Pub Date : 2024-11-21DOI: 10.1016/j.eucr.2024.102893
Qiang Wang, Dong Zhuo, Houbao Huang, Jianping Tao
Primary renal neuroendocrine tumors (NETs) are extremely rare among renal malignancies. According to pathological manifestations, carcinoid can be divided into four types: typical carcinoid, atypical carcinoid, large cell and small cell neuroendocrine carcinoma. Primary or secondary retroperitoneal carcinoid is even rarer than renal carcinoid. This article reports a patient with renal carcinoid complicated with retroperitoneal metastasis, who developed retroperitoneal metastasis 15 years after radical nephrectomy. Through the analysis of this case and the combination of the existing published literature, it is aimed to provide valuable references for clinicians in treating patients with renal carcinoid or with metastasis.
{"title":"Atypical carcinoid of the primary kidney with retroperitoneal metastasis 15 years later: A case report and literature review","authors":"Qiang Wang, Dong Zhuo, Houbao Huang, Jianping Tao","doi":"10.1016/j.eucr.2024.102893","DOIUrl":"10.1016/j.eucr.2024.102893","url":null,"abstract":"<div><div>Primary renal neuroendocrine tumors (NETs) are extremely rare among renal malignancies. According to pathological manifestations, carcinoid can be divided into four types: typical carcinoid, atypical carcinoid, large cell and small cell neuroendocrine carcinoma. Primary or secondary retroperitoneal carcinoid is even rarer than renal carcinoid. This article reports a patient with renal carcinoid complicated with retroperitoneal metastasis, who developed retroperitoneal metastasis 15 years after radical nephrectomy. Through the analysis of this case and the combination of the existing published literature, it is aimed to provide valuable references for clinicians in treating patients with renal carcinoid or with metastasis.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"58 ","pages":"Article 102893"},"PeriodicalIF":0.5,"publicationDate":"2024-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142702406","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ureteral stent migration should be considered a rare complication of urologic procedures. We report a 69-year-old woman diagnosed with ureteral stent migration two weeks after undergoing percutaneous nephrolithotomy while she was symptom-free. The stent passed through the heart and extended to the superior vena cava and right brachiocephalic vein. After excluding thrombus formation, the stent was retrieved using an endovascular approach. Stent migration to the superior vena cava while being asymptomatic is extremely rare. Considering this complication is crucial to prevent consequent fatal events. This case report highlights this rare complication of ureteral stent placement and reviews its management.
{"title":"Asymptomatic migration of ureteral stent to superior vena cava after ultrasound-guided percutaneous nephrolithotomy: An extremely rare case and review of the literature","authors":"Amir Hossein Hassani , Hooman Kamran , Javad Kojuri , Helia Bazroodi , Hossein Fatemian , Alireza Rasekhi , Nima Naderi , Saeed Kooshafar , Anahita Dehghani , Abdolreza Haghpanah","doi":"10.1016/j.eucr.2024.102891","DOIUrl":"10.1016/j.eucr.2024.102891","url":null,"abstract":"<div><div>Ureteral stent migration should be considered a rare complication of urologic procedures. We report a 69-year-old woman diagnosed with ureteral stent migration two weeks after undergoing percutaneous nephrolithotomy while she was symptom-free. The stent passed through the heart and extended to the superior vena cava and right brachiocephalic vein. After excluding thrombus formation, the stent was retrieved using an endovascular approach. Stent migration to the superior vena cava while being asymptomatic is extremely rare. Considering this complication is crucial to prevent consequent fatal events. This case report highlights this rare complication of ureteral stent placement and reviews its management.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"58 ","pages":"Article 102891"},"PeriodicalIF":0.5,"publicationDate":"2024-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142723871","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-11-15DOI: 10.1016/j.eucr.2024.102889
V. Pramod, S.C. Sanjay, S. Tanuj Sai Kumar
Zinner syndrome is a rare congenital malformation of the Wolffian duct with seminal vesicle cyst, ipsilateral renal agenesis and ejaculatory duct obstruction, seen in less than 0.002 % of the male population. An increased awareness among clinicians, urologists, and radiologists is essential, as early diagnosis and management can impact fertility outcomes. This review aims to explain and illustrate Zinner syndrome through imaging case studies. Emphasis is made on considering Zinner syndrome in the differential diagnosis of young males with pelvic pain and renal agenesis, highlighting the importance of radiological evaluation for the management of this uncommon yet clinically significant condition.
