Robot-assisted laparoscopic pyeloplasty for ureteropelvic junction obstruction with duplex system
Publication date: Available online 21 February 2020Source: Urology Case ReportsAuthor(s): Kazuyuki Numakura, Yumina Muto, Mitsuru Saito, Shintaro Narita, Takamitsu Inoue, Tomonori HabuchiAbstractManagement of ureteropelvic junction obstruction with a duplex system is technically challenging even when laparoscopic procedure is the standard approach for ureteropelvic junction obstruction. The patient was an otherwise healthy 21-year-old woman who presented with symptomatic ureteropelvic junction obstruction with the duplex system, which was completely excised using a robot-assisted approach. Robotic assistance allows for pro...
Source: Urology Case Reports - February 21, 2020 Category: Urology & Nephrology Source Type: research

Vesical schistosomiasis and squamous cell carcinoma associated with Schistosoma haematobium: a re-emerging neglected tropical disease in Tehran, Iran
Publication date: Available online 21 February 2020Source: Urology Case ReportsAuthor(s): Leila Haghighi, Mohsen Akbaribazm, Zahra Arab-Mazar, Mohsen RahimiAbstractHematobium species of this parasite tends to bladder and mesenteric arteries and it causes lesions in the bladder wall, urethra, and renal tubes. A 25-year-old man living in Tehran (a non-endemic and very rare area for schistosoma) suffers from symptoms such as hematuria with suprapubic pain, dysuria, fever, nausea and vomiting. Urine analysis showed a lot of red blood cells, after using cystoscopy of the area and receiving a bladder biopsy, a definitive diagnos...
Source: Urology Case Reports - February 21, 2020 Category: Urology & Nephrology Source Type: research

Salvage Robotic Transmesenteric Off-Clamp Partial Nephrectomy after multiple prior open kidney surgeries
We describe a novel surgical approach, a salvage robotic transmesenteric off-clamp partial nephrectomy for the management of a renal cell carcinoma in a patient with a history of VHL and multiple prior renal surgeries on the affected kidney. Upon pathological review, the specimen was diagnosed as clear cell RCC, Fuhrman Grade 3, with negative surgical margins. The patient suffered no post-operative complications and had a rapid convalescence. This approach is a feasible and safe alternative in select patients with a significant history of renal surgeries and favorable anatomy. (Source: Urology Case Reports)
Source: Urology Case Reports - February 21, 2020 Category: Urology & Nephrology Source Type: research

Successful cadaveric kidney transplantation in an extended-hours hemodialysis patient with long-term hemodialysis vintage for 297 months
Publication date: Available online 21 February 2020Source: Urology Case ReportsAuthor(s): Tomotaka Yamazaki, Hiroyuki Shirai, Jun Yashima, Tamotsu TojimbaraAbstractThe patient was a 41-year-old male who had been maintained on extended-hours hemodialysis for 297 months. Despite of long-term hemodialysis vintage, he had no vascular calcification and ectopic calcification. His kidney graft did not experience rejection or other complications 18 months after the cadaveric kidney transplant. Previous reports indicated that graft survival of extended-hours hemodialysis patients did not differ from conventional hemodialysis. Howev...
Source: Urology Case Reports - February 21, 2020 Category: Urology & Nephrology Source Type: research

Complete Remission with Immunotherapy: Case Report of a Patient with Metastatic Bladder Cancer to the Humerus
We present a patient diagnosed with metastatic urothelial carcinoma who progressed while on cisplatin/gemcitabine chemotherapy in the form of oligometastasis to the bone. He has achieved a durable complete response with atezolizumab. (Source: Urology Case Reports)
Source: Urology Case Reports - February 13, 2020 Category: Urology & Nephrology Source Type: research

Fever of unknown origin, a rare presentation of metastatic prostate cancer: Case report
We report one case, in which the patient presented to the emergency department with lower urinary tract symptoms, fever and consumptive syndrome. Acute prostatitis was initially suspected, but subsequently prostate adenocarcinoma was diagnosed.This case enables us to consider the possibility of prostate adenocarcinoma as the diagnose in patients with fever of unknown origin, and the role of procalcitonin to rule out the presence of infection. (Source: Urology Case Reports)
Source: Urology Case Reports - February 1, 2020 Category: Urology & Nephrology Source Type: research

