Removing an embedded barbed hook in the body without causing further tissue damage is a challenge in the emergency department (ED). A crochet hook is one of these barbed hooks.
A 6-year-old male child presented to our hospital after 1 hour of crochet hook needle injury to the perineum. On perineal examination there was a sharp material imbedded in the anterior perineal area on the right side from the medial raphe. His follow-up course was uneventful.
The advance-and-cut method is the most practiced and successful. The choice of management techniques depends on the anatomic location and depth of the hook.
{"title":"Management of a crochet hook penetrating perineal injury: A case report","authors":"Asmelash Gebresilase Tewelde , Yirgalem Teklebirhan Gebreziher , Hadush Tesfay Negash , Birhane Mekonen Negash","doi":"10.1016/j.eucr.2025.103336","DOIUrl":"10.1016/j.eucr.2025.103336","url":null,"abstract":"<div><div>Removing an embedded barbed hook in the body without causing further tissue damage is a challenge in the emergency department (ED). A crochet hook is one of these barbed hooks.</div><div>A 6-year-old male child presented to our hospital after 1 hour of crochet hook needle injury to the perineum. On perineal examination there was a sharp material imbedded in the anterior perineal area on the right side from the medial raphe. His follow-up course was uneventful.</div><div>The advance-and-cut method is the most practiced and successful. The choice of management techniques depends on the anatomic location and depth of the hook.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"65 ","pages":"Article 103336"},"PeriodicalIF":0.4,"publicationDate":"2025-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145898040","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-12-30DOI: 10.1016/j.eucr.2025.103333
Masahiro Katsui, Konan Sakai, Takemi Shishido, Hiroki Ide
Left-sided inferior vena cava (LS-IVC) is a rare congenital vascular anomaly that can complicate retroperitoneal surgery because of altered venous and lymphatic anatomy. We report a case of robot-assisted nephroureterectomy performed in a patient with LS-IVC. A 67-year-old woman with right ureteral urothelial carcinoma underwent surgery after careful preoperative vascular assessment. Tailored robotic port placement enabled safe single-docking nephroureterectomy without vascular injury. This case highlights the importance of anatomical awareness and strategic surgical planning when performing robotic surgery in patients with rare vascular anomalies.
{"title":"Robot-assisted nephroureterectomy in a patient with left-sided inferior vena cava: a case report","authors":"Masahiro Katsui, Konan Sakai, Takemi Shishido, Hiroki Ide","doi":"10.1016/j.eucr.2025.103333","DOIUrl":"10.1016/j.eucr.2025.103333","url":null,"abstract":"<div><div>Left-sided inferior vena cava (LS-IVC) is a rare congenital vascular anomaly that can complicate retroperitoneal surgery because of altered venous and lymphatic anatomy. We report a case of robot-assisted nephroureterectomy performed in a patient with LS-IVC. A 67-year-old woman with right ureteral urothelial carcinoma underwent surgery after careful preoperative vascular assessment. Tailored robotic port placement enabled safe single-docking nephroureterectomy without vascular injury. This case highlights the importance of anatomical awareness and strategic surgical planning when performing robotic surgery in patients with rare vascular anomalies.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"65 ","pages":"Article 103333"},"PeriodicalIF":0.4,"publicationDate":"2025-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145897995","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-12-30DOI: 10.1016/j.eucr.2025.103331
Alexandre Saboia Leitão Junior, Marllon Rodrigues Ferreira, Rommel Prata Regadas, Ricardo Reges Maia de Oliveira, Gabriel Silva Lima
Ureteroduodenal fistula is extremely rare, with fewer than 20 reported cases. We describe a 50-year-old woman with recurrent flank pain and hematuria whose imaging showed proximal ureteral hydronephrosis, a 2-cm stone, and a migrated metallic foreign body. During laparoscopic ureterolithotomy, dense adhesions revealed a fistula caused by transduodenal needle penetration with associated stone formation. Laparoscopic removal of the stone and foreign body, duodenal repair, and ureteral suturing with stent placement were successfully performed. The patient recovered uneventfully and remained asymptomatic at 6 months. This represents the first laparoscopic management of ureteroduodenal fistula, highlighting a safe, kidney-sparing alternative to open surgery.
