A 91-year-old man with a long-term bladder indwelling catheter (BIC) for benign prostatic hyperplasia (BPH) presented to our emergency department with fever.
Computed tomography (CT) showed the tip of the BIC was located within the left ureterovesical junction, which caused left hydronephrosis and a hydroureter.
The catheter was replaced, and the hydronephrosis improved quickly.
The patient was treated with antibiotic therapy and discharged on day 10.
Catheterization is one of the most common procedures performed by urologists; however, it can lead to unexpected complications.
{"title":"A case of ureteral orifice obstruction by bladder indwelling catheter","authors":"Kazuma Tsuboi, Kosuke Hino, Shin Kanemoto, Yasuhiro Nishiyama, Ryoji Arata, Noriaki Ono","doi":"10.1016/j.eucr.2025.102945","DOIUrl":"10.1016/j.eucr.2025.102945","url":null,"abstract":"<div><div>A 91-year-old man with a long-term bladder indwelling catheter (BIC) for benign prostatic hyperplasia (BPH) presented to our emergency department with fever.</div><div>Computed tomography (CT) showed the tip of the BIC was located within the left ureterovesical junction, which caused left hydronephrosis and a hydroureter.</div><div>The catheter was replaced, and the hydronephrosis improved quickly.</div><div>The patient was treated with antibiotic therapy and discharged on day 10.</div><div>Catheterization is one of the most common procedures performed by urologists; however, it can lead to unexpected complications.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"59 ","pages":"Article 102945"},"PeriodicalIF":0.5,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11787700/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143081576","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 : 2025-01-15DOI: 10.1016/j.eucr.2025.102946
Abumelha S , Alkhayal A , Alrabeeah K , Alrashed M , Almasari R , Aloudah N
Synovial sarcoma is a rare malignant tumour that arises from mesenchymal origin. This case is about synovial sarcoma in unusual place, the scrotum and penile shaft. A 36-year-old man presented with a tender penoscrotal mass for 5 years. The patient underwent surgical resection of the mass. Histopathology revealed cellular spindle cell tumour arranged into interlacing fascicle, Immunohistochemistry analysis revealed a positive TLE-1, CD99, B-cell lymphoma 2 (BLC2), Focal cytokeratin and focal epithelial membrane antigen (EMA). In our case, the patient was aggressively treated with two surgical resections and still progressed and metastasized and continued progressing even after different chemotherapy regimens.
{"title":"Synovial sarcoma: A case report of first presentation at penoscrotal junction","authors":"Abumelha S , Alkhayal A , Alrabeeah K , Alrashed M , Almasari R , Aloudah N","doi":"10.1016/j.eucr.2025.102946","DOIUrl":"10.1016/j.eucr.2025.102946","url":null,"abstract":"<div><div>Synovial sarcoma is a rare malignant tumour that arises from mesenchymal origin. This case is about <u>synovial</u> sarcoma in unusual place, the scrotum and penile shaft. A 36-year-old man presented with a tender penoscrotal mass for 5 years. The patient underwent surgical resection of the mass. Histopathology revealed cellular spindle cell tumour arranged into interlacing fascicle, Immunohistochemistry analysis revealed a positive TLE-1, CD99, B-cell lymphoma 2 (BLC2), Focal cytokeratin and focal epithelial membrane antigen (EMA). In our case, the patient was aggressively treated with two surgical resections and still progressed and metastasized and continued progressing even after different chemotherapy regimens.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"59 ","pages":"Article 102946"},"PeriodicalIF":0.5,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143138605","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 : 2025-01-15DOI: 10.1016/j.eucr.2025.102949
Sachin J. Joshi , William J. Yaxley , Devang J. Desai
We describe a case of a 78-year-old male with a history of Gleason score 9 prostate cancer treated with a robotic-assisted radical prostatectomy, who developed symptoms of right ureteric obstruction four years later.
Diagnostic evaluation revealed right sided hydroureteronephrosis on imaging. Further correlation with prostate specific antigen (PSA) and histopathology from a distal ureterectomy with reimplantation revealed metastatic prostate cancer as the cause of obstruction with incidental focal carcinoma in situ (CIS) also identified.
This case highlights the diagnostic challenges and management strategies for ureteric metastasis of prostate cancer and contributes to the limited body of literature on such cases.