Boari-Flap reconstrution due to a total ureteral avulsion in a patient with ipslateral ureterolithiasis and contralateral renal nodule
Publication date: May 2020Source: Urology Case Reports, Volume 30Author(s): Gualter Ferreira de Andrade Junior, Francisco Marcos da Silva Barroso, Roger Arthur da Cunha Alves, Jordi Gomes Marinho, Juan Eduardo Rios Rodriguez, Andre Luiz Campos ManciniAbstractThe ureteral avulsion during ureterolithotripsy (URS) occurs due to the sudden movement of the optical device or endoscopic extractor either in its removal or insertion, associated with a probable previous lesion in the ureter wall, causing a vital fragility area. A 52-year-old male patient with, an obstructive calculus of 9 mm was found in the left middle ureter, and ...
Source: Urology Case Reports - February 1, 2020 Category: Urology & Nephrology Source Type: research

Solitary fibrous tumor behind the pubic bone: A rare case report
We report a SFT below the pubic bone in a 35-year-old male causing compression on his corpus spongiosum. The patient underwent en bloc tumor resection with preservation of spermatic vessels and the bladder neck. Pathological evaluation and immunohistochemistry (IHC) staining with CD34(+), CD99(+), STAT6(+), S100(-) and Desmin(-) confirmed the diagnosis of SFT. Surgery plays a key role in treatment strategies and pathological examination with IHC is important in the diagnosis of SFTs. (Source: Urology Case Reports)
Source: Urology Case Reports - January 30, 2020 Category: Urology & Nephrology Source Type: research

MRI-guided pelvic lymph node biopsy via transrectal approach in prostate cancer
We present the case of pre-operative pelvic lymph node sampling with the use of MRI/TRUS fusion-guided biopsy at the time of prostate biopsy. Lymph node pathology revealed metastatic, poorly differentiated prostate cancer, concurrent with Gleason 4+5 disease showing perineural invasion. The use of MRI fusion guided biopsy for nodal sampling may be an effective method pre-operative staging and treatment planning for prostate adenocarcinoma. (Source: Urology Case Reports)
Source: Urology Case Reports - January 28, 2020 Category: Urology & Nephrology Source Type: research

Severe immune thrombocytopenia induced by nivolumab in a patient with metastatic renal cell carcinoma
Publication date: Available online 28 January 2020Source: Urology Case ReportsAuthor(s): Shinro Hata, Satoki AbeAbstractIn the Checkmate-025 trial, nivolumab treatment prolonged overall survival among patients with previously treated advanced renal cell carcinoma (RCC) compared with treatment with everolimus. Although effective, nivolumab is associated with immune-related adverse events (irAEs). However, the occurrence of hematological irAEs is rare. Some studies have reported on nivolumab-induced thrombocytopenia. Nivolumab associated thrombocytopenia in almost all patients improved with administration of various drugs. H...
Source: Urology Case Reports - January 28, 2020 Category: Urology & Nephrology Source Type: research

Spontaneous rupture of large bilateral renal angiomyolipomas in a patient with Tuberous Sclerosis Complex: A case report and literature review
We present a case of hypovolemic shock due to spontaneous rupture of bilateral giant angiomyolipomas in a 35-year-old female patient with tuberous sclerosis complex (TSC).The hemodynamic instability of the patient leads to an immediate surgery and unilateral nephrectomy was done for the biggest angiomyolipomas. The review of the literature revealed only few cases of spontaneous rupture of renal angiomyolipomas of comparable size. (Source: Urology Case Reports)
Source: Urology Case Reports - January 23, 2020 Category: Urology & Nephrology Source Type: research

Fever of unknown origin, a rare presentation of metastatic prostate cancer: report of two cases.
We report one case, in which the patient presented to the emergency department with lower urinary tract symptoms, fever and consumptive syndrome. Acute prostatitis was initially suspected, but subsequently prostate adenocarcinoma was diagnosed.This case enables us to consider the possibility of prostate adenocarcinoma as the diagnose in patients with fever of unknown origin, and the role of procalcitonin to rule out the presence of infection. (Source: Urology Case Reports)
Source: Urology Case Reports - January 22, 2020 Category: Urology & Nephrology Source Type: research

