incontinence
#3
Sarah A Huber, LaChanda Dunlap-Wright, John R Miklos, Robert D Moore
Although midurethral mesh tape slings are considered the standard of care in the treatment of female stress urinary incontinence (SUI), complications such as pain, dyspareunia, or erosion are known to occur in addition to persistent incontinence. The management of these types of mesh sling complications can be very complex, especially when the pain is not just isolated to the vagina but extends into other areas, such as the abdomen which requires a much more extensive dissection. Additionally, if a mesh sling needs to be removed, the patient will most likely have a return of her SUI that often necessitates subsequent treatment...
2016: Case Reports in Urology
https://www.readbyqxmd.com/read/27872787/synchronous-malignant-peripheral-nerve-sheath-tumor-and-adenocarcinoma-of-the-prostate-case-report-and-literature-review
#4
Nikolaos Ferakis, Antonios Katsimantas, Konstantinos Bouropoulos, Antonios Farmakis
Malignant Peripheral Nerve Sheath Tumors (MPNSTs) of the prostate are extremely rare. A very unusual case of simultaneous adenocarcinoma and MPNST of the prostate is reported. A 60-year-old Caucasian male presented for annual urologic examination. Digital rectal examination revealed a painless, toughish, and asymmetrically enlarged prostate. Serum prostate-specific antigen was 1 ng/mL. Radiologic examinations demonstrated a large mass, which was arising from the left peripheral lobe of the prostate. The patient underwent transrectal ultrasound-guided biopsy of the prostate which revealed a smooth muscle tumor of uncertain malignant potential...
2016: Case Reports in Urology
https://www.readbyqxmd.com/read/27847670/postrenal-failure-due-to-urinary-stones-associated-with-acute-viral-gastroenteritis-three-case-reports
#5
Satoru Kira, Takahiko Mitsui, Hidenori Zakoji, Tadashi Aoki, Norifumi Sawada, Tatsuya Miyamoto, Masayuki Takeda
Acute gastroenteritis with viral infection in infants causes severe diarrhea and often results in acute renal failure due to severe dehydration. However, a viral infection, particularly rotavirus, rarely induces postrenal failure due to bilateral stones in infants. Herein, we report three cases of postrenal failure in infants due to bilateral ureteral stones induced by acute gastroenteritis with rotavirus. Following immediately nephrostomy, chemical dissolution therapy succeeded to treat postrenal failure. Immediate nephrostomy for the release of upper urinary tract obstruction combined with urinary alkalization as a chemical dissolution therapy should be considered in such cases...
2016: Case Reports in Urology
https://www.readbyqxmd.com/read/27843671/erratum-to-primary-desmoplastic-melanoma-of-the-penis
#6
Julia T Chu, Michael A Liss, William W Wu, Atreya Dash, Di Lu
[This corrects the article DOI: 10.1155/2015/706572.].
2016: Case Reports in Urology
https://www.readbyqxmd.com/read/27840764/retroperitoneal-teratoma-in-an-adult-a-potential-pitfall-in-the-differential-diagnosis-of-adrenal-myelolipoma
#7
Madoka Kataoka, Hiroshi Fukushima, Yasukazu Nakanishi, Minato Yokoyama, Nobuaki Funata, Toru Motoi, Ken-Ichi Tobisu, Fumitaka Koga
We report a 32-year-old female case of a right adrenal gland mass detected on CT scan at medical checkup. CT and MRI showed a mass of 5.1 cm made of fat and calcification in the right adrenal gland, leading to the clinical diagnosis of adrenal myelolipoma. Because of its relatively large size and the patient's desire, the patient underwent gasless single-port retroperitoneoscopic adrenalectomy using the RoboSurgeon system. Histopathological examination revealed that the cystic tumor is composed of keratinized epidermis, mature fat, nerve, cartilage, bone, and sebaceous glands compressing the normal adrenal gland, leading to the diagnosis of retroperitoneal mature cystic teratoma...
2016: Case Reports in Urology
https://www.readbyqxmd.com/read/27818830/a-case-of-metastatic-melanoma-in-the-ureter
#8
James Macneil, Tania Hossack
Advances in the treatment of melanoma are resulting in patients living for extended periods after being diagnosed with metastatic disease. Metastases to the ureter are rare, but they have been described in the literature on a number of occasions. In this case report, we describe a patient with established metastatic melanoma who, whilst taking and responding to immunomodulatory therapy, was found to have an obstructive mass in the middle of his left ureter. Rather than performing either a nephroureterectomy or partial resection of the ureter, we opted to perform an endoscopic resection of the melanoma...