{"title":"Distant ureteric metastasis of prostate cancer four years post radical prostatectomy","authors":"Sachin J. Joshi , William J. Yaxley , Devang J. Desai","doi":"10.1016/j.eucr.2025.102949","DOIUrl":"10.1016/j.eucr.2025.102949","url":null,"abstract":"<div><div>We describe a case of a 78-year-old male with a history of Gleason score 9 prostate cancer treated with a robotic-assisted radical prostatectomy, who developed symptoms of right ureteric obstruction four years later.</div><div>Diagnostic evaluation revealed right sided hydroureteronephrosis on imaging. Further correlation with prostate specific antigen (PSA) and histopathology from a distal ureterectomy with reimplantation revealed metastatic prostate cancer as the cause of obstruction with incidental focal carcinoma in situ (CIS) also identified.</div><div>This case highlights the diagnostic challenges and management strategies for ureteric metastasis of prostate cancer and contributes to the limited body of literature on such cases.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"59 ","pages":"Article 102949"},"PeriodicalIF":0.5,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143138606","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 : 2025-01-15DOI: 10.1016/j.eucr.2025.102948
Annemarie Chrysantia Melati, Andi Ade Wijaya
This case presents the perioperative management of a 6-year-old male patient undergoing penoscrotal urethroplasty. General anesthesia was administered along with Fentanyl (1–2 mcg/kgBW) during induction Bilateral pudendal nerve blocks were performed using Bupivacaine 0.25 % with no additional opioids required during the surgery, and hemodynamic stability was maintained. Postoperative pain was effectively managed with paracetamol, and the patient was discharged on the second postoperative day without any complications. This case highlight the use of pudendal nerve block as a safe and effective analgesic thecnique for pediatric urethroplasty.
{"title":"Pudendal nerve block approach for children undergoing urethroplasty","authors":"Annemarie Chrysantia Melati, Andi Ade Wijaya","doi":"10.1016/j.eucr.2025.102948","DOIUrl":"10.1016/j.eucr.2025.102948","url":null,"abstract":"<div><div>This case presents the perioperative management of a 6-year-old male patient undergoing penoscrotal urethroplasty. General anesthesia was administered along with Fentanyl (1–2 mcg/kgBW) during induction Bilateral pudendal nerve blocks were performed using Bupivacaine 0.25 % with no additional opioids required during the surgery, and hemodynamic stability was maintained. Postoperative pain was effectively managed with paracetamol, and the patient was discharged on the second postoperative day without any complications. This case highlight the use of pudendal nerve block as a safe and effective analgesic thecnique for pediatric urethroplasty.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"59 ","pages":"Article 102948"},"PeriodicalIF":0.5,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143138195","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 : 2025-01-13DOI: 10.1016/j.eucr.2025.102939
Sikai Song, Martin Hofmann, Herbert Ruckle, Forrest Jellison, Muhannad Alsyouf
Mycotic pseudoaneurysms are rare dilations of the arterial wall caused by infection. We present a case of a 62-year old man with disseminated tuberculosis and a large mycotic pseudoaneurysm involving the main renal artery and vein. Despite being on appropriate rifampin, isoniazid, pyrazinamide, and ethambutol (RIPE) therapy, the pseudoaneurysm grew with increasing concern for potential rupture. The patient subsequently underwent an open right simple nephrectomy with resection of the pseudoaneurysm, partial resection of the inferior vena cava, and reconstruction.
{"title":"Tuberculous pseudoaneurysm of the renal artery: A rare manifestation of extra-pulmonary tuberculosis","authors":"Sikai Song, Martin Hofmann, Herbert Ruckle, Forrest Jellison, Muhannad Alsyouf","doi":"10.1016/j.eucr.2025.102939","DOIUrl":"10.1016/j.eucr.2025.102939","url":null,"abstract":"<div><div>Mycotic pseudoaneurysms are rare dilations of the arterial wall caused by infection. We present a case of a 62-year old man with disseminated tuberculosis and a large mycotic pseudoaneurysm involving the main renal artery and vein. Despite being on appropriate rifampin, isoniazid, pyrazinamide, and ethambutol (RIPE) therapy, the pseudoaneurysm grew with increasing concern for potential rupture. The patient subsequently underwent an open right simple nephrectomy with resection of the pseudoaneurysm, partial resection of the inferior vena cava, and reconstruction.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"59 ","pages":"Article 102939"},"PeriodicalIF":0.5,"publicationDate":"2025-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11787410/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143081614","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 : 2025-01-13DOI: 10.1016/j.eucr.2025.102943
Peranzoni Francesca , Birraux Jacques , Sommer Christelle , Sanchez Oliver
After horseshoe kidney, crossed renal ectopia (CRE) is the most common fusion anomaly of the kidney, with an incidence of 1:7000 autopsies. Most frequently the left kidney is the crossed ectopic component. In this article we present the first case of retroperitoneoscopic resection of a CRE and left ectopic multicystic dysplastic kidney with severely dilated ureter.
