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Neobladder-to-vagina fistula management: Case report and short literature review 新膀胱阴道瘘管理:病例报告和简短文献综述。
IF 0.5 Q4 UROLOGY & NEPHROLOGY Pub Date : 2025-01-09 DOI: 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,&nbsp;Miguel Miranda,&nbsp;Filipe Lopes,&nbsp;Sérgio Pereira,&nbsp;José Palma Reis,&nbsp;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}
引用次数: 0
Giant calyceal diverticulum diagnosed in pregnancy: A case report of successful percutaneous catheter management during pregnancy and robot-assisted calyceal diverticulectomy after delivery
IF 0.5 Q4 UROLOGY & NEPHROLOGY Pub Date : 2025-01-09 DOI: 10.1016/j.eucr.2025.102935
Takashi Sakaguchi, Yoichi Osako, Akihiko Mitsuke, Risako Ogawa, Himawari Takeyama, Ryosuke Matsushita, Hirofumi Yoshino, Shuichi Tatarano, Hideki Enokida
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,&nbsp;Yoichi Osako,&nbsp;Akihiko Mitsuke,&nbsp;Risako Ogawa,&nbsp;Himawari Takeyama,&nbsp;Ryosuke Matsushita,&nbsp;Hirofumi Yoshino,&nbsp;Shuichi Tatarano,&nbsp;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}
引用次数: 0
Recurrent extrarenal Teratoid Wilms tumor in sacrococcygeal region of children after initial surgery: A rare case
IF 0.5 Q4 UROLOGY & NEPHROLOGY Pub Date : 2025-01-07 DOI: 10.1016/j.eucr.2025.102931
Xian Wei, Ting Li, Xiaojuan Wu
Teratoid Wilms tumor is a very rare tumor, about 70 cases have been reported worldwide. Extrarenal teratoid Wilms tumor is even less common. We reported a child with sacrococcygeal teratoid Wilms tumor who was diagnosed with teratoma at the time of the initial operation and relapsed shortly after the operation; we followed up for nearly two years after the second operation with no tumor recurrence or metastasis. This case tells clinicians that the diagnosis of extrarenal teratoid Wilms tumor needs to be careful, and although the prognosis of the disease is good, the premise is complete surgical resection.
{"title":"Recurrent extrarenal Teratoid Wilms tumor in sacrococcygeal region of children after initial surgery: A rare case","authors":"Xian Wei,&nbsp;Ting Li,&nbsp;Xiaojuan Wu","doi":"10.1016/j.eucr.2025.102931","DOIUrl":"10.1016/j.eucr.2025.102931","url":null,"abstract":"<div><div>Teratoid Wilms tumor is a very rare tumor, about 70 cases have been reported worldwide. Extrarenal teratoid Wilms tumor is even less common. We reported a child with sacrococcygeal teratoid Wilms tumor who was diagnosed with teratoma at the time of the initial operation and relapsed shortly after the operation; we followed up for nearly two years after the second operation with no tumor recurrence or metastasis. This case tells clinicians that the diagnosis of extrarenal teratoid Wilms tumor needs to be careful, and although the prognosis of the disease is good, the premise is complete surgical resection.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"60 ","pages":"Article 102931"},"PeriodicalIF":0.5,"publicationDate":"2025-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143580607","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}
引用次数: 0
A rare case of lipomatous ganglioneuroma of the adrenal gland
IF 0.5 Q4 UROLOGY & NEPHROLOGY Pub Date : 2025-01-07 DOI: 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 ,&nbsp;Stuart Jackson ,&nbsp;Ayesha Mukhtiar ,&nbsp;Leonardo Santos ,&nbsp;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}
引用次数: 0
Case report: Comprehensive evaluation and management of male infertility with complete AZFC microdeletion and undescended testicle
IF 0.5 Q4 UROLOGY & NEPHROLOGY Pub Date : 2025-01-07 DOI: 10.1016/j.eucr.2025.102934
Niyazi Emre Turgut , Mehmet Murad Basar
This case report presents a 31-year-old male patient with primary infertility, a unilaterally undescended testicle, and a complete AZFc microdeletion. Despite failed attempts at testicular sperm extraction, the patient underwent successful microscopic testicular sperm extraction and subsequent viable sperm extraction, leading to successful fertilization through intracytoplasmic sperm injection (ICSI). The report underscores the potential for successful ICSI in male infertility cases with complex genetic and reproductive issues, highlighting the importance of comprehensive genetic evaluation and individualized reproductive techniques in managing male infertility associated with undescended testicle and genetic anomalies.
