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Urology Case Reports

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https://www.readbyqxmd.com/read/28224089/kilt-kidney-and-ivc-abnormalities-with-leg-thrombosis-syndrome-in-a-41-years-old-man-with-loin-pain-and-fever
#1
James Kiujing Fung, Victor Hip Wo Yeung, Sau Kwan Chu, Chi Wan Man
KILT syndrome is a rare condition composing the triad of kidney and inferior vena cava anomaly and extensive venous thrombosis. We present a case of newly diagnosed KILT syndrome in a 41-years-old gentleman presenting with loin pain and fever. Reviewing previous case reports, KILT syndrome is usually an incidental finding on imaging studies and there is a wide scope of initial clinical presentations. However, recent evidence suggests IVC anomaly may have caused subsequent renal hypoplasia. Identification of the underlying etiology may be helpful in planning early vascular intervention to treat the condition...
May 2017: Urology Case Reports
https://www.readbyqxmd.com/read/28224088/benign-testis-mass-after-viral-infection
#2
Robbie Hurtt, Charles Pound, Christopher Bean
We present two cases of viral associated orchitis and subsequent testis masses concerning for malignancy both on physical exam and scrotal ultrasound. In both cases, the patients underwent radical orchiectomy after a discussion of management options. Both pathologic analyses were negative for malignancy, and our literature search revealed no other similar case reports. We review our two cases specifically, as well as briefly review orchitis and discuss possible management strategies of similar cases.
May 2017: Urology Case Reports
https://www.readbyqxmd.com/read/28224087/fragmentation-of-severely-encrusted-ureteral-stent-indwelled-for-4%C3%A2-years-in-a-boy
#3
Guangjing Tao, Guojun Wu, Lijun Yang, Fuli Wang, Chao Han, Fei Liu, Jianlin Yuan
Four years ago, a 9-year-old boy received percutaneous nephrolithotomy (PCNL) and a 5F DJS was placed thereafter. The DJS was neglected until it caused serious complications including encrustation involving the whole stent, a 5-cm-diameter vesical stone, fragmentation of DJS, and serious urinary tract infection. For this rare and complex case of pediatric lithotomy, we combined PCNL with the suprapubic cystolithotomy for complete removal of the encrusted stent and associated stones without any complications and the patient was rendered stone- and stent-free safely...
May 2017: Urology Case Reports
https://www.readbyqxmd.com/read/28224086/early-robotic-repair-of-vesicouterine-fistula-a-case-report-and-literature-review
#4
Othman J Alamoudi, Mohammed A AlTheneyan, Naif Aldhaam, Maher Moazin
As cesarean sections become a more common mode of delivery, they have become the most likely cause of vesicouterine fistula formation. The associated pathology with repeat cesarean deliveries may make repair of these fistulas difficult. Early robotic-surgery offers a 3-dimensional view of the operative field and allows for intricate movements necessary for complex suturing and dissection. These qualities are advantageous in vesicouterine fistula repair. 42 years old female day 12 post-LSCS in author hospital with history of bladder injury and folly's catheter in place since OR complain of gross hematuria for 8 days...
February 2017: Urology Case Reports
https://www.readbyqxmd.com/read/28194328/a-55-year-old-man-with-right-testicular-pain-too-old-for-torsion
#5
Yu Ho Tang, Victor Hip Wo Yeung, Peggy Sau Kwan Chu, Chi Wai Man
Testicular torsion is predominantly a disease of adolescence, but age itself should not be an exclusion criterion for the diagnosis. A lack of suspicion for testicular torsion in older patients may result in a missed or delayed diagnosis which jeopardizes the chance of testicular salvage. In this article, we report a case of testicular torsion in a 55-year-old Chinese man.