{"title":"Retroperitoneoscopic surgical resection of a crossed ectopic non-functioning multicystic kidney associated with a severe ureteral dilation. A new surgical approach and literature review","authors":"Peranzoni Francesca , Birraux Jacques , Sommer Christelle , Sanchez Oliver","doi":"10.1016/j.eucr.2025.102943","DOIUrl":"10.1016/j.eucr.2025.102943","url":null,"abstract":"<div><div>After horseshoe kidney, crossed renal ectopia (CRE) is the most common fusion anomaly of the kidney, with an incidence of 1:7000 autopsies. Most frequently the left kidney is the crossed ectopic component. In this article we present the first case of retroperitoneoscopic resection of a CRE and left ectopic multicystic dysplastic kidney with severely dilated ureter.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"59 ","pages":"Article 102943"},"PeriodicalIF":0.5,"publicationDate":"2025-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11787659/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143081609","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 : 2025-01-11DOI: 10.1016/j.eucr.2025.102936
Mustafa I. Al-Shalah , Zaid F. Altawallbeh , Rashed Yousef Al Sharqi , Mohammad kh Alzawahreh , Raed Bassam Abulawi , Mohab Alsaid Saad , Yousif Ahmad Hanafi , Laith Alnajada , Ala' Mohammad Yaser Alfreahat
Case
A 22-year-old male smoker presented with intermittent right flank pain lasting over a year. He had a history of atrophied left kidney and gout. Physical exam revealed mild right renal angle tenderness.
Outcome
Initial imaging, pointed to a diagnosis of ureteropelvic junction stenosis. During surgery, a type two retrocaval ureter was discovered. Transposition pyelo-pyelostomy was performed to repair the ureter, and a double-J stent was inserted.
Conclusion
This case highlights the challenge of accurately diagnosing retrocaval ureter, especially type, based on initial radiological images.
{"title":"Right retrocaval ureter type 2 with left atrophied kidney: A rare case report","authors":"Mustafa I. Al-Shalah , Zaid F. Altawallbeh , Rashed Yousef Al Sharqi , Mohammad kh Alzawahreh , Raed Bassam Abulawi , Mohab Alsaid Saad , Yousif Ahmad Hanafi , Laith Alnajada , Ala' Mohammad Yaser Alfreahat","doi":"10.1016/j.eucr.2025.102936","DOIUrl":"10.1016/j.eucr.2025.102936","url":null,"abstract":"<div><h3>Case</h3><div>A 22-year-old male smoker presented with intermittent right flank pain lasting over a year. He had a history of atrophied left kidney and gout. Physical exam revealed mild right renal angle tenderness.</div></div><div><h3>Outcome</h3><div>Initial imaging, pointed to a diagnosis of ureteropelvic junction stenosis. During surgery, a type two retrocaval ureter was discovered. Transposition pyelo-pyelostomy was performed to repair the ureter, and a double-J stent was inserted.</div></div><div><h3>Conclusion</h3><div>This case highlights the challenge of accurately diagnosing retrocaval ureter, especially type, based on initial radiological images.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"59 ","pages":"Article 102936"},"PeriodicalIF":0.5,"publicationDate":"2025-01-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11782891/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143081612","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 : 2025-01-09DOI: 10.1016/j.eucr.2025.102932
Miguel Fernandes, Miguel Miranda, Filipe Lopes, Sérgio Pereira, José Palma Reis, Francisco Martins
Neobladder-vaginal fistula (NVF) is a rare complication after radical cystectomy with orthotopic neobladder, impacting patient quality of life. This case report describes successful transvaginal, multilayered closure of NVF in a 59-year-old woman with urinary incontinence post-surgery. Despite prior intraoperative repair, an 8mm fistula was detected and repaired transvaginally. A watertight test confirmed closure, and the patient remained continent at 22 months follow-up. NVF rates range from 3 to 6%, with risk factors including poor vaginal vascularity and intraoperative injury. This case supports transvaginal repair as an initial approach, with further research needed to refine NVF management strategies.