{"title":"Imaging in Zinner Syndrome, A Case Series: The Wolf in Sheep’s Clothing","authors":"V. Pramod, S.C. Sanjay, S. Tanuj Sai Kumar","doi":"10.1016/j.eucr.2024.102889","DOIUrl":"10.1016/j.eucr.2024.102889","url":null,"abstract":"<div><div>Zinner syndrome is a rare congenital malformation of the Wolffian duct with seminal vesicle cyst, ipsilateral renal agenesis and ejaculatory duct obstruction, seen in less than 0.002 % of the male population. An increased awareness among clinicians, urologists, and radiologists is essential, as early diagnosis and management can impact fertility outcomes. This review aims to explain and illustrate Zinner syndrome through imaging case studies. Emphasis is made on considering Zinner syndrome in the differential diagnosis of young males with pelvic pain and renal agenesis, highlighting the importance of radiological evaluation for the management of this uncommon yet clinically significant condition.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"58 ","pages":"Article 102889"},"PeriodicalIF":0.5,"publicationDate":"2024-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142723872","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-11-15DOI: 10.1016/j.eucr.2024.102886
Avaneesh Kunta , Samantha Gibson , Abhishek Seth , Kenneth A. Alexander , Adriana Cadilla , Pamela Ellsworth
Neonatal epididymo-orchitis (EO) is a rare condition, particularly when caused by Salmonella, a pathogen typically associated with gastroenteritis. We present the case of a 15-day-old male who developed right-sided scrotal swelling and erythema. Scrotal ultrasound confirmed EO without signs of torsion or abscess. Further investigation revealed potential Salmonella exposure from feeding bottles, and stool PCR confirmed the diagnosis. The patient responded well to antibiotics, avoiding surgical intervention. This case highlights the rarity of Salmonella EO in neonates and the value of early imaging, thorough history-taking, and environmental exposure assessment in guiding conservative management and avoiding surgery.
{"title":"Neonatal epididymo-orchitis caused by Salmonella: A case of successful non-surgical management","authors":"Avaneesh Kunta , Samantha Gibson , Abhishek Seth , Kenneth A. Alexander , Adriana Cadilla , Pamela Ellsworth","doi":"10.1016/j.eucr.2024.102886","DOIUrl":"10.1016/j.eucr.2024.102886","url":null,"abstract":"<div><div>Neonatal epididymo-orchitis (EO) is a rare condition, particularly when caused by S<em>almonella</em>, a pathogen typically associated with gastroenteritis. We present the case of a 15-day-old male who developed right-sided scrotal swelling and erythema. Scrotal ultrasound confirmed EO without signs of torsion or abscess. Further investigation revealed potential <em>Salmonella</em> exposure from feeding bottles, and stool PCR confirmed the diagnosis. The patient responded well to antibiotics, avoiding surgical intervention. This case highlights the rarity of <em>Salmonella</em> EO in neonates and the value of early imaging, thorough history-taking, and environmental exposure assessment in guiding conservative management and avoiding surgery.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"58 ","pages":"Article 102886"},"PeriodicalIF":0.5,"publicationDate":"2024-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142702405","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Clear cell adenocarcinoma of the urethra is an extremely rare malignancy with a poor outcome, mainly affecting females in old age. We present the case of a 42-year-old female patient who presented with progressively worsening lower urinary tract symptoms, leading to a cystoscopy-guided core needle biopsy diagnosis of clear cell adenocarcinoma of the urethra. We will mainly discuss the cross-sectional imaging and pathological aspects of the case.
{"title":"Urethral clear cell adenocarcinoma in an adult female: A rare case report","authors":"Yacob Sheiferawe Seman , Michael Teklehaimanot Abera , Fadil Nuredin Abrar , Tesfaye Kebede Legesse , Mesfin Asefa Tola , Tsiyon Nigusie Alemu","doi":"10.1016/j.eucr.2024.102882","DOIUrl":"10.1016/j.eucr.2024.102882","url":null,"abstract":"<div><div>Clear cell adenocarcinoma of the urethra is an extremely rare malignancy with a poor outcome, mainly affecting females in old age. We present the case of a 42-year-old female patient who presented with progressively worsening lower urinary tract symptoms, leading to a cystoscopy-guided core needle biopsy diagnosis of clear cell adenocarcinoma of the urethra. We will mainly discuss the cross-sectional imaging and pathological aspects of the case.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"58 ","pages":"Article 102882"},"PeriodicalIF":0.5,"publicationDate":"2024-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142702404","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-11-01DOI: 10.1016/j.eucr.2024.102868
Anoushka Mullasseril , Anh B. Lam , Alekhya Mitta , Daniel Morton , Andrew McIntosh , Sanjay Patel , Theresa Thai , Anand Annan , Adanma Ayanambakkam
Renal cell carcinoma (RCC) is the seventh most common cancer in the United States; clear cell RCC (ccRCC) is the most common subtype. We report a case of spontaneous regression of metastatic ccRCC and discuss possible underlying mechanisms informed by a literature review. While regression of metastatic RCC has been described following nephrectomy or treatment of the primary tumor, spontaneous regression is rare. Postulated underlying causes include tumor necrosis and immune-mediated responses. Of 29 identified cases of spontaneous regression, only ours occurred after only a biopsy. Better understanding of the pathophysiology of spontaneous regression in RCC will improve its management.