February 2017: Urology Case Reports
https://www.readbyqxmd.com/read/28194327/dysuria-an-uncommon-presentation-in-emergency-department-following-bladder-neck-disruption
#6
Ali Pourmand, Assya Abdallah, Hamid Shokoohi, Mindy Park, Marie White, Francis O'Connell
Prostate cancer is the most common life-threatening cancer diagnosed in men. Complications of prostatectomies vary and often include urinary incontinence, erectile dysfunction and pain, while other complications go unreported. While emergency physicians are already familiar with the more common post-operative complications presenting to their departments, including urinary retention, ileus, surgical site infections, venous thromboembolisms and urinary tract infections, they must have a high index of suspicion for rarer complications...
February 2017: Urology Case Reports
https://www.readbyqxmd.com/read/28194326/screw-as-a-bladder-foreign-body
#7
Seyed Reza Hosseini, Hamed Rezaei, Mohamad Ghasem Mohseni, Hosein Ganjali, Negar Behtash, Mahsa Arzani
Foreign bodies in the bladder are among the strangest differential diagnoses in the lower urinary tract symptoms (LUTS) and may be missed in initial medical evaluations. We present a 63-year-old man who was visited in the emergency department because of obstructive and irritative lower urinary tract symptoms. Two months earlier, he had a pelvic fracture due to motor vehicle accident and underwent an open reduction and internal fixation of the pubic rami and right acetabulum by an anterior ilioinguinal approach...
February 2017: Urology Case Reports
https://www.readbyqxmd.com/read/28180093/a-case-of-delayed-radiation-myelopathy-of-the-thoracic-vertebrae-following-low-dose-radiation-therapy-for-metastatic-renal-cell-carcinoma
#8
Satoshi Nozaki, Taku Naiki, Shuzo Hamamoto, Ryosuke Ando, Keitaro Iida, Noriyasu Kawai, Kentaro Mizuno, Atsushi Okada, Yukihiro Umemoto, Takahiro Yasui
Delayed radiation myelopathy (DRM) is a rare disorder that rapidly leads to disabilities, and the median incubation period was reported to be about 2 years (from 6 months to a few years). In this report, we describe a 61-year-old woman who presented with rapid progressive numbness and weakness in both legs 22 months after palliative radiation therapy with 39 Gy in 3 Gy fractions. She was diagnosed with DRM of the thoracic vertebrae and was treated sequentially with corticosteroids, heparin, and hyperbaric oxygen therapy...
February 2017: Urology Case Reports
https://www.readbyqxmd.com/read/28180092/robot-assisted-laparoscopic-resection-of-a-pelvic-schwannoma
#9
Sameer Chopra, Arjuna Dharmaraja, Raj Satkunasivam, Inderbir S Gill
There is minimal data within the literature demonstrating the use of robotics to resect pelvic, benign schwannoma(s). Herein, we describe a case of a 46-year-old transgender male that presented with complaints of left-sided pelvic pain. Pre-operatively, the etiology was unknown. The patient underwent robotic-assisted laparoscopic excision of the pelvic mass, including a 5-6 cm resection of the obturator nerve, successfully. Final pathology found a benign schwannoma. Schwannomas are difficult to diagnose pre- and intra-operatively and are thus frequently misdiagnosed as urologic or gynecologic lesions...
February 2017: Urology Case Reports
https://www.readbyqxmd.com/read/28180091/synchronous-renal-neoplasm-clear-cell-renal-cell-carcinoma-and-papillary-urothelial-carcinoma-in-the-same-kidney
#10
Miguel Armando Benavides-Huerto, Venice Chávez-Valencia, Francisco Alejandro Lagunas-Rangel
Abdominal computed tomography in a 64 year-old male presenting hematuria showed two malignant tumors in the left kidney, thus radical nephrectomy was realized. In histological preparations a clear cell renal cell carcinoma and a papillary urothelial carcinoma were identified occurring synchronously, which is a rare occurrence having only about 50 cases reported in the literature.
