Urology Case Reports最新文献

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Isolated testicular tuberculosis: A case report 孤立性睾丸结核：病例报告

IF 0.5 Q4 UROLOGY & NEPHROLOGY

Urology Case Reports

Pub Date : 2024-10-11 DOI: 10.1016/j.eucr.2024.102869

Genitourinary tuberculosis (GUTB) constitutes 20 % of extrapulmonary TB cases, with isolated testicular involvement being rare (2–4%). This case details a 41-year-old male with chronic left scrotal swelling, fistulization, and purulent discharge, ultimately diagnosed with testicular tuberculosis. Diagnostic imaging and histopathology confirmed caseating granulomas and acid-fast bacilli. The patient underwent high inguinal orchidectomy and was treated with a standard four-drug anti-tuberculosis regimen. Postoperative semen analysis revealed persistent azoospermia, indicating permanent fertility impairment. This case underscores the importance of considering GUTB in differential diagnoses of testicular masses, particularly in TB-endemic regions.

泌尿生殖系统结核（GUTB）占肺外结核病例的 20%，单独累及睾丸的病例很少见（2-4%）。本病例详细描述了一名 41 岁的男性，他患有慢性左侧阴囊肿胀、瘘管和脓性分泌物，最终被诊断为睾丸结核。诊断性影像学和组织病理学证实了酪状肉芽肿和耐酸杆菌。患者接受了腹股沟高位睾丸切除术，并接受了标准的四药抗结核治疗。术后精液分析显示，无精子症持续存在，表明生育能力永久受损。该病例强调了在睾丸肿块的鉴别诊断中考虑 GUTB 的重要性，尤其是在结核病流行地区。

引用次数: 0

Cystectomy for bilateral thigh fistulation after salvage radiotherapy for prostate cancer: A case report 前列腺癌抢救性放疗后双侧大腿瘘管的膀胱切除术：病例报告

IF 0.5 Q4 UROLOGY & NEPHROLOGY

Urology Case Reports

Pub Date : 2024-10-09 DOI: 10.1016/j.eucr.2024.102867

Fistulation following radiotherapy for prostate cancer is a rare occurrence that can have devastating consequences and often occurs after instrumentation. We present a 74-year-old male who underwent cystectomy for bilateral thigh fistulation years after radical prostatectomy and salvage radiotherapy for prostate cancer. MRI and CT cystogram confirmed fistulation from the anterior bladder tracking to bilateral thigh collections. Formal urinary diversion was performed with cystectomy and ileal conduit. Pubic or thigh pain, the inability to walk or evidence of local wound infection in someone who has previously had prostate radiotherapy, should alert the clinician to the possible presence of urethral fistulation.

前列腺癌放疗后出现瘘管是一种罕见的情况，可能会造成破坏性后果，而且往往发生在器械治疗之后。我们为您介绍一位 74 岁的男性，他在接受前列腺癌根治术和挽救性放疗多年后，因双侧大腿瘘管接受了膀胱切除术。核磁共振成像和 CT 膀胱造影证实，瘘管从膀胱前部追踪到双侧大腿。通过膀胱切除术和回肠导管进行了正式的尿流改道手术。曾接受过前列腺放疗的患者如果出现阴部或大腿疼痛、无法行走或局部伤口感染的迹象，临床医生应警惕可能存在尿道瘘。

引用次数: 0

Successful preservation of functional right kidney with giant stones: A rare Chinese case report with literature review 成功保留巨大结石的功能性右肾：一例罕见的中国病例报告及文献综述

IF 0.5 Q4 UROLOGY & NEPHROLOGY

Urology Case Reports

Pub Date : 2024-10-05 DOI: 10.1016/j.eucr.2024.102865

Renal calculi weighing over 200 g are relative rare in modern urological practice since most stones might cause renal dysfunction before reaching such size. We here reported an extremely rare case of giant stones in single kidney of a 72-year-old Chinese male patient who had 30 years long-term history of lithiasis in the right kidney. These huge kidney stones, total weight 832.6 g were successfully removed with multiple sessions of surgery. Kidney function was relatively stable after long-term medical care in primary care centers. Timely treatment of kidney stones early should arouse more attention worldwide.

重量超过 200 克的肾结石在现代泌尿外科临床中较为罕见，因为大多数结石在达到这种大小之前就可能导致肾功能障碍。我们在此报告了一例极为罕见的单肾巨大结石病例，患者是一名 72 岁的中国男性，右肾有 30 年的长期结石病史。经过多次手术，这些总重 832.6 克的巨大肾结石被成功取出。经过基层医疗中心的长期治疗，肾功能相对稳定。肾结石的早期及时治疗应引起全世界更多的关注。

引用次数: 0

Uterine procidentia in a virgin woman: A rare case 处女子宫平滑肌瘤：罕见病例

IF 0.5 Q4 UROLOGY & NEPHROLOGY

Urology Case Reports

Pub Date : 2024-10-05 DOI: 10.1016/j.eucr.2024.102862

Uterine prolapse in virgin females is extremely rare. In this case study, we present a 65-year-old virgin female patient who experienced voiding difficulties and uterine prolapse. She did not have any preexisting medical conditions, and all laboratory tests came back normal. We will discuss the surgical procedure performed, the patient's follow-up course and provide a brief review of the existing literature.