Combined Flexible URS and percutaneous ‘through and through’ puncture of an intra-renal cyst with internalisation of drainage, to treat calyceal obstruction and recurrent stones
Publication date: Available online 21 January 2020Source: Urology Case ReportsAuthor(s): Joseph Santiapillai, Sachin AgrawalAbstractA 61 year old gentleman had a large renal cyst, thought to be causing a ‘pseudo-hydrocalyx’ leading to recurrent stones. Definitive treatment with laparoscopic deroofing was planned, however intra-operatively this was abandoned due to complex anatomy and scared adherent tissue. Patient went on to have a flexible ureteroscopy and ‘through and through’ puncture of an intrarenal cyst with PCNL to treat his stones and renal cyst simultaneously. CT scan 12 months later showe...
Source: Urology Case Reports - January 22, 2020 Category: Urology & Nephrology Source Type: research

Enterovesical Fistula Secondary to Transitional Cell Carcinoma of the Bladder in a 20 years old patient : a rare entity.
This report describes the case of a 20 years old man who was diagnosed with a mass involving the small intestine and bladder during the course of investigations for faecaluria and abdominal pain. Histopathological examination of the biopsies during cystoscopy revealed: muscle invasive transitional cell carcinoma, while the computerized tomography scan had confirmed the enterovesical fistula.The patient was traited by Radical cystectomy with extended pelvic lymph node dissection and ileocecal resection as ultimate curative treatment. (Source: Urology Case Reports)
Source: Urology Case Reports - January 18, 2020 Category: Urology & Nephrology Source Type: research

Ischemic reperfusion injury of renal transplant mimics acute rejection on renal scintigraphy in early post-operative period
We presented the case of a 42-year-old man when underwent renal transplantation and developed anuria with severe renal impairment. Renal scintigraphy yielded no visualization of the renal graft. Subsequently, the patient underwent an exploratory laparotomy. The graft was found to have normal perfusion, and a surgical biopsy suggestive of an acute perfusion injury and mild tubular necrosis. The patient recovered with conservative therapy. This case highlights a common limitation of renal scintigraphy in a post-renal-transplantation patient with severe renal impairment. (Source: Urology Case Reports)
Source: Urology Case Reports - January 16, 2020 Category: Urology & Nephrology Source Type: research

Robot-assisted Hysterectomy in a 41-year-old Male: A Rare Case Report
Publication date: Available online 13 January 2020Source: Urology Case ReportsAuthor(s): Saud Almousa, Saad Alqasem, Hamad Albraidi, Shoog Alfadhel, Abdullah Alfakhri, Maher MoazinAbstractPersistent Müllerian Duct Syndrome (PMDS) is regarded as a rare genetic disorder influencing internal sexual male development. PMDS is commonly diagnosed incidentally either during any pelvic surgery or examination of undescended testis. Currently, we have presented a case focusing on the phenotype individual who was presented to our institute with primary infertility as well as bilateral undescended testis, who underwent Robotic-ass...
Source: Urology Case Reports - January 14, 2020 Category: Urology & Nephrology Source Type: research

A rare case of extramedullary hematopoiesis in adrenal mass
We present a 50 year old man, who was admitted in the Urology Department with symptoms of renal colic. A contrast enhanced computed tomography (CT) of the abdomen and pelvis revealed right adrenal lesion of 80/79 mm in coronary size. The final diagnosis was myelolipoma of the right adrenal gland. We presented a rare case of adrenal tumor mass in patient without any haemotological disease that requires surgical excision. (Source: Urology Case Reports)
Source: Urology Case Reports - January 14, 2020 Category: Urology & Nephrology Source Type: research

Paraneoplastic bullous pemphigoid – a sign of clear cell renal carcinoma
We present an 84y woman with a three week history of erythematous rash, and 48hrs of bullae. A left clear cell renal cell carcinoma was identified on CT imaging during the presentation. Subsequent removal of the tumour resulted in resolution of bullous pemphigoid symptoms. This first-of-kind case and successful result strengthens the association between renal cell carcinoma and paraneoplastic bullous pemphigoid, arguing for a high degree of clinical suspicion in unexplained presentations of bullous pemphigoid. (Source: Urology Case Reports)
Source: Urology Case Reports - January 14, 2020 Category: Urology & Nephrology Source Type: research

Boari-Flap total ureteral avulsion reconstruction in a patient with contralateral renal nodule
Publication date: Available online 14 January 2020Source: Urology Case ReportsAuthor(s): Gualter Ferreira de Andrade Junior, Francisco Marcos da Silva Barroso, Roger Arthur da Cunha Alves, Jordi Gomes Marinho, Juan Eduardo Rios Rodriguez, Andre Luiz Campos ManciniAbstractThe ureteral avulsion during ureterolithotripsy (URS) occurs due to the sudden movement of the optical device or endoscopic extractor either in its removal or insertion, associated with a probable previous lesion in the ureter wall, causing a vital fragility area. A 52-year-old male patient with, an obstructive calculus of 9 mm was found in the left middle...
Source: Urology Case Reports - January 14, 2020 Category: Urology & Nephrology Source Type: research