{"title":"Laparoscopic treatment of ureteroduodenal fistula: Case report, technique, and review","authors":"Alexandre Saboia Leitão Junior, Marllon Rodrigues Ferreira, Rommel Prata Regadas, Ricardo Reges Maia de Oliveira, Gabriel Silva Lima","doi":"10.1016/j.eucr.2025.103331","DOIUrl":"10.1016/j.eucr.2025.103331","url":null,"abstract":"<div><div>Ureteroduodenal fistula is extremely rare, with fewer than 20 reported cases. We describe a 50-year-old woman with recurrent flank pain and hematuria whose imaging showed proximal ureteral hydronephrosis, a 2-cm stone, and a migrated metallic foreign body. During laparoscopic ureterolithotomy, dense adhesions revealed a fistula caused by transduodenal needle penetration with associated stone formation. Laparoscopic removal of the stone and foreign body, duodenal repair, and ureteral suturing with stent placement were successfully performed. The patient recovered uneventfully and remained asymptomatic at 6 months. This represents the first laparoscopic management of ureteroduodenal fistula, highlighting a safe, kidney-sparing alternative to open surgery.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"65 ","pages":"Article 103331"},"PeriodicalIF":0.4,"publicationDate":"2025-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145898042","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-12-26DOI: 10.1016/j.eucr.2025.103327
Samuel S. Iofel , Daniel Groves , Carlos A. Puyo , Lija Joseph , Robert A. Edelstein
Urinary bladder paragangliomas (UBPGL) are rare neuroendocrine tumors that originate from extra-adrenal paraganglia in the bladder.
We report the case of a 67-year-old patient who presented with a submucosal bladder tumor. A hypertensive crisis developed during the initial attempt at cystoscopic resection, and biopsies demonstrated a UBPGL.
The importance of considering UBPGL in the differential diagnosis of submucosal bladder tumors is discussed. Appropriate perioperative blood pressure management and the choice of surgical approach can optimize outcomes and prevent morbidity.
{"title":"Paraganglioma of the urinary bladder: A case report and discussion of the literature","authors":"Samuel S. Iofel , Daniel Groves , Carlos A. Puyo , Lija Joseph , Robert A. Edelstein","doi":"10.1016/j.eucr.2025.103327","DOIUrl":"10.1016/j.eucr.2025.103327","url":null,"abstract":"<div><div>Urinary bladder paragangliomas (UBPGL) are rare neuroendocrine tumors that originate from extra-adrenal paraganglia in the bladder.</div><div>We report the case of a 67-year-old patient who presented with a submucosal bladder tumor. A hypertensive crisis developed during the initial attempt at cystoscopic resection, and biopsies demonstrated a UBPGL.</div><div>The importance of considering UBPGL in the differential diagnosis of submucosal bladder tumors is discussed. Appropriate perioperative blood pressure management and the choice of surgical approach can optimize outcomes and prevent morbidity.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"65 ","pages":"Article 103327"},"PeriodicalIF":0.4,"publicationDate":"2025-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145897991","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Isolated epispadia is uncommon anamoly, occurring in approximately 1 out of 120,000 male births. To date, only 22 cases of epispadia have been reported with an intact prepuce and 8 cases with a phimotic intact prepuce. This paper presents the case of a 6-month-old male infant, who had been circumcised at three weeks of age, and was subsequently diagnosed with penopubic epispadias during a standard medical examination. His condition was successfully corrected using the Modified Cantwell-Ransley technique, leading to a favorable post-operative recovery. This case underscores the importance of thorough evaluation during circumcision to avoid overlooking potential diagnoses.
{"title":"Penopubic epispadias with intact prepuce presenting as phimosis in an infant: A case report","authors":"Gebrehiwet Aregay Brhane , Yirgalem Teklebrhan Gebreziher","doi":"10.1016/j.eucr.2025.103329","DOIUrl":"10.1016/j.eucr.2025.103329","url":null,"abstract":"<div><div>Isolated epispadia is uncommon anamoly, occurring in approximately 1 out of 120,000 male births. To date, only 22 cases of epispadia have been reported with an intact prepuce and 8 cases with a phimotic intact prepuce. This paper presents the case of a 6-month-old male infant, who had been circumcised at three weeks of age, and was subsequently diagnosed with penopubic epispadias during a standard medical examination. His condition was successfully corrected using the Modified Cantwell-Ransley technique, leading to a favorable post-operative recovery. This case underscores the importance of thorough evaluation during circumcision to avoid overlooking potential diagnoses.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"65 ","pages":"Article 103329"},"PeriodicalIF":0.4,"publicationDate":"2025-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145898039","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-12-23DOI: 10.1016/j.eucr.2025.103330
Joshua Bruinsma , Nisanthan Rajathurai , Hugo C. Temperley , Benjamin Mac Curtain , Mikhail Lozinskiy
Synchronous idiopathic bilateral testicular infarction is exceedingly rare and may mimic malignancy on clinical and radiological assessment. We report a 40-year-old male with bilateral avascular testicular lesions suspicious for germ cell tumour. Intraoperative frozen section during unilateral orchidectomy revealed necrosis without malignancy, avoiding unnecessary bilateral surgery. Final histopathology confirmed infarction with no systemic cause identified. This case highlights the diagnostic challenge of bilateral testicular masses and the value of intraoperative pathology in guiding management.