处女子宫脱垂极为罕见。在本病例研究中，我们介绍了一名 65 岁的处女患者，她出现了排尿困难和子宫脱垂。她之前没有任何疾病，所有实验室检查结果均正常。我们将讨论手术过程和患者的随访情况，并对现有文献进行简要回顾。

引用次数: 0

Diffuse B-cell lymphoma of the testis presenting as epididymo-orchitis 表现为附睾睾丸炎的睾丸弥漫性B细胞淋巴瘤

IF 0.5 Q4 UROLOGY & NEPHROLOGY

Urology Case Reports

Pub Date : 2024-10-05 DOI: 10.1016/j.eucr.2024.102864

B-cell lymphoma is the most common type of lymphoma, accounting for 85 percent of all lymphomas in the United States. It is more common in men and older adults, and typically presents with fever, night sweats, fatigue, weight loss, and swollen lymph nodes. Primary testicular lymphoma is rare, representing only 1–2% of non-Hodgkin's lymphomas, and can present a diagnostic challenge with its clinical presentation. We present an unusual presentation of testicular lymphoma in an elderly man, and discuss the challenges in the diagnosis and treatment of this condition.

B 细胞淋巴瘤是最常见的淋巴瘤类型，占美国所有淋巴瘤的 85%。它更常见于男性和老年人，通常表现为发热、盗汗、乏力、体重减轻和淋巴结肿大。原发性睾丸淋巴瘤非常罕见，仅占非霍奇金淋巴瘤的 1-2%，其临床表现可能给诊断带来挑战。我们介绍了一名老年男性睾丸淋巴瘤的不寻常表现，并讨论了诊断和治疗这种疾病所面临的挑战。

引用次数: 0

Metastatic melanoma of the ureter accompanied by pseudomelanosis vesica: A case report 输尿管转移性黑色素瘤伴有假性膀胱黑变病：病例报告

IF 0.5 Q4 UROLOGY & NEPHROLOGY

Urology Case Reports

Pub Date : 2024-10-05 DOI: 10.1016/j.eucr.2024.102861

Less than 1 % of melanomas metastasize to the genitourinary system. Pseudomelanosis is a rare benign condition due to deposition of melanin-like pigment. We present a 44-year-old male with metastatic melanoma to the left ureter accompanied by pseudomelanosis vesica. He had melanoma resected 20 years prior, and was later found to have diffuse metastatic disease. CT abdomen/pelvis found filling defect of the left mid-ureter. Cystourethroscopy showed brown lesions which on biopsy were pseudomelanosis vesica. Subsequently, the ureteral mass was biopsied with results consistent with metastatic melanoma. This case provides insight regarding management of two rare pathologic presentations in the same patient.

不到 1%的黑色素瘤会转移到泌尿生殖系统。假性黑色素沉着症是一种由于黑色素样色素沉积而导致的罕见良性疾病。我们接诊了一名 44 岁的男性患者，他的左输尿管患有转移性黑色素瘤，并伴有假性膀胱黑色素沉着症。他在 20 年前切除了黑色素瘤，后来发现有弥漫性转移疾病。腹部/骨盆 CT 发现左侧输尿管中段充盈缺损。膀胱尿道镜检查发现棕色病变，活检结果为假性膀胱黑变病。随后，对输尿管肿块进行了活检，结果与转移性黑色素瘤一致。本病例为同一患者两种罕见病理表现的处理提供了启示。

引用次数: 0

Delayed inferior epigastric bleed following robotic assisted laparoscopic prostatectomy: An algorithmic approach 机器人辅助腹腔镜前列腺切除术后的延迟下腹出血：算法方法

IF 0.5 Q4 UROLOGY & NEPHROLOGY

Urology Case Reports

Pub Date : 2024-10-02 DOI: 10.1016/j.eucr.2024.102859

Definitive surgical treatment for prostate cancer continues to evolve with robotic prostatectomy being the preferred technique. This technique has led to decreased blood loss and transfusion rates. Although uncommon, this case report presents a rare incident of delayed inferior epigastric bleed from a port site after a robotic prostatectomy. Our case report aims to establish the first known algorithm to address port site bleeding after robotic prostatectomies. Having an established algorithmic approach to evaluate and treat patients with postoperative port site bleeding is paramount. Using the algorithm, this patient was stabilized, and bleeding was controlled with embolization.