{"title":"Case report: Comprehensive evaluation and management of male infertility with complete AZFC microdeletion and undescended testicle","authors":"Niyazi Emre Turgut ,&nbsp;Mehmet Murad Basar","doi":"10.1016/j.eucr.2025.102934","DOIUrl":"10.1016/j.eucr.2025.102934","url":null,"abstract":"<div><div>This case report presents a 31-year-old male patient with primary infertility, a unilaterally undescended testicle, and a complete AZFc microdeletion. Despite failed attempts at testicular sperm extraction, the patient underwent successful microscopic testicular sperm extraction and subsequent viable sperm extraction, leading to successful fertilization through intracytoplasmic sperm injection (ICSI). The report underscores the potential for successful ICSI in male infertility cases with complex genetic and reproductive issues, highlighting the importance of comprehensive genetic evaluation and individualized reproductive techniques in managing male infertility associated with undescended testicle and genetic anomalies.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"59 ","pages":"Article 102934"},"PeriodicalIF":0.5,"publicationDate":"2025-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11780711/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143068468","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}
引用次数: 0
A case report of hypospadias combined with polyorchidism 尿道下裂合并多裂1例。
IF 0.5 Q4 UROLOGY & NEPHROLOGY Pub Date : 2025-01-01 DOI: 10.1016/j.eucr.2024.102924
Wentao Yu , Wei Gong , Fuhan Zhao , Guan Zhang , Zhenyu Liu , Tiejun Pan
Hypospadias is a common congenital malformation of the reproductive system; however, to date, no cases of hypospadias complicated by polyorchidism have been reported in the literature. This article reports a case of a 1-year-old boy presenting with hypospadias, who was also diagnosed with polyorchidism combined with cryptorchidism. Preoperative Doppler ultrasound revealed two testes on the right side, and an atrophic testis on the left. After surgical treatment, the patient recovered well and was discharged. Hypospadias combined with polyorchidism is highly prone to misdiagnosis or missed diagnoses. This case provides insight into the recognition, diagnosis, and treatment of this condition.
尿道下裂是一种常见的生殖系统先天性畸形;然而,迄今为止,尚无文献报道尿道下裂合并多裂的病例。本文报告一例1岁男童,以尿道下裂为主要表现,同时被诊断为多精症合并隐睾。术前多普勒超声显示右侧两个睾丸,左侧一个萎缩睾丸。经手术治疗,患者恢复良好,出院。尿道下裂合并多裂极易误诊或漏诊。本病例提供了对这种情况的识别、诊断和治疗的见解。
{"title":"A case report of hypospadias combined with polyorchidism","authors":"Wentao Yu ,&nbsp;Wei Gong ,&nbsp;Fuhan Zhao ,&nbsp;Guan Zhang ,&nbsp;Zhenyu Liu ,&nbsp;Tiejun Pan","doi":"10.1016/j.eucr.2024.102924","DOIUrl":"10.1016/j.eucr.2024.102924","url":null,"abstract":"<div><div>Hypospadias is a common congenital malformation of the reproductive system; however, to date, no cases of hypospadias complicated by polyorchidism have been reported in the literature. This article reports a case of a 1-year-old boy presenting with hypospadias, who was also diagnosed with polyorchidism combined with cryptorchidism. Preoperative Doppler ultrasound revealed two testes on the right side, and an atrophic testis on the left. After surgical treatment, the patient recovered well and was discharged. Hypospadias combined with polyorchidism is highly prone to misdiagnosis or missed diagnoses. This case provides insight into the recognition, diagnosis, and treatment of this condition.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"58 ","pages":"Article 102924"},"PeriodicalIF":0.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11750287/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143013399","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}
引用次数: 0
Gigantic retroperitoneal pararenal ancient schwannoma masquerading as a mesenchymal malignancy: A diagnostic conundrum 巨大的腹膜后肾旁古老神经鞘瘤伪装成间充质恶性肿瘤:一个诊断难题。
IF 0.5 Q4 UROLOGY & NEPHROLOGY Pub Date : 2025-01-01 DOI: 10.1016/j.eucr.2024.102920
Neha Aggarwal, Shaivy Malik, Charanjeet Ahluwalia
Ancient schwannoma is a rare benign variant of schwannoma with marked degenerative changes, often mimicking malignancies, particularly when retroperitoneal and pararenal. A 34-year-old woman presented with a rapidly growing 15 cm retroperitoneal pararenal mass. Imaging suggested an aggressive malignancy. Surgical resection and histopathology revealed a well-encapsulated tumor with degenerative changes, nuclear atypia, and strong S100 positivity, confirming ancient schwannoma. Complete excision achieved negative margins, and follow-up showed no recurrence. Diagnostic challenges arise from its rarity and atypical features. Histopathology is crucial for differentiation from malignancies. Ancient schwannomas should be considered for large retroperitoneal masses to ensure accurate diagnosis and management.