2016: Case Reports in Urology
https://www.readbyqxmd.com/read/27795866/two-cases-of-solitary-fibrous-tumor-involving-urinary-bladder-and-a-review-of-the-literature
#9
Eduardo Yukio Tanaka, Vitor Bonadia Buonfiglio, Joao Padua Manzano, Renée Zon Filippi, Marcus Vinicius Sadi
Solitary fibrous tumor (SFT) is a rare neoplasia of mesenchymal origin, initially described in visceral pleura and lately discovered to have ubiquitous distribution. SFT of the urogenital tract is uncommon and appears to have similar morphologic features and biologic behaviors as SFTs found elsewhere. We present two new cases of SFT of the bladder and review 22 similar cases published in the literature. Due to the general indolent behavior of these lesions, a complete but organ sparing surgical excision should be considered when technically feasible...
2016: Case Reports in Urology
https://www.readbyqxmd.com/read/27747129/delayed-diagnosis-of-iatrogenic-bladder-perforation-in-a-neonate
#10
Antoinette S Birs, Jose A Perez, Mark A Rich, Hubert S Swana
Iatrogenic bladder injuries have been reported in the neonate during umbilical artery/vein catheterization, voiding cystourethrogram, urinary catheterizations, and overwhelming hypoxic conditions. Patients with iatrogenic bladder perforations can present with acute abdomen indicating urinary peritonitis, septic-uremic shock, or subtle symptoms like abdominal distension, pain, hematuria, uremia, electrolyte imbalances, and/or difficulty urinating. The following neonatal case report of perforated bladder includes a review of the signs, symptoms, diagnostic tools, and management of bladder injury in neonates...
2016: Case Reports in Urology
https://www.readbyqxmd.com/read/27722006/a-unique-case-of-intraabdominal-polyorchidism-a-case-study
#11
Javier Otero, Natalie Ben-Yakar, Biruk Alemayehu, Steven D Kozusko, Frank Borao, Thomas S Vates Iii
Background. Polyorchidism, alternatively supernumerary testes (SNT), is a condition where an individual is born with more than two testicles. This congenital anomaly is quite rare and the literature has described various presentations. Questions/Purposes. To our knowledge, this presentation of polyorchidism has yet to be described in the literature. The goal of this case study is to add to the pediatric, general, and urologic surgery's body of knowledge of the subject matter. Case Study. A nine-month-old boy was admitted for an impalpable right testis and phimosis...
2016: Case Reports in Urology
https://www.readbyqxmd.com/read/27703836/a-prolapsed-cecoureterocele-in-an-adult-treated-conservatively-highly-rare-but-existent
#12
Löcherbach Florian, Preusser Stefan, Meier Mark
Ectopic ureteroceles are one of the most common human urinary tract anomalies. They tend to be recognized and treated in early childhood, especially when they have prolapsed. In most cases surgical therapy is inevitable. In this case report, however, we present the unusual case of a 26-year-old woman suffering from a prolapsed cecoureterocele without any known history of an ectopic ureterocele so far. She was successfully treated without the need for a surgical procedure.
2016: Case Reports in Urology
https://www.readbyqxmd.com/read/27672474/levator-ani-necrosis-an-exceptional-complication-occurring-after-high-intensity-focused-ultrasound-of-the-prostate
#13
Danny Badawy, Elie El Rassy, Fouad Aoun, Roland Van Velthoven
High intensity focused ultrasound (HIFU) is a minimally invasive treatment option that might be considered in the management of localized prostate cancer. It is a well-tolerated treatment with few minor urologic complications and no major toxicities. In this paper, we report to our knowledge the first case of levator ani necrosis in a patient treated with HIFU, manifesting as sturdy perineal pain, which took years of NSAID intake and serial MRIs to demonstrate partial improvement. Therefore, we regard HIFU as a serious potential treatment option that still requires longer follow-up data before its approval in the personalized treatment panel of prostate cancer...
2016: Case Reports in Urology
https://www.readbyqxmd.com/read/27656309/acute-bladder-necrosis-after-pelvic-arterial-embolization-for-pelvic-trauma-lessons-learned-from-two-cases-of-immediate-postembolization-bladder-necrosis
#14
Samuel Washington, E Charles Osterberg, Sean P Elliott, Adam B Hittelman, Benjamin N Breyer
We report two cases of acute bladder injury with bladder neck necrosis identified during the initial operative evaluation and within the early postprocedural period in patients with significant pelvic trauma requiring pelvic vascular embolization. To our knowledge, this is the first report of bladder neck necrosis found during the initial intraoperative surgical evaluation or early postoperative setting.
