Pub Date : 2024-10-05DOI: 10.1016/j.eucr.2024.102864
Patrick Davol, Callie Davol
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。
{"title":"Diffuse B-cell lymphoma of the testis presenting as epididymo-orchitis","authors":"Patrick Davol, Callie Davol","doi":"10.1016/j.eucr.2024.102864","DOIUrl":"10.1016/j.eucr.2024.102864","url":null,"abstract":"<div><div>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.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"57 ","pages":"Article 102864"},"PeriodicalIF":0.5,"publicationDate":"2024-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142424169","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 : 2024-10-05DOI: 10.1016/j.eucr.2024.102861
SriGita Madiraju , Natalie Mainland , Stephen Hong , Isaac Zucker , Rokana Taftaf , Waqar Khan , David Fumo , Firas G. Petros
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.
{"title":"Metastatic melanoma of the ureter accompanied by pseudomelanosis vesica: A case report","authors":"SriGita Madiraju , Natalie Mainland , Stephen Hong , Isaac Zucker , Rokana Taftaf , Waqar Khan , David Fumo , Firas G. Petros","doi":"10.1016/j.eucr.2024.102861","DOIUrl":"10.1016/j.eucr.2024.102861","url":null,"abstract":"<div><div>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.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"57 ","pages":"Article 102861"},"PeriodicalIF":0.5,"publicationDate":"2024-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142416222","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 : 2024-10-05DOI: 10.1016/j.eucr.2024.102863
Jack Clarke, Imal Hemachandra, Robert Pickles, Avi Raman
The genitourinary system is affected in 10 % of patients with Brucellosis infection. However, renal abscess (or Brucelloma) is remarkably rare. Only 6 case reports have been described in the literature.
A 34-year-old male presenting with back pain, fever and thick-walled abscess of the left kidney on computerised tomography. Subsequent blood cultures isolated BrucellosisSuis. He was treated conservatively with an extended course of antibiotics and his abscess subsequently reduced in size.
We propose that uncomplicated Renal Brucelloma under 30mm in size can be treated conservatively with extended antibiotic course and follow up.
{"title":"A rare cause of renal abscess: Brucelloma","authors":"Jack Clarke, Imal Hemachandra, Robert Pickles, Avi Raman","doi":"10.1016/j.eucr.2024.102863","DOIUrl":"10.1016/j.eucr.2024.102863","url":null,"abstract":"<div><div>The genitourinary system is affected in 10 % of patients with Brucellosis infection. However, renal abscess (or Brucelloma) is remarkably rare. Only 6 case reports have been described in the literature.</div><div>A 34-year-old male presenting with back pain, fever and thick-walled abscess of the left kidney on computerised tomography. Subsequent blood cultures isolated <em>Brucellosis</em> <em>S</em><em>uis</em>. He was treated conservatively with an extended course of antibiotics and his abscess subsequently reduced in size.</div><div>We propose that uncomplicated Renal Brucelloma under 30mm in size can be treated conservatively with extended antibiotic course and follow up.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"57 ","pages":"Article 102863"},"PeriodicalIF":0.5,"publicationDate":"2024-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142533774","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 : 2024-10-02DOI: 10.1016/j.eucr.2024.102859
Brandon M. Tompkins, Upahvan Rai, Roy Miller, Richard Sarle
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.
{"title":"Delayed inferior epigastric bleed following robotic assisted laparoscopic prostatectomy: An algorithmic approach","authors":"Brandon M. Tompkins, Upahvan Rai, Roy Miller, Richard Sarle","doi":"10.1016/j.eucr.2024.102859","DOIUrl":"10.1016/j.eucr.2024.102859","url":null,"abstract":"<div><div>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.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"57 ","pages":"Article 102859"},"PeriodicalIF":0.5,"publicationDate":"2024-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142424189","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 : 2024-10-02DOI: 10.1016/j.eucr.2024.102857
Jason E. Michaud , Christian C. Morrill , Ahmad Haffar , Heather N. Di Carlo , John P. Gearhart
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.
{"title":"Intravesical vancomycin for the treatment of Corynebacterium cystitis and struvite bladder stones: A case report","authors":"Jason E. Michaud , Christian C. Morrill , Ahmad Haffar , Heather N. Di Carlo , John P. Gearhart","doi":"10.1016/j.eucr.2024.102857","DOIUrl":"10.1016/j.eucr.2024.102857","url":null,"abstract":"<div><div>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 <em>Corynebacterium urealyticum</em> cystitis, resistant to enteral antibiotics. This highlights the potential of intravesical antibiotics for the treatment of UTI.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"57 ","pages":"Article 102857"},"PeriodicalIF":0.5,"publicationDate":"2024-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142424190","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}
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.