February 2017: Urology Case Reports
https://www.readbyqxmd.com/read/28180090/supernumerary-kidney-associated-with-horseshoe-malformation-a-case-report-and-review-of-literature
#11
Hassan Jamshidian, Kiana Tavakoli, Faeze Salahshour, Amirreza Nabighadim, Erfan Amini
We report a case of supernumerary kidney associated with horseshoe malformation. A 35-year-old man presented complaining of vague and intermittent left flank pain from few months ago. Ultrasonography of urinary tract showed bilateral hydronephrosis and was suggestive of the horseshoe anomaly. Further evaluation with Intravenous urography showed three renal moieties consisting of a horseshoe kidney and a malrotated right kidney cephalad to and fused with the right moiety of horseshoe kidney.
February 2017: Urology Case Reports
https://www.readbyqxmd.com/read/28180089/facilitate-stent-removal-magnetic-dj-stent
#12
Hakan Ozturk
A 23-year-old male patient was performed semirigid ureterorenoscopy and laser lithotripsy with placement magnetic DJ stent because of right urethral stone. Removal of the magnetic DJ stent does not need a second procedure such as cystoscopy for the patients. This technique is easy to learn and should be considered as suitable for use on an outpatient basis.
February 2017: Urology Case Reports
https://www.readbyqxmd.com/read/28149750/pheochromocytoma-a-cause-of-anemia
#13
A Youssef, A Hamade
Patients with a Pheochromocytoma usually present with intractable hypertension, postural hypotension, headaches and palpitations, with intractable hypertension being the predominant symptom. When the tumor is located in the urinary bladder, symptoms may be induced by micturition. Herein, we report a young patient with a urinary bladder Pheochromocytoma without hypertension or symptoms induced by micturition. Instead, she presented with anemia.
February 2017: Urology Case Reports
https://www.readbyqxmd.com/read/28149749/pneumoscrotum-with-extensive-penile-and-abdominal-subcutaneous-emphysema-a-case-report-of-uncertain-etiology
#14
Eric Raffin, Gina Tundo, Florian Schroeck
Pneumoscrotum and subcutaneous emphysema make for impressive findings on examination and imaging. With ranging etiologies, thorough investigation into the source is essential to rule out potentially life threatening situations. We present a 31-year-old man with pneumoscrotum and extensive subcutaneous emphysema of his penis, abdomen, and perineum. History and physical exam didn't reveal a clear cause and he subsequently underwent surgical exploration showing no soft tissue infection. On post-operative day 1, he remained clinically stable and was discharged...
February 2017: Urology Case Reports
https://www.readbyqxmd.com/read/28149748/extravasation-of-urine-associated-with-bilateral-complete-ureteral-duplication-vesicoureteral-reflux-and-benign-prostatic-hyperplasia
#15
Issei Suzuki, Kanya Kaga, Kohei Takei, Yuumi Tokura, Kazumasa Sakamoto, Daisaku Nishihara, Tomoya Mizuno, Hideo Yuki, Hironori Betsunoh, Hideyuki Abe, Masahiro Yashi, Yoshitatsu Fukabori, Tomonori Yamanishi, Takao Kamai
We report a rare case of extravasation of urine, which may be associated with bilateral complete ureteral duplication, vesicoureteral reflux (VUR), and benign prostatic hyperplasia (BPH). A 71-year-old male presented with a complaint of right abdominal pain. An extravasation of urine was noted, and was improved by indwelling urethral catheterization. Transurethral resection of the prostate and the endoscopic subureteral injection of dextanomer/hyaluronic acid were performed for the treatment of BPH and VUR, respectively...