古代神经鞘瘤是一种罕见的良性神经鞘瘤,具有明显的退行性改变,通常类似恶性肿瘤,特别是在腹膜后和肾旁。34岁女性,腹膜后肾旁肿块迅速增大15厘米。影像学提示侵袭性恶性肿瘤。手术切除和组织病理学显示肿瘤包膜良好,伴退行性改变,核异型性,S100阳性,证实为古老的神经鞘瘤。完全切除获得阴性切缘,随访未见复发。诊断方面的挑战来自其罕见和非典型特征。组织病理学是鉴别恶性肿瘤的关键。对于腹膜后较大的肿块,应考虑古老的神经鞘瘤,以确保准确的诊断和治疗。
{"title":"Gigantic retroperitoneal pararenal ancient schwannoma masquerading as a mesenchymal malignancy: A diagnostic conundrum","authors":"Neha Aggarwal,&nbsp;Shaivy Malik,&nbsp;Charanjeet Ahluwalia","doi":"10.1016/j.eucr.2024.102920","DOIUrl":"10.1016/j.eucr.2024.102920","url":null,"abstract":"<div><div>Ancient schwannoma is a rare benign variant of schwannoma with marked degenerative changes, often mimicking malignancies, particularly when retroperitoneal and pararenal. A 34-year-old woman presented with a rapidly growing 15 cm retroperitoneal pararenal mass. Imaging suggested an aggressive malignancy. Surgical resection and histopathology revealed a well-encapsulated tumor with degenerative changes, nuclear atypia, and strong S100 positivity, confirming ancient schwannoma. Complete excision achieved negative margins, and follow-up showed no recurrence. Diagnostic challenges arise from its rarity and atypical features. Histopathology is crucial for differentiation from malignancies. Ancient schwannomas should be considered for large retroperitoneal masses to ensure accurate diagnosis and management.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"58 ","pages":"Article 102920"},"PeriodicalIF":0.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11741072/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143013494","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}
引用次数: 0
Neurofibroma of bladder: A case report and literature review
IF 0.5 Q4 UROLOGY & NEPHROLOGY Pub Date : 2025-01-01 DOI: 10.1016/j.eucr.2024.102929
Zhipeng Yan , Baoqun Xu , Maokun Sun , Heng Zhang , Xiaolu Sun , Lihua Li , Yulan Gao , Yunji Sun
To improve the understanding and treatment level of urogenital nerve fibroma by sharing the clinical manifestations, imaging features, and pathological characteristics of a case of urogenital nerve fibroma.The patient was a middle-aged male with initial symptoms of painless gross hematuria, bladder irritation, and pelvic mass. Imaging examination showed a bladder mass, and transurethral bladder tumor resection was performed to reduce the tumor. Pathology was confirmed to be bladder neurofibroma. After 6 months of surgery, follow-up examination showed a significant reduction in tumor volume and no recurrence. The successful diagnostic and therapeutic experience of this case can be referenced for clinical practice.