{"title":"Bilateral idiopathic synchronous testicular infarction mimicking malignancy: a case report","authors":"Joshua Bruinsma , Nisanthan Rajathurai , Hugo C. Temperley , Benjamin Mac Curtain , Mikhail Lozinskiy","doi":"10.1016/j.eucr.2025.103330","DOIUrl":"10.1016/j.eucr.2025.103330","url":null,"abstract":"<div><div>Synchronous idiopathic bilateral testicular infarction is exceedingly rare and may mimic malignancy on clinical and radiological assessment. We report a 40-year-old male with bilateral avascular testicular lesions suspicious for germ cell tumour. Intraoperative frozen section during unilateral orchidectomy revealed necrosis without malignancy, avoiding unnecessary bilateral surgery. Final histopathology confirmed infarction with no systemic cause identified. This case highlights the diagnostic challenge of bilateral testicular masses and the value of intraoperative pathology in guiding management.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"65 ","pages":"Article 103330"},"PeriodicalIF":0.4,"publicationDate":"2025-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145897993","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-12-23DOI: 10.1016/j.eucr.2025.103328
Ismail Mahad Abdullahi, Ismail Ahmed Ali, Abdirahin Mohamed Abdulkadir, Rahma Abdukadir Ahmed, Abdullahi Hassan Elmi
Testicular tuberculosis is a rare form of genitourinary TB that often mimics conditions such as neoplasms or chronic epididymo-orchitis, making diagnosis challenging. We report a 60-year-old man with longstanding right testicular pain and swelling, no systemic symptoms, and a history of household TB exposure. Imaging showed a large hydrocele with suspected underlying pathology. Intraoperative findings revealed necrotic testicular tissue, prompting orchiectomy. Histopathology confirmed granulomatous inflammation with caseous necrosis consistent with TB. The patient began standard anti-tubercular therapy. This case highlights the need to consider testicular TB in chronic scrotal swelling, particularly in TB-endemic settings.
{"title":"A case of isolated testicular Tuberculosis: Approach and management","authors":"Ismail Mahad Abdullahi, Ismail Ahmed Ali, Abdirahin Mohamed Abdulkadir, Rahma Abdukadir Ahmed, Abdullahi Hassan Elmi","doi":"10.1016/j.eucr.2025.103328","DOIUrl":"10.1016/j.eucr.2025.103328","url":null,"abstract":"<div><div>Testicular tuberculosis is a rare form of genitourinary TB that often mimics conditions such as neoplasms or chronic epididymo-orchitis, making diagnosis challenging. We report a 60-year-old man with longstanding right testicular pain and swelling, no systemic symptoms, and a history of household TB exposure. Imaging showed a large hydrocele with suspected underlying pathology. Intraoperative findings revealed necrotic testicular tissue, prompting orchiectomy. Histopathology confirmed granulomatous inflammation with caseous necrosis consistent with TB. The patient began standard anti-tubercular therapy. This case highlights the need to consider testicular TB in chronic scrotal swelling, particularly in TB-endemic settings.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"65 ","pages":"Article 103328"},"PeriodicalIF":0.4,"publicationDate":"2025-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145929223","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-12-23DOI: 10.1016/j.eucr.2025.103325
Rita Palanjian , Jonathan A. Seaman , Erika Bracamonte , Juan Chipollini
Fournier's gangrene (FG) is a rapidly progressive necrotizing fasciitis of the perineum and genitals. Although most cases result from polymicrobial infection, rare reports describe secondary causes that mimic FG, including malignancy. We present a man in his forties with clinical and radiographic findings concerning for FG who was ultimately found to have locally advanced, metastatic penile squamous cell carcinoma. This case illustrates that necrotic, infected tumors may masquerade as necrotizing soft-tissue infections, delaying oncologic diagnosis and limiting therapeutic options. Early consideration of underlying malignancy is warranted in atypical, refractory, or rapidly progressive presentations of presumed FG.