Standard-tract percutaneous nephrolithotomy for complicated calculi within horseshoe kidneys: A report of one case
Publication date: Available online 13 January 2020Source: Urology Case ReportsAuthor(s): Meng-Tian Liang, Chao Wang, Fa Zhang, Feng-Hai ZhouAbstractA 48-year-old man was presented in the local hospitalized where he lived because of lower back pain one month ago. Then he came to our hospital for kidney stones on the right side within horseshoe kidneys and hydronephrosis diagnosed by imaging and abdominal ultrasound. After we proceeded single standard percutaneous nephrolithotomy with holmium laser combined EMS, his stones were totally removed with little intraoperative bleeding. No eventful post-operative complications occu...
Source: Urology Case Reports - January 14, 2020 Category: Urology & Nephrology Source Type: research

Emphysematous Pyelonephritis Caused by Candida Species: A Case Report and Outcome of 1 Year Follow-up.
Publication date: Available online 11 January 2020Source: Urology Case ReportsAuthor(s): Abdikarim Hussein Mohamed, Hussein Ali MohamudAbstractEmphysematous pyelonephritis (EPN) is an acute life-threatening gas-forming necrotizing infection of the renal parenchyma and its surrounding tissues. EPN requires early diagnosis and management because of related life-threatening septic complications. Gram-negative bacteria remain the most common causative organisms.Although candida species as a causative pathogen in emphysematous pyelonephritis is very rare, we report a rare case of emphysematous pyelonephritis caused by candida s...
Source: Urology Case Reports - January 11, 2020 Category: Urology & Nephrology Source Type: research

Don’t be fooled by the fat: a rare case of renal cell carcinoma with intratumoural fat
Publication date: Available online 9 January 2020Source: Urology Case ReportsAuthor(s): Hannah Morris, Brayden March, Warick Delprado, Nicholas McLeodAbstractAngiomyolipoma (AML) is a benign renal tumour composed of fat, smooth muscle and blood vessels. Radiologic evidence of macroscopic fat within a solid renal lesion on computed tomography was historically thought to be pathognomonic for this condition. Herein, we report a case of an incidental solid renal cell mass with multiple foci of intra-tumoral fat, which was shown to be a clear cell renal cell carcinoma (RCC) at nephrectomy. Macroscopic fat within solid renal les...
Source: Urology Case Reports - January 10, 2020 Category: Urology & Nephrology Source Type: research

Urethral caruncle with intestinal metaplasia: A case report and literature review
Publication date: Available online 9 January 2020Source: Urology Case ReportsAuthor(s): Bishoy Hanna, Amir Hanna, Michael WinesAbstractA 66-year-old female presented with a urethral caruncle. Histological features of incomplete intestinal metaplasia were reported. Only five previous cases of intestinal metaplasia in urethral caruncles have been reported. The mechanism of this tissue transformation remains unclear but theorised aetiologies include embryological and infective causes. Intestinal metaplasia carries a malignant potential in other organs, most notably the bladder. Therefore we recommend urethral caruncles be com...
Source: Urology Case Reports - January 9, 2020 Category: Urology & Nephrology Source Type: research

First live donor nephrectomy with abdominal tortuous aorta and two renal arteries: A renal transplantation case report
Publication date: March 2020Source: Urology Case Reports, Volume 29Author(s): Mesut Demir, Cumhur Yesildal, Abdullah Hizir Yavuzsan, Sinan Levent Kirecci, Ali Ihsan DokucuAbstract46-year-old wife (donor) and 52-year-old husband (recipient) admitted to our clinic for kidney transplantation. CT angiography of the donor showed us there were bilateral renal double artery and a tortuous aorta that is deviated to the left side. The main artery cannot be reached by laparoscopy because of the upper level of renal artery and deviation of the aorta and an open conversion was performed. Presence of tortuous aorta with multiple renal ...
Source: Urology Case Reports - January 2, 2020 Category: Urology & Nephrology Source Type: research