{"title":"Spontaneous regression of metastatic clear cell renal cell carcinoma: A report of a rare case and a review of the literature","authors":"Anoushka Mullasseril , Anh B. Lam , Alekhya Mitta , Daniel Morton , Andrew McIntosh , Sanjay Patel , Theresa Thai , Anand Annan , Adanma Ayanambakkam","doi":"10.1016/j.eucr.2024.102868","DOIUrl":"10.1016/j.eucr.2024.102868","url":null,"abstract":"<div><div>Renal cell carcinoma (RCC) is the seventh most common cancer in the United States; clear cell RCC (ccRCC) is the most common subtype. We report a case of spontaneous regression of metastatic ccRCC and discuss possible underlying mechanisms informed by a literature review. While regression of metastatic RCC has been described following nephrectomy or treatment of the primary tumor, spontaneous regression is rare. Postulated underlying causes include tumor necrosis and immune-mediated responses. Of 29 identified cases of spontaneous regression, only ours occurred after only a biopsy. Better understanding of the pathophysiology of spontaneous regression in RCC will improve its management.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"57 ","pages":"Article 102868"},"PeriodicalIF":0.5,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142586530","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Emphysematous pyelonephritis and emphysematous cystitis are intractable diseases. Eight cases of bilateral emphysematous pyelonephritis and emphysematous cystitis have been reported, but no treatment has been established. An 88-year-old female was admitted with traumatic subarachnoid hemorrhage, and on the fourth day of hospitalization, she developed fever and septic shock. A computed tomography scan revealed bilateral emphysematous pyelonephritis and emphysematous cystitis. The patient was treated with bilateral double-J stents and an indwelling urethral catheter. This is the first report of bilateral emphysematous pyelonephritis and emphysematous cystitis treated conservatively with drainage and an internal stent, which may be a treatment option.
{"title":"Complicated case of bilateral emphysematous pyelonephritis and emphysematous cystitis successfully treated with transurethral drainage and ureteral stents","authors":"Yoshihiro Kawaguchi , Yoshikado Miyagawa , Shigehisa Mizuta , Kosuke Ueda , Kiyoaki Nishihara , Makoto Nakiri , Tsukasa Igawa","doi":"10.1016/j.eucr.2024.102877","DOIUrl":"10.1016/j.eucr.2024.102877","url":null,"abstract":"<div><div>Emphysematous pyelonephritis and emphysematous cystitis are intractable diseases. Eight cases of bilateral emphysematous pyelonephritis and emphysematous cystitis have been reported, but no treatment has been established. An 88-year-old female was admitted with traumatic subarachnoid hemorrhage, and on the fourth day of hospitalization, she developed fever and septic shock. A computed tomography scan revealed bilateral emphysematous pyelonephritis and emphysematous cystitis. The patient was treated with bilateral double-J stents and an indwelling urethral catheter. This is the first report of bilateral emphysematous pyelonephritis and emphysematous cystitis treated conservatively with drainage and an internal stent, which may be a treatment option.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"57 ","pages":"Article 102877"},"PeriodicalIF":0.5,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142586529","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-11-01DOI: 10.1016/j.eucr.2024.102876
Zamari Noori, Mohammad Jawid Nazari
Isolated renal tuberculosis is a rare form of extrapulmonary TB, especially in immunocompetent individuals. This case report details the diagnosis and management of a 14-year-old male who presented with massive hydronephrosis of unknown cause. Initial investigations, including urine cultures, were inconclusive. However, percutaneous nephrostomy provided a key diagnostic opportunity. This case highlights the importance of considering TB in the differential diagnosis of patients with unexplained urinary tract abnormalities, even in immunocompetent patients.