前列腺癌的最终手术治疗不断发展，机器人前列腺切除术成为首选技术。这种技术降低了失血和输血率。本病例报告介绍了机器人前列腺切除术后发生的一起罕见的下腹部延迟出血事件，尽管这种情况并不常见。我们的病例报告旨在建立首个已知的算法，以解决机器人前列腺切除术后端口部位出血的问题。拥有一套成熟的算法来评估和治疗术后端口部位出血的患者至关重要。利用该算法，这名患者的病情得到了稳定，出血也通过栓塞得到了控制。

引用次数: 0

Intravesical vancomycin for the treatment of Corynebacterium cystitis and struvite bladder stones: A case report 膀胱内万古霉素治疗棒状杆菌性膀胱炎和膀胱结石：病例报告

IF 0.5 Q4 UROLOGY & NEPHROLOGY

Urology Case Reports

Pub Date : 2024-10-02 DOI: 10.1016/j.eucr.2024.102857

Urologic patients with anatomic abnormalities can be particularly susceptible to urinary tract infections (UTI). UTI with urease-producing bacteria can promote struvite urinary calculi and pose unique treatment problems. There is potential for rapid stone growth and bacterial eradication can be difficult secondary to urothelial or stone colonization. Antibiotic resistance among urease-producing organisms further complicates treatment. In this report, we describe the use of intravesical vancomycin in the treatment of a patient with struvite bladder calculi secondary to urease-producing Corynebacterium urealyticum cystitis, resistant to enteral antibiotics. This highlights the potential of intravesical antibiotics for the treatment of UTI.

有解剖异常的泌尿科病人特别容易发生尿路感染（UTI）。尿路感染中产生的尿素酶细菌会促进形成石灰岩尿路结石，并带来独特的治疗问题。结石有可能迅速增大，而且由于尿道或结石定植，很难根除细菌。产生尿素酶的微生物对抗生素产生抗药性，使治疗更加复杂。在本报告中，我们介绍了使用膀胱内万古霉素治疗对肠内抗生素耐药的产尿素球杆菌膀胱炎继发的结石性膀胱结石患者的情况。这凸显了膀胱内注射抗生素治疗尿毒症的潜力。

引用次数: 0

Closure of the initial surgical wound resulting in successful treatment of a pediatric case of Fournier's gangrene: A case report 成功治疗一例小儿福尼尔坏疽病例的初始手术伤口缝合术：病例报告

IF 0.5 Q4 UROLOGY & NEPHROLOGY

Urology Case Reports

Pub Date : 2024-10-02 DOI: 10.1016/j.eucr.2024.102860

Fournier's gangrene is a severe type of necrotizing fasciitis that affects the perineal and genital regions. Because of its rapid progression, Fournier's gangrene is associated with high mortality and morbidity rates. Surgical treatment of Fournier's gangrene requires leaving the wound open and performing multiple debridement procedures. We report a case of Fournier's gangrene caused by Streptococcus anginosus in a 9-year-old boy with severe autism. Because of the patient's condition, surgical treatment included thorough debridement and closure of the initial wound under general anesthesia. This case was successfully treated and the patient was discharged without infection recurrence.

福尼尔坏疽是一种严重的坏死性筋膜炎，好发于会阴部和生殖器部位。由于病情发展迅速，福尼尔坏疽的死亡率和发病率都很高。手术治疗 Fournier 坏疽需要开放伤口并进行多次清创。我们报告了一例由安氏链球菌引起的福尼尔坏疽病例，患者是一名患有严重自闭症的 9 岁男孩。由于患者病情严重，手术治疗包括在全身麻醉的情况下彻底清创和关闭最初的伤口。该病例治疗成功，患者出院后未再发生感染。

引用次数: 0

Adult nephroblastoma or Wilms' tumor: A rare entity - Case report 成人肾母细胞瘤或 Wilms 肿瘤：罕见病例--病例报告

IF 0.5 Q4 UROLOGY & NEPHROLOGY

Urology Case Reports

Pub Date : 2024-10-02 DOI: 10.1016/j.eucr.2024.102858

Wilms' tumor (nephroblastoma) is rare in adults, comprising less than 5 % of renal cancers. This report details a 48-year-old male with persistent abdominal pain, weight loss, and fatigue, whose imaging showed a large, heterogeneous left renal mass with regional lymph node involvement. Post-nephrectomy histology confirmed nephroblastoma with a triphasic pattern. The patient underwent left radical nephrectomy and received adjuvant chemotherapy with doxorubicin, vincristine, and actinomycin D. Three months later, follow-up CT scans revealed no residual disease. This case underscores the diagnostic and therapeutic challenges of adult nephroblastoma and the need for more effective treatment protocols.

Wilms瘤（肾母细胞瘤）在成人中非常罕见，占肾癌的比例不到5%。本报告详细描述了一名 48 岁男性的病例，该患者有持续性腹痛、体重减轻和乏力，影像学检查显示其左肾有一个巨大的异型肿块，区域淋巴结受累。肾切除术后组织学检查证实为三相型肾母细胞瘤。患者接受了左肾根治性切除术，并接受了多柔比星、长春新碱和放线菌素 D 的辅助化疗。该病例凸显了成人肾母细胞瘤在诊断和治疗方面的挑战，以及对更有效治疗方案的需求。

引用次数: 0

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