Management and diagnosis of Nutcracker syndrome-a case report
Publication date: March 2020Source: Urology Case Reports, Volume 29Author(s): P.P. Genov, I.V. Kirilov, I.A. Hristova, N.H. Kolev, V.R. Dunev, B.A. StoykovAbstractNutcracker syndrome (NCS), also known as left renal vein (LRV) entrapment syndrome is a condition that leads to stenosis of the aorto-mesenteric region of the LRV, with dilatation of the distal portion of the vessel. A 43-year-old woman was admitted to the Urology department with symptoms of intermittent painless hematuria and mild to moderate left lumbar pain for the last three months. The patient underwent cystoscopy under general anesthesia. Bloody urine was n...
Source: Urology Case Reports - January 2, 2020 Category: Urology & Nephrology Source Type: research

Neoadjuvant checkpoint inhibition in renal cell carcinoma associated Stauffer's syndrome
Publication date: March 2020Source: Urology Case Reports, Volume 29Author(s): Kevin Zarrabi, Selma Masic, Christopher Schaefer, Michael J. Bartel, Alexander Kutikov, Matthew ZibelmanAbstractStauffer's syndrome is a paraneoplastic phenomenon associated with renal cell carcinoma (RCC) characterized by cholestatic hepatitis. We explore the effects of perioperative immunotherapy in a case of Stauffer's syndrome. A 70-year-old female with a locally advanced clear cell RCC (ccRCC) developed severe hyperbilirubinemia. The patient's cholestasis progressed despite initial systemic immunotherapy, but improved after cytoreductive nep...
Source: Urology Case Reports - January 2, 2020 Category: Urology & Nephrology Source Type: research

A rare case of Ewing's sarcoma of the kidney
We report the case of a 15-year-old girl presenting with distended abdomen, left flank pain, and a history of weight loss. Computed tomography showed a large tumor involving the left kidney that was initially diagnosed as renal cell carcinoma. She underwent exploratory open laparotomy and left radical nephrectomy followed by chemotherapy and showed good response. Histology of the resected tumor revealed features of Ewing's sarcoma of the kidney which was confirmed by molecular studies. This disease is rare, particularly in the pediatric population, and this report will help better understand the potential disease course an...
Source: Urology Case Reports - January 2, 2020 Category: Urology & Nephrology Source Type: research

Don’t be fooled by the fat: a rare case of renal cell carcinoma with intratumoural fat
Publication date: Available online 27 December 2019Source: Urology Case ReportsAuthor(s): Hannah Morris, Brayden March, Warick Delprado, Nicholas McLeodAbstractAngiomyolipoma (AML) is a benign renal tumour composed of fat, smooth muscle and blood vessels. Radiologic evidence of macroscopic fat within a solid renal lesion on computed tomography was historically thought to be pathognomonic for this condition. Herein, we report a case of an incidental solid renal cell mass with multiple foci of intra-tumoral fat, which was shown to be a clear cell renal cell carcinoma (RCC) at nephrectomy. Macroscopic fat within solid renal l...
Source: Urology Case Reports - December 28, 2019 Category: Urology & Nephrology Source Type: research

Neoadjuvant chemotherapy and penile conservation in the management of Buschke – Lowenstein tumor, a case report
We present a case of BLT that was managed with neoadjuvant chemotherapy followed by phallic sparing surgery. (Source: Urology Case Reports)
Source: Urology Case Reports - December 24, 2019 Category: Urology & Nephrology Source Type: research

The rupture of an abdominal aortic aneurysm at the level of horseshoe kidney: A case report
Publication date: Available online 23 December 2019Source: Urology Case ReportsAuthor(s): Cumhur Yesildal, Abdullah hizir Yavuzsan, Sinan Levent Kirecci, Ismail Koramaz, Melek Yilmaz, Ahmet AlbayrakAbstractKidney anomalies are always a challenge even for the most experienced vascular and urologic surgeons in the reconstruction of the abdominal aortic segment. In the literature, the most common anomalies of the kidney are the horseshoe kidney.The caseA 77-year-old male headed to the emergency department with complaints of acute abdominal pain and sudden onset of fatigue. The enhanced CT-scan performed and the horseshoe kidn...
Source: Urology Case Reports - December 24, 2019 Category: Urology & Nephrology Source Type: research