{"title":"Hydronephrosis secondary to isolated renal tuberculosis in an immunocompetent adolescent: “A case report”","authors":"Zamari Noori, Mohammad Jawid Nazari","doi":"10.1016/j.eucr.2024.102876","DOIUrl":"10.1016/j.eucr.2024.102876","url":null,"abstract":"<div><div>Isolated renal tuberculosis is a rare form of extrapulmonary TB, especially in immunocompetent individuals. This case report details the diagnosis and management of a 14-year-old male who presented with massive hydronephrosis of unknown cause. Initial investigations, including urine cultures, were inconclusive. However, percutaneous nephrostomy provided a key diagnostic opportunity. This case highlights the importance of considering TB in the differential diagnosis of patients with unexplained urinary tract abnormalities, even in immunocompetent patients.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"57 ","pages":"Article 102876"},"PeriodicalIF":0.5,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142592943","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-11-01DOI: 10.1016/j.eucr.2024.102848
Henry Pramana, Jupiter Sibarani
Calculi in the urethra are uncommon, and urethral calculi causing urethrocutaneous fistula are extremely rare. A 56 years-old man with history of urine passage from his scrotal area for a month. During physical examination, we found a multiple fistula in scrotal area and revealed by the ultrasound. Abdominal x-ray suggests a vesicolithiasis and multiple urethrolithiasis. To date, there are 14 cases of giant urethral stone with and without urethrocutaneous fistula reported in literature worldwide for the last 14 years. It was related to patients that delayed to seek a medical attention from his symptoms.
尿道结石并不常见，而尿道结石导致尿道皮肤瘘则极为罕见。一名 56 岁的男子有一个月从阴囊部位排尿的病史。体格检查时，我们发现阴囊部位有多发性瘘管，超声波检查也显示了这一情况。腹部 X 光片显示膀胱结石和多发性尿道结石。迄今为止，在过去的 14 年中，全世界共有 14 例巨大尿道结石伴有或不伴有尿道皮肤瘘的文献报道。这与患者出现症状后迟迟不就医有关。
{"title":"A giant urethral stone with urethrocutaneous fistula: A case report","authors":"Henry Pramana, Jupiter Sibarani","doi":"10.1016/j.eucr.2024.102848","DOIUrl":"10.1016/j.eucr.2024.102848","url":null,"abstract":"<div><div>Calculi in the urethra are uncommon, and urethral calculi causing urethrocutaneous fistula are extremely rare. A 56 years-old man with history of urine passage from his scrotal area for a month. During physical examination, we found a multiple fistula in scrotal area and revealed by the ultrasound. Abdominal x-ray suggests a vesicolithiasis and multiple urethrolithiasis. To date, there are 14 cases of giant urethral stone with and without urethrocutaneous fistula reported in literature worldwide for the last 14 years. It was related to patients that delayed to seek a medical attention from his symptoms.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"57 ","pages":"Article 102848"},"PeriodicalIF":0.5,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142663287","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-11-01DOI: 10.1016/j.eucr.2024.102875
Gregory Palmateer , Edouard H. Nicaise , Jatin Gandhi , Taylor Goodstein , Michelle Sheng , Kenneth Ogan , Omer Kucuk , Melinda Yushak , Martin G. Sanda , Keith A. Delman , Viraj Master
Extramammary Paget disease (EMPD) is a rare dermatologic malignancy with a high rate of recurrence and increased risk for developing secondary malignancies. We present a 74-year-old male with previously resected primary EMPD who presented with widespread PSMA-avid lesions without prostatic uptake, an elevated PSA >100, and a negative prostate biopsy. Based on this and immunohistological staining, recurrent EMPD was suspected. However, after additional staining and reexamining their clinical presentation, metastatic prostate cancer without a detected primary lesion is more probable. This case highlights the diagnostic challenge variable expression of shared biomarkers found in EMPD and prostate cancer present to clinicians.
{"title":"The diagnostic challenges of differentiating metastatic extramammary Paget disease and prostatic adenocarcinoma: A case report and review of the literature","authors":"Gregory Palmateer , Edouard H. Nicaise , Jatin Gandhi , Taylor Goodstein , Michelle Sheng , Kenneth Ogan , Omer Kucuk , Melinda Yushak , Martin G. Sanda , Keith A. Delman , Viraj Master","doi":"10.1016/j.eucr.2024.102875","DOIUrl":"10.1016/j.eucr.2024.102875","url":null,"abstract":"<div><div>Extramammary Paget disease (EMPD) is a rare dermatologic malignancy with a high rate of recurrence and increased risk for developing secondary malignancies. We present a 74-year-old male with previously resected primary EMPD who presented with widespread PSMA-avid lesions without prostatic uptake, an elevated PSA >100, and a negative prostate biopsy. Based on this and immunohistological staining, recurrent EMPD was suspected. However, after additional staining and reexamining their clinical presentation, metastatic prostate cancer without a detected primary lesion is more probable. This case highlights the diagnostic challenge variable expression of shared biomarkers found in EMPD and prostate cancer present to clinicians.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"57 ","pages":"Article 102875"},"PeriodicalIF":0.5,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142572260","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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