{"title":"Penile squamous cell carcinoma masquerading as Fournier's Gangrene: A case of a young patient with aggressive, metastatic disease","authors":"Rita Palanjian , Jonathan A. Seaman , Erika Bracamonte , Juan Chipollini","doi":"10.1016/j.eucr.2025.103325","DOIUrl":"10.1016/j.eucr.2025.103325","url":null,"abstract":"<div><div>Fournier's gangrene (FG) is a rapidly progressive necrotizing fasciitis of the perineum and genitals. Although most cases result from polymicrobial infection, rare reports describe secondary causes that mimic FG, including malignancy. We present a man in his forties with clinical and radiographic findings concerning for FG who was ultimately found to have locally advanced, metastatic penile squamous cell carcinoma. This case illustrates that necrotic, infected tumors may masquerade as necrotizing soft-tissue infections, delaying oncologic diagnosis and limiting therapeutic options. Early consideration of underlying malignancy is warranted in atypical, refractory, or rapidly progressive presentations of presumed FG.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"65 ","pages":"Article 103325"},"PeriodicalIF":0.4,"publicationDate":"2025-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145897992","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-12-23DOI: 10.1016/j.eucr.2025.103323
Amal Abdullahi Abdi , Abdullahi Hassan Elmi , Fahmo Hussein Ibrahim
Urethral stones are an uncommon cause of urinary blockage in children, particularly in those with congenital anomalies such as hypospadias. We present a 5-year-old boy with distal hypospadias who experienced repeated episodes of urinary retention and intermittent painful urination. During surgical repair, small urethral stones were identified at the stenotic meatus. The patient underwent a successful tubularized-incised plate hypospadias repair, resulting in normal voiding and resolution of obstruction. This case highlights the importance of considering urethral calculi in children with congenital urethral anomalies to prevent recurrent urinary retention and related complications.
{"title":"Urinary obstruction caused by urethral stones in a pediatric patient with hypospadias: a rare Case Report in Somalia","authors":"Amal Abdullahi Abdi , Abdullahi Hassan Elmi , Fahmo Hussein Ibrahim","doi":"10.1016/j.eucr.2025.103323","DOIUrl":"10.1016/j.eucr.2025.103323","url":null,"abstract":"<div><div>Urethral stones are an uncommon cause of urinary blockage in children, particularly in those with congenital anomalies such as hypospadias. We present a 5-year-old boy with distal hypospadias who experienced repeated episodes of urinary retention and intermittent painful urination. During surgical repair, small urethral stones were identified at the stenotic meatus. The patient underwent a successful tubularized-incised plate hypospadias repair, resulting in normal voiding and resolution of obstruction. This case highlights the importance of considering urethral calculi in children with congenital urethral anomalies to prevent recurrent urinary retention and related complications.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"65 ","pages":"Article 103323"},"PeriodicalIF":0.4,"publicationDate":"2025-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145898024","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-12-23DOI: 10.1016/j.eucr.2025.103326
Zoe Williams , Paul Kim , James Kovacic , Andrew Shepherd , Krishan Rasiah , Ankur Dhar , Kathleen Young
Sclerosing angiomyolipomas (AMLs) are a subtype of perivascular epithelioid cell-omas (PEComas) with significant stromal hyalinisation and AML-like features. Immunochemically, they show myomelanocytic differentiation. Sclerosing AMLs/PEComas are predominantly retroperitoneal, follow a benign course, and are overwhelmingly reported in females. Here we report a renal sclerosing AML/PEComa in a male. This case highlights the importance of considering sclerosing AMLs/PEComas as a likely indolent differential for small renal masses in men, as accepted knowledge of small renal masses with these characteristics suggests 70–80 % will be malignant.
{"title":"Renal sclerosing AML/PEComa in a male - A case report and literature review","authors":"Zoe Williams , Paul Kim , James Kovacic , Andrew Shepherd , Krishan Rasiah , Ankur Dhar , Kathleen Young","doi":"10.1016/j.eucr.2025.103326","DOIUrl":"10.1016/j.eucr.2025.103326","url":null,"abstract":"<div><div>Sclerosing angiomyolipomas (AMLs) are a subtype of perivascular epithelioid cell-omas (PEComas) with significant stromal hyalinisation and AML-like features. Immunochemically, they show myomelanocytic differentiation. Sclerosing AMLs/PEComas are predominantly retroperitoneal, follow a benign course, and are overwhelmingly reported in females. Here we report a renal sclerosing AML/PEComa in a male. This case highlights the importance of considering sclerosing AMLs/PEComas as a likely indolent differential for small renal masses in men, as accepted knowledge of small renal masses with these characteristics suggests 70–80 % will be malignant.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"65 ","pages":"Article 103326"},"PeriodicalIF":0.4,"publicationDate":"2025-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145897990","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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