{"title":"Neobladder-to-vagina fistula management: Case report and short literature review","authors":"Miguel Fernandes, Miguel Miranda, Filipe Lopes, Sérgio Pereira, José Palma Reis, Francisco Martins","doi":"10.1016/j.eucr.2025.102932","DOIUrl":"10.1016/j.eucr.2025.102932","url":null,"abstract":"<div><div>Neobladder-vaginal fistula (NVF) is a rare complication after radical cystectomy with orthotopic neobladder, impacting patient quality of life. This case report describes successful transvaginal, multilayered closure of NVF in a 59-year-old woman with urinary incontinence post-surgery. Despite prior intraoperative repair, an 8mm fistula was detected and repaired transvaginally. A watertight test confirmed closure, and the patient remained continent at 22 months follow-up. NVF rates range from 3 to 6%, with risk factors including poor vaginal vascularity and intraoperative injury. This case supports transvaginal repair as an initial approach, with further research needed to refine NVF management strategies.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"59 ","pages":"Article 102932"},"PeriodicalIF":0.5,"publicationDate":"2025-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11780709/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143068469","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}
We report our experience with a pregnant patient with a giant calyceal diverticulum—a very rare presentation. A 30-year-old pregnant woman was referred to our department with left flank pain at 7 weeks of gestation. Ultrasonography and computed tomography showed a giant cystic lesion on the left kidney. Single-puncture drainage was performed, but when fluid immediately reaccumulated, a percutaneous catheter was placed. We suspected a fistula between the cystic lesion and renal pelvis. After delivery, we made a definitive diagnosis of a calyceal diverticulum and successfully performed robot-assisted calyceal diverticulectomy.
{"title":"Giant calyceal diverticulum diagnosed in pregnancy: A case report of successful percutaneous catheter management during pregnancy and robot-assisted calyceal diverticulectomy after delivery","authors":"Takashi Sakaguchi, Yoichi Osako, Akihiko Mitsuke, Risako Ogawa, Himawari Takeyama, Ryosuke Matsushita, Hirofumi Yoshino, Shuichi Tatarano, Hideki Enokida","doi":"10.1016/j.eucr.2025.102935","DOIUrl":"10.1016/j.eucr.2025.102935","url":null,"abstract":"<div><div>We report our experience with a pregnant patient with a giant calyceal diverticulum—a very rare presentation. A 30-year-old pregnant woman was referred to our department with left flank pain at 7 weeks of gestation. Ultrasonography and computed tomography showed a giant cystic lesion on the left kidney. Single-puncture drainage was performed, but when fluid immediately reaccumulated, a percutaneous catheter was placed. We suspected a fistula between the cystic lesion and renal pelvis. After delivery, we made a definitive diagnosis of a calyceal diverticulum and successfully performed robot-assisted calyceal diverticulectomy.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"59 ","pages":"Article 102935"},"PeriodicalIF":0.5,"publicationDate":"2025-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11786649/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143081587","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 : 2025-01-07DOI: 10.1016/j.eucr.2025.102933
Sarah Lorger , Stuart Jackson , Ayesha Mukhtiar , Leonardo Santos , Paul Gassner
Lipomatous ganglioneuroma's are exceedingly rare benign tumours. They originate from the neuroepithelium along the sympathetic ganglia. These rare tumours have been reported generally in the posterior mediastinum and retroperitoneum. We describe a case of a lipomatous ganglioneuroma in the adrenal gland. This case is unique as it has a lipid poor appearance on computed tomography with normal metabolic activity. To our knowledge this is the second case reported within the adrenal gland.
{"title":"A rare case of lipomatous ganglioneuroma of the adrenal gland","authors":"Sarah Lorger , Stuart Jackson , Ayesha Mukhtiar , Leonardo Santos , Paul Gassner","doi":"10.1016/j.eucr.2025.102933","DOIUrl":"10.1016/j.eucr.2025.102933","url":null,"abstract":"<div><div>Lipomatous ganglioneuroma's are exceedingly rare benign tumours. They originate from the neuroepithelium along the sympathetic ganglia. These rare tumours have been reported generally in the posterior mediastinum and retroperitoneum. We describe a case of a lipomatous ganglioneuroma in the adrenal gland. This case is unique as it has a lipid poor appearance on computed tomography with normal metabolic activity. To our knowledge this is the second case reported within the adrenal gland.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"59 ","pages":"Article 102933"},"PeriodicalIF":0.5,"publicationDate":"2025-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11770493/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143060846","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