February 2017: Urology Case Reports
https://www.readbyqxmd.com/read/28138432/spontaneous-nephrocutaneous-fistula-rare-complication-of-xanthogranulomatous-pyelonephritis
#16
Rami Alazab, Hamzeh M Ghawanmeh, Faris Abushamma, Omar Ababneh, Anas I Al-Karasneh
Renocutaneous fistulae may occur as a result of chronic infection, especially in the setting of calculous disease.(1) Spontaneous renocutaneous is rare.(2) Usually nephrocutanous fistula developed in patient with previous renal surgery, trauma, tumors, and chronic urinary tract infection with abscess formation. We report a case of spontaneous nephrocutaneous fistula. A 37-year-old women previously well presented to ER department with purulent discharge and a palpable mass on the left lumbar area. CT scan with IV contrast fistulous tract seen within the subcutaneous plane in Left lumbar region tracking towards retroperitoneal space, and in continuity with of left kidney...
February 2017: Urology Case Reports
https://www.readbyqxmd.com/read/28138431/upper-tract-urothelial-carcinoma-in-ectopic-pelvic-kidney
#17
Omar Halalsheh, Hamzeh M Ghawanmeh, Ahmed Alshammari, Firas Sahawneh, Radwan Al-Okour, Anas Al Karasneh, Malik Ghawanmeh
Upper tract urothelial carcinoma (UC) is an uncommon tumor. Ectopic kidney is also a rare entity. The combination of these two conditions is very rare. A 49-year-old male complained of right flank pain with hematuria. On CT scan he was found to have a malrotated right kidney with soft tissue seen in the upper calyceal group and a normal left kidney. Diagnostic cystoscopy was unremarkable. Radical nephroureterectomy with bladder cuff excision was performed. Pathology report revealed low grade urothelial carcinoma...
February 2017: Urology Case Reports
https://www.readbyqxmd.com/read/28083486/metastatic-mucinous-adenocarcinoma-and-carcinoid-tumor-arising-from-a-mature-cystic-teratoma-of-a-horseshoe-kidney
#18
Andrew Higgins, Waleed Eisa, John Walton, Jacob Baber, Shaobo Zhu, Heinric Williams
Concurrent primary carcinoid tumor and primary mucinous adenocarcinoma arising within a mature cystic teratoma of a horseshoe kidney is a rare event and has been reported once in the literature. We present the first case where this tumor subtype has metastasized to lymph nodes. Treatment included open partial nephrectomy, lymph node dissection, and adjuvant chemotherapy with temozolomide and capecitabine. Due to the rare combination of tumor histologies, it is unlikely that this cohort will ever be able to be adequately studied to determine a standard of care...
February 2017: Urology Case Reports
https://www.readbyqxmd.com/read/28083485/chronic-colovesical-fistula-leading-to-chronic-urinary-tract-infection-resulting-in-end-stage-renal-disease-in-a-chronic-granulomatous-disease-patient
#19
M R Siddiqui, T Sanford, A Nair, C S Zerbe, M S Hughes, L Folio, Piyush K Agarwal, S J Brancato
A 46-year old man with X-linked chronic granulomatous disease (CGD) being followed at the National Institute of Health with uncontrolled CGD colitis who developed chronic colovesical fistula, and end-stage renal disease (ESRD). Despite aggressive medical management of symptoms with immunomodulators and antibiotic prophylaxis, the chronic colovesical fistula led to chronic pyelonephritis, recurrent urinary tract infections, persistent air in the collecting system and bladder, and post-renal obstruction resulting in renal failure...
February 2017: Urology Case Reports
https://www.readbyqxmd.com/read/28083484/metastatic-melanoma-to-the-bladder-case-report-and-review-of-the-literature
#20
Rohit V Patil, Solomon L Woldu, Elena Lucas, Andrew M Quinn, Franto Francis, Vitaly Margulis
A 49-year-old Caucasian woman presented to the dermatology clinic for follow-up of malignant melanoma with a complaint of painless gross hematuria. Two years prior she was diagnosed with malignant melanoma from a skin lesion on her left flank treated with wide excision, negative axillary sentinel lymph node biopsy, and adjuvant radiotherapy. Subsequently, she had no evidence of disease until urologic evaluation of her hematuria revealed two lesions in her bladder and cytopathology demonstrated findings consistent with malignant melanoma...
February 2017: Urology Case Reports
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