2016: Case Reports in Urology
https://www.readbyqxmd.com/read/27656308/neurogenic-bladder-repair-using-autologous-mesenchymal-stem-cells
#15
Pradeep V Mahajan, Swetha Subramanian, Amit Danke, Anand Kumar
The normal function of the urinary bladder is to store and expel urine in a coordinated, controlled fashion, the activity of which is regulated by the central and peripheral nervous systems. Neurogenic bladder is a term applied to a malfunctioning urinary bladder due to neurologic dysfunction or insult emanating from internal or external trauma, disease, or injury. This report describes a case of neurogenic bladder following laminectomy procedure and long-standing diabetes mellitus with neuropathy treated with autologous cellular therapy...
2016: Case Reports in Urology
https://www.readbyqxmd.com/read/27648338/skeletal-muscle-metastases-to-the-flexor-digitorum-superficialis-and-profundus-from-urothelial-cell-carcinoma-and-review-of-the-literature
#16
Marco Guidi, Cesare Fusetti, Stefano Lucchina
Urothelial cell carcinoma (UCC) metastases to skeletal muscle are extremely rare and usually found in patients with advanced stage cancer. The most common sites of bladder cancer metastases are lymph nodes, lung, liver, and bones. Muscle is an unusual site of metastases from a distant primary cancer, due to several protective factors. We present a rare case of 76-year-old patient with metastases in the flexor digitorum superficialis (FDS) and flexor digitorum profundus (FDP) muscles, 2 years after a radical cystectomy for invasive UCC of the bladder...
2016: Case Reports in Urology
https://www.readbyqxmd.com/read/27635277/minimally-invasive-approach-of-a-retrocaval-ureter
#17
Nuno Fidalgo, Hugo Pinheiro, Frederico Ferronha, Jorge Morales, Luís Campos Pinheiro
The retrocaval ureter is a rare congenital entity, classically managed with open pyeloplasty techniques. The experience obtained with the laparoscopic approach of other more frequent causes of ureteropelvic junction (UPJ) obstruction has opened the method for the minimally invasive approach of the retrocaval ureter. In our paper, we describe a clinical case of a right retrocaval ureter managed successfully with laparoscopic dismembered pyeloplasty. The main standpoints of the procedure are described. Our results were similar to others published by other urologic centers, which demonstrates the safety and feasibility of the procedure for this condition...
2016: Case Reports in Urology
https://www.readbyqxmd.com/read/27610263/severe-hypotension-hypoxia-and-subcutaneous-erythema-induced-by-indigo-carmine-administration-during-open-prostatectomy
#18
Koichiro Nandate, Bryan B Voelzke
Indigo carmine (also known as 5,5'-indigodisulfonic acid sodium salt or indigotine) is a blue dye that is administered intravenously to examine the urinary tract and usually is biologically safe and inert. Indigo carmine rarely may cause adverse reactions. We treated a 66-year-old man who had general anesthesia and radical retropubic prostatectomy for prostate cancer. He had a previous history of allergy to bee sting with nausea, vomiting, and dizziness. Within 1 minute after injection of indigo carmine for evaluation of the ureters, the patient developed hypotension to 40 mmHg, severe hypoxia (the value of SpO2 (peripheral capillary oxygen saturation) was 75% on 40% inspired oxygen concentration), poor air movement and bilateral diffuse wheezing on auscultation, and marked subcutaneous erythema at the upper extremities...
2016: Case Reports in Urology
https://www.readbyqxmd.com/read/27597925/a-case-of-cryptorchidism-with-ipsilateral-congenital-unilateral-absence-of-the-vas-deferens-and-contralateral-renal-agenesis
#19
Young Dong Yu, Young Kwon Hong
Introduction and Aims. Congenital absence of the vas deferens is an uncommon anomaly and this clinical condition is responsible for up to 1-2% of male infertility. It can be either unilateral or bilateral and the associated anomalies include cryptorchidism, seminal vesicles and ejaculatory ducts anomalies, and renal anomalies such as renal agenesis. We hereby present a case of congenital unilateral absence of vas deferens, which was found incidentally during an evaluation of undescended testis in a patient with ipsilateral renal agenesis...
2016: Case Reports in Urology
https://www.readbyqxmd.com/read/27579210/spontaneous-subcapsular-renal-hematoma-strange-case-in-an-anticoagulated-patient-with-hwmh-after-aortic-and-iliac-endovascular-stenting-procedure
#20
Michele Greco, Salvatore Butticè, Filippo Benedetto, Francesco Spinelli, Olivier Traxer, Tzevat Tefik, Rosa Pappalardo, Carlo Magno
Spontaneous subcapsular renal hematoma is a rare condition in clinical practice. It is caused by renal cysts, benign and malignant renal tumors, vascular lesions, and antiplatelet or anticoagulant therapy. In this paper we report an unusual case of rupture of a renal cyst of a 66-year-old male patient during an aortic and iliac endovascular procedure for a massive calcified atheroma above the iliac bifurcation. We suspected that the bolus of high weight molecular heparin given during the procedure caused the rupture of the cyst...
2016: Case Reports in Urology
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