{"title":"Closure of the initial surgical wound resulting in successful treatment of a pediatric case of Fournier's gangrene: A case report","authors":"Kohei Mori, Yutaka Shiono, Soichiro Shimura, Shuhei Hirano, Dai Koguchi, Masaomi Ikeda, Hideyasu Tsumura, Daisuke Ishii, Kazumasa Matsumoto","doi":"10.1016/j.eucr.2024.102860","DOIUrl":"10.1016/j.eucr.2024.102860","url":null,"abstract":"<div><div>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 <em>Streptococcus anginosus</em> 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.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"57 ","pages":"Article 102860"},"PeriodicalIF":0.5,"publicationDate":"2024-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142424188","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 : 2024-10-02DOI: 10.1016/j.eucr.2024.102858
Salim Lachkar, Ahmed Ibrahimi, Imad Boualaoui, Hachem El Sayegh, Yassine Nouini
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。
{"title":"Adult nephroblastoma or Wilms' tumor: A rare entity - Case report","authors":"Salim Lachkar, Ahmed Ibrahimi, Imad Boualaoui, Hachem El Sayegh, Yassine Nouini","doi":"10.1016/j.eucr.2024.102858","DOIUrl":"10.1016/j.eucr.2024.102858","url":null,"abstract":"<div><div>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.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"57 ","pages":"Article 102858"},"PeriodicalIF":0.5,"publicationDate":"2024-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142424192","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 : 2024-09-27DOI: 10.1016/j.eucr.2024.102853
Ahmed Aldolly , Hazem Arab , Yousef Alsaffaf , Gihad Allugamie
Cancer relapsing can rarely occur at the surgical scar. It happens in laparoscopic and robotic surgery more than the traditional open surgery. It is extremely rare after urological cancer surgery. These cases are linked to a poor prognosis, so therapeutic strategies should be developed. Several factors contribute to this phenomenon, including hematogenous spread and high-grade primary tumors. Here, we report a case of a 42-year-old male who developed an incision site metastasis following open radical nephrectomy for metastatic clear cell renal carcinoma.
{"title":"Incision site metastasis following open radical nephrectomy for renal cell carcinoma: A case report","authors":"Ahmed Aldolly , Hazem Arab , Yousef Alsaffaf , Gihad Allugamie","doi":"10.1016/j.eucr.2024.102853","DOIUrl":"10.1016/j.eucr.2024.102853","url":null,"abstract":"<div><div>Cancer relapsing can rarely occur at the surgical scar. It happens in laparoscopic and robotic surgery more than the traditional open surgery. It is extremely rare after urological cancer surgery. These cases are linked to a poor prognosis, so therapeutic strategies should be developed. Several factors contribute to this phenomenon, including hematogenous spread and high-grade primary tumors. Here, we report a case of a 42-year-old male who developed an incision site metastasis following open radical nephrectomy for metastatic clear cell renal carcinoma.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"57 ","pages":"Article 102853"},"PeriodicalIF":0.5,"publicationDate":"2024-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142424191","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 : 2024-09-26DOI: 10.1016/j.eucr.2024.102856
Brian Holmes, Sreeja Sanampudi, Lakshmi Ananthakrishnan
Patients with reported history of severe iodinated contrast reaction are not uncommon in daily practice. Iodinated contrast is most frequently administered intravenously (IV) for CT scans but is also used intraluminally during urologic procedures and postoperatively to assess for leaks. Providers often are unaware that patients with prior iodinated contrast allergy after IV administration are still at risk for a reaction during intraluminal administration. We present a case of a patient with history of iodinated severe contrast allergy, in which CT cystography using a gadolinium-based-contrast agent was safely performed as an alternative to iodinated-based-cystography to evaluate for a postoperative leak.
{"title":"Diagnostic CT cystography with diluted gadolinium-based contrast: A viable alternative to an iodinated contrast-based cystogram","authors":"Brian Holmes, Sreeja Sanampudi, Lakshmi Ananthakrishnan","doi":"10.1016/j.eucr.2024.102856","DOIUrl":"10.1016/j.eucr.2024.102856","url":null,"abstract":"<div><div>Patients with reported history of severe iodinated contrast reaction are not uncommon in daily practice. Iodinated contrast is most frequently administered intravenously (IV) for CT scans but is also used intraluminally during urologic procedures and postoperatively to assess for leaks. Providers often are unaware that patients with prior iodinated contrast allergy after IV administration are still at risk for a reaction during intraluminal administration. We present a case of a patient with history of iodinated severe contrast allergy, in which CT cystography using a gadolinium-based-contrast agent was safely performed as an alternative to iodinated-based-cystography to evaluate for a postoperative leak.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"57 ","pages":"Article 102856"},"PeriodicalIF":0.5,"publicationDate":"2024-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142441541","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 : 2024-09-26DOI: 10.1016/j.eucr.2024.102855
Parker Heger , Austin Hill , Cameron Charchenko
Solitary fibrous tumor is an uncommon myofibroblastic tumor that affects pleura. While most of these tumors are in the intrathoracic cavity, a small minority have been noted to be found elsewhere, including the prostate. In this case study, we present a patient who presented with obstructive urinary symptoms and was diagnosed with solitary fibrous tumor of the prostate on immunohistochemical staining.
{"title":"CD-34 negative solitary fibrous tumor of the prostate: A case report","authors":"Parker Heger , Austin Hill , Cameron Charchenko","doi":"10.1016/j.eucr.2024.102855","DOIUrl":"10.1016/j.eucr.2024.102855","url":null,"abstract":"<div><div>Solitary fibrous tumor is an uncommon myofibroblastic tumor that affects pleura. While most of these tumors are in the intrathoracic cavity, a small minority have been noted to be found elsewhere, including the prostate. In this case study, we present a patient who presented with obstructive urinary symptoms and was diagnosed with solitary fibrous tumor of the prostate on immunohistochemical staining.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"57 ","pages":"Article 102855"},"PeriodicalIF":0.5,"publicationDate":"2024-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142357918","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}
扫码关注我们
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号