{"title":"Neurofibroma of bladder: A case report and literature review","authors":"Zhipeng Yan ,&nbsp;Baoqun Xu ,&nbsp;Maokun Sun ,&nbsp;Heng Zhang ,&nbsp;Xiaolu Sun ,&nbsp;Lihua Li ,&nbsp;Yulan Gao ,&nbsp;Yunji Sun","doi":"10.1016/j.eucr.2024.102929","DOIUrl":"10.1016/j.eucr.2024.102929","url":null,"abstract":"<div><div>To improve the understanding and treatment level of urogenital nerve fibroma by sharing the clinical manifestations, imaging features, and pathological characteristics of a case of urogenital nerve fibroma.The patient was a middle-aged male with initial symptoms of painless gross hematuria, bladder irritation, and pelvic mass. Imaging examination showed a bladder mass, and transurethral bladder tumor resection was performed to reduce the tumor. Pathology was confirmed to be bladder neurofibroma. After 6 months of surgery, follow-up examination showed a significant reduction in tumor volume and no recurrence. The successful diagnostic and therapeutic experience of this case can be referenced for clinical practice.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"58 ","pages":"Article 102929"},"PeriodicalIF":0.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11758819/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143048141","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}
引用次数: 0
Gallbladder perforation in a patient undergoing PCNL: Case report and literature review PCNL患者胆囊穿孔1例报告并文献复习。
IF 0.5 Q4 UROLOGY & NEPHROLOGY Pub Date : 2025-01-01 DOI: 10.1016/j.eucr.2024.102925
Alessandro Vengjer , André Segura da Motta , Matheus Campos Alves Corrêa , Julia Corazza Nitta Yoshisaki , Marcelo Ribeiro de Azevedo , Olavo Napoleão de Araújo Neto
Percutaneous nephrolithotripsy (PCNL) is an effective therapeutic approach in cases of lithiasis, which is prone to complications. In this report we present a case of a 52-year-old female patient with recurrent episodes of lithiasis and, after PCNL, evolution with pain and abdominal distension on the 2nd post-operative day due to a perforation of the gallbladder. An exploratory laparotomy was performed, leading to clinical improvement, and the patient was discharged from the hospital on the 7th day after resolving the choleperitoneum. This report addresses a rare, life-threatening complication of PCNL with limited literature available on the subject.
经皮肾镜碎石术(PCNL)是治疗结石症的有效方法,但易引起并发症。在本报告中,我们报告了一例52岁女性患者复发性结石发作,PCNL后,由于胆囊穿孔,术后第2天出现疼痛和腹胀。行开腹探查,临床好转,患者于胆腹膜溶解后第7天出院。本报告讨论了一种罕见的、危及生命的PCNL并发症,文献资料有限。
{"title":"Gallbladder perforation in a patient undergoing PCNL: Case report and literature review","authors":"Alessandro Vengjer ,&nbsp;André Segura da Motta ,&nbsp;Matheus Campos Alves Corrêa ,&nbsp;Julia Corazza Nitta Yoshisaki ,&nbsp;Marcelo Ribeiro de Azevedo ,&nbsp;Olavo Napoleão de Araújo Neto","doi":"10.1016/j.eucr.2024.102925","DOIUrl":"10.1016/j.eucr.2024.102925","url":null,"abstract":"<div><div>Percutaneous nephrolithotripsy (PCNL) is an effective therapeutic approach in cases of lithiasis, which is prone to complications. In this report we present a case of a 52-year-old female patient with recurrent episodes of lithiasis and, after PCNL, evolution with pain and abdominal distension on the 2nd post-operative day due to a perforation of the gallbladder. An exploratory laparotomy was performed, leading to clinical improvement, and the patient was discharged from the hospital on the 7th day after resolving the choleperitoneum. This report addresses a rare, life-threatening complication of PCNL with limited literature available on the subject.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"58 ","pages":"Article 102925"},"PeriodicalIF":0.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11741040/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143013493","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}
引用次数: 0
Retroperitoneal laparoscopic partial nephrectomy for multiple T1b renal carcinomas in a solitary kidney: A case report 腹膜后腹腔镜部分肾切除术治疗单侧肾多发T1b肾癌1例。
IF 0.5 Q4 UROLOGY & NEPHROLOGY Pub Date : 2025-01-01 DOI: 10.1016/j.eucr.2024.102922
Xuechuan Yan , Kai Zhao , Zongliang Zhang , Xinbao Yin , Guanqun Zhu , Han Yang , Ke Wang
This case highlights the effective use of retroperitoneal laparoscopic partial nephrectomy (RLPN) in a 73-year-old female with two large renal carcinomas in her solitary kidney, including a 7 cm deeply infiltrating mass. The RLPN procedure successfully resected both tumors with a thermal ischemia time of 28 minutes, 110 minutes of surgery, and only 30 mL of blood loss. The patient's postoperative recovery was excellent, with no hemorrhage or urine leakage and only a mild increase in serum creatinine levels. Discharged after 10 days without dialysis, this case supports RLPN as a safe, effective method for similar renal tumors.
该病例强调了后腹腔镜部分肾切除术(RLPN)在73岁女性单侧肾脏的有效应用,她有两个大的肾癌,包括一个7厘米深的浸润性肿块。RLPN手术成功切除了两个肿瘤,热缺血时间为28分钟,手术时间为110分钟,出血量仅为30 mL。患者术后恢复良好,无出血或尿漏,仅血清肌酐水平轻度升高。本病例无透析10天后出院,支持RLPN作为一种安全有效的治疗类似肾肿瘤的方法。
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Urology Case Reports
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