Isotretinoin Induced Urethritis: A Case Report & Review of the Literature
We report a case of urethritis in a 17-year-old non-sexually active male that developed after starting isotretinoin treatment for his acne. Clinicians must be vigilant about this adverse effect and elicit a thorough medication history prior to administering antibiotics in patients taking isotretinoin treatment for acne. (Source: Urology Case Reports)
Source: Urology Case Reports - December 24, 2019 Category: Urology & Nephrology Source Type: research

Bilateral simultaneous RIRS for calculus anuria in a 4 months male baby
Publication date: Available online 20 December 2019Source: Urology Case ReportsAuthor(s): Chandra Mohan vaddi, Paidakula Ramakrishna, Siddaliga Swamy PM, Soundarya Ganesan, Hemnath AnandanAbstractTreatment of pediatric stone disease is a challenge, more so, in the case of infants. Infantile anuria due to calculus disease is rare, as pre-renal causes predominate. Retrograde intrarenal surgery is a less often sorted modality in infants, due to the lingering skepticism regarding handling pediatric ureters and urethra. We hereby present the first case report of bilateral simultaneous RIRS, in a 4 month old male child. With bet...
Source: Urology Case Reports - December 21, 2019 Category: Urology & Nephrology Source Type: research

Successful recovery from multiple organ failure associated with bicalutamide and leuprorelin acetate for prostate cancer
Publication date: Available online 19 December 2019Source: Urology Case ReportsAuthor(s): Seiichi SaitoAbstractI report a case of multiple organ failure (acute kidney injury, interstitial pneumonitis and liver dysfunction) associated with combined androgen blockade(CAB) with bicalutamide and leuprorelin acetate for prostate cancer that was successfully managed by prompt hemodialysis and withdrawal of medications. Finally, patient received orchiectomy for the treatment of prostate cancer, and the histology of renal biopsy revealed drug-induced tubulointerstitial nephritis. Although the condition is extremely rare, urologist...
Source: Urology Case Reports - December 20, 2019 Category: Urology & Nephrology Source Type: research

Surgical management of a locally invasive renal cell carcinoma in an ectopic pelvic kidney
We report a case of 55 years old male patient who presented with backache and accidentally discovered ectopic kidney with an upper polar mass. Preoperative assessment was done with pelviabdominal sonography and triphasic renal CT. Our patient underwent radical nephrectomy through a midline incision with unexpected vasculature encountered intraoperatively. According to our knowledge, only eight cases of pelvic kidney tumors have been reported in the literature and this case is unique with its complex vascular structure. (Source: Urology Case Reports)
Source: Urology Case Reports - December 20, 2019 Category: Urology & Nephrology Source Type: research

The Largest Adrenal Leiomyoma: A Case Report And Literature Review
Publication date: Available online 19 December 2019Source: Urology Case ReportsAuthor(s): Sawkar Vijay Pramod, Safendra Siregar, Ferry Safriadi, Bethy S. Hernowo, Gugum Indra FirdausAbstractLeiomyoma is a benign tumor of smooth muscle origin. Primary leiomyoma of the adrenal gland is very rare. Adrenal tumors are often diagnosed during the ultrasound or computerized tomography (CT) study as incidentaloma. According to the literature review, up to 2018, the largest size of adrenal leiomyoma which had ever been reported was 12 x 10 x 8 cm in dimension (Maher et al). Herein, we report the largest adrenal leiomyoma with the tu...
Source: Urology Case Reports - December 20, 2019 Category: Urology & Nephrology Source Type: research

Malignant priapismus induced by adenocarcinoma of the prostate
In this study, we present a case of malignant priapism due to penile metastasis of adenocarcinoma of the prostate, an extremely rare clinical entity and a more uncommon site of metastasis. (Source: Urology Case Reports)
Source: Urology Case Reports - December 17, 2019 Category: Urology & Nephrology Source Type: research

Torsion of the testis with perineal ectopy
In this study, we present a rare case of testicular torsion with perineal ectopia in a boy of 18 months. To establish the anomaly, we used Doppler ultrasound and MRI. We performed inguinal exploration with subsequent detorsion testis and orchiopexy using the dartos pouch technique. (Source: Urology Case Reports)
Source: Urology Case Reports - December 17, 2019 Category: Urology & Nephrology Source Type: research

A rare case of Ewing’s sarcoma of the kidney
We report the case of a 15-year-old girl presenting with distended abdomen, left flank pain, and a history of weight loss. Computed tomography showed a large tumor involving the left kidney that was initially diagnosed as renal cell carcinoma. She underwent exploratory open laparotomy and left radical nephrectomy followed by chemotherapy and showed good response. Histology of the resected tumor revealed features of Ewing’s sarcoma of the kidney which was confirmed by molecular studies. This disease is rare, particularly in the pediatric population, and this report will help better understand the potential disease cou...
Source: Urology Case Reports - December 17, 2019 Category: Urology & Nephrology Source Type: research

Docetaxel chemotherapy temporarily improved pulmonary tumor thrombotic microangiopathy induced by prostate cancer secreting carcinoembryonic antigen and carbohydrate antigen 19-9: A case report
Publication date: Available online 16 December 2019Source: Urology Case ReportsAuthor(s): Osaki Yu, Taoka Rikiya, Miyauchi Yasuyuki, Sugimoto MikioAbstractPulmonary tumor thrombotic microangiopathy (PTTM) is a rare, rapidly progressive, and often fatal complication of cancer, particularly prostate cancer. A 67-year-old man with advanced prostate cancer developed dyspnea. Chest computed tomography revealed ground-glass opacities across bilateral lung fields, and echocardiography showed right heart failure. As PTTM was suspected, docetaxel chemotherapy was administered immediately. His respiratory condition and right heart f...
Source: Urology Case Reports - December 17, 2019 Category: Urology & Nephrology Source Type: research

Giant bladder stone formed around sewing-needle in childhood: A case report and literature review
We present cases of sewing needle as a nidus of the bladder stone in a seven-year-old girl admitted to the hospital with chief complaining burning micturition for 6 months. The Kidney, Ureter, and Bladder (KUB) X-ray revealed the bladder stone was 3.5 cm in length at the pelvic cavity and sewing needle in its center. The bladder stone was removed by open cystolithotomy without any complications. (Source: Urology Case Reports)
Source: Urology Case Reports - December 15, 2019 Category: Urology & Nephrology Source Type: research

Collecting duct carcinoma of kidney: Masquerading as genitourinary tuberculosis - Lessons learnt
We present a case of Collecting duct of Bellini carcinoma (CDC) which was masquerading as Genitourinary Tuberculosis/chronic granulomatous disease in a 43 year old women, who presented with complaints of low grade fever, loss of appetite, left loin pain and dyspnoea with recent onset of haemoptysis. After extensive evaluation, she was referred to urology where she underwent a laparoscopic assisted open left radical nephrectomy which was reported to be Collecting duct carcinoma.This case is being presented for the diagnostic dilemma it elicited throughout the evaluation. (Source: Urology Case Reports)
Source: Urology Case Reports - December 14, 2019 Category: Urology & Nephrology Source Type: research

Renal pelvis stone in reverse kidney: A case report and literature review
Publication date: Available online 14 December 2019Source: Urology Case ReportsAuthor(s): Yavuz GülerAbstractIn neonates, kidney and urinary tract anomalies, like rotation anomalies, may be observed at rates of 3-11%. During rise to the lumbar region, the kidney completes rotation from left to right around the long axis from top to bottom and the renal hilum turns toward the medial direction. However, generally due to vascular causes, this rotation around the long axis of the kidney (renal axis, pole to pole) may be incomplete or may not occur. In this case report, we present a 45-year old male patient with stone in a...
Source: Urology Case Reports - December 14, 2019 Category: Urology & Nephrology Source Type: research

A case report of nivolumab-induced myasthenia gravis and myositis in a metastatic renal cell carcinoma patient
We present a 78-year-old male with renal cell carcinoma who developed myasthenia gravis complicated by myositis after nivolumab administration, which was verified by the presence of antibodies against the acetylcholine receptor. The initial symptom was posterior neck pain, and biochemical examination of blood showed elevated levels of hepatic enzymes and creatine phosphokinase. The level of antibody against the acetylcholine receptor increased 4.1-fold. His condition progressed rapidly resulting in respiratory failure 15 days after conservative therapy. (Source: Urology Case Reports)
Source: Urology Case Reports - December 14, 2019 Category: Urology & Nephrology Source Type: research

Management and diagnosis of Nutcracker syndrome- a case report
Publication date: Available online 14 December 2019Source: Urology Case ReportsAuthor(s): P.P. Genov, I.V. Kirilov, I.A. Hristova, N.H. Kolev, V.R. Dunev, B.A. StoykovAbstractNutcracker syndrome (NCS), also known as left renal vein (LRV) entrapment syndrome is a condition that leads to stenosis of the aorto-mesenteric region of the LRV, with dilatation of the distal portion of the vessel. A 43-year-old woman was admitted to the Urology department with symptoms of intermittent painless hematuria and mild to moderate left lumbar pain for the last three months. The patient underwent cystoscopy under general anesthesia. Bloody...
Source: Urology Case Reports - December 14, 2019 Category: Urology & Nephrology Source Type: research

Primary small cell carcinoma of the ureter with hydronephrosis: A case report
Publication date: Available online 14 December 2019Source: Urology Case ReportsAuthor(s): Ryuta Sato, Takahiro Ishikawa, Masaharu Imagawa, Hirotoshi Yonemasu, Takahiro Narimatsu, Kan MurakamiAbstractSmall cell carcinoma in the ureter is extremely rare, with few cases reported in the literature. The current report describes the case of a 63-year-old man who presented with right-side back pain. A mass was identified in the right ureter. A nephroureterectomy was performed. Subsequent microscopic examination revealed that the mass comprised a monotonous population of small cells and that the carcinoma cells were positive for c...
Source: Urology Case Reports - December 14, 2019 Category: Urology & Nephrology Source Type: research

Total involvement of penis, scrotum and pubis by giant melanocytic nevus: A unique presentation
Publication date: Available online 12 December 2019Source: Urology Case ReportsAuthor(s): Abdullah Alahmari, Amjad AlwaalAbstractGiant melanocytic nevus is a rare dermatological condition. However, total involvement of male genitalia and pubic area has never been reported in the literature and this presentation is considered the first reported case of such condition. The choice of reconstructive intervention should be tailored to the patient's expectations, body habitus and previous surgical procedures. (Source: Urology Case Reports)
Source: Urology Case Reports - December 13, 2019 Category: Urology & Nephrology Source Type: research

Papillary urothelial carcinoma of the vagina: A case presentation and review of the literature
Publication date: Available online 13 December 2019Source: Urology Case ReportsAuthor(s): Shirin Razdan, Alexander KirschenbaumAbstractA 92-year-old woman with history of right nephroureterectomy for low grade Ta urothelial carcinoma (UC) of the renal pelvis and proximal ureter and high grade Ta and carcinoma-in-situ of the bladder presented for surveillance cystoscopy in 2019. She was found to have no evidence of disease within bladder or upper tract, however demonstrated a large papillary lesion within the vagina. This lesion stained for p40+, p16 patchy+, and GATA3+, all markers of UC, and the same molecular makeup of o...
Source: Urology Case Reports - December 13, 2019 Category: Urology & Nephrology Source Type: research

Seminoma metastasized to the prostate: A case report and literature review
In this report, we present a 63-year-old male with recurrent testicular seminoma presenting in prostate. (Source: Urology Case Reports)
Source: Urology Case Reports - December 13, 2019 Category: Urology & Nephrology Source Type: research

Primary Non-Hodgkin lymphoma of kidney and ureter mimicking an upper tract urothelial carcinoma: A case report
Publication date: Available online 13 December 2019Source: Urology Case ReportsAuthor(s): Caesar Khairul Wallad, Syamsu Hudaya, Mursyid Fadli, Bonita Prawirodihardjo, Randy Januar, Akhmad MustafaAbstractPrimary renal lymphoma (PRL) is a rare event, while ureteric involvement by the lymphoma mimicking an UTUC is even rarer. A 30-year-old woman diagnosed for a 6-month history of right flank pain with presumed the UTUC of the right kidney. She underwent radical nephroureterectomy with bladder cuff excision, which reveals the infiltrating papillary mass of the ureter from the proximal region towards the ureterovesical junction...
Source: Urology Case Reports - December 13, 2019 Category: Urology & Nephrology Source Type: research

Laparoscopic repair of bladder explosion during TURP: A case report
Publication date: Available online 13 December 2019Source: Urology Case ReportsAuthor(s): Somendra Bansal, Ram N. DagaAbstractBladder explosion leading to bladder rupture during transurethral resection is a very rare intra-operative complication. A74 year's male underwent monopolar transurethral resection of prostate (TURP) for refractory urinary retention with two times failed catheter free trial. After 40 minutes of the procedure, a loud snap was heard during final hemostasis. Bladder rupture was confirmed by clinical and endoscopic findings. Procedure was concluded and 22 Fr 3-way's Foley's catheter kept per urethral. L...
Source: Urology Case Reports - December 13, 2019 Category: Urology & Nephrology Source Type: research