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Transurethral unroofing of a Cowper's syringocele 经尿道考伯氏针筒囊肿的切除。
IF 0.5 Q4 UROLOGY & NEPHROLOGY Pub Date : 2025-01-01 DOI: 10.1016/j.eucr.2024.102866
Fenizia Maffucci, Jessica Clark, Anika Rastogi, Justin Friedlander, Jay Simhan
Syringoceles are cystic dilations of the bulbourethral gland, also known as Cowper's gland. Syringoceles are a rare pathology with no standard treatment. Herein, we report the diagnosis and endoscopic management of an imperforate syringocele causing bothersome urinary symptoms in an adult male patient. We present our technique for transurethral holmium laser unroofing of a syringocele as a feasible treatment option.
囊泡囊肿是尿道球腺的囊性扩张,也被称为考伯氏腺。注射器囊肿是一种罕见的病理,没有标准的治疗方法。在此,我们报告的诊断和内窥镜下处理的无穿孔的注射器囊肿引起麻烦的泌尿系统症状在一个成年男性患者。我们提出我们的技术经尿道钬激光去顶注射器囊肿作为一个可行的治疗方案。
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引用次数: 0
Long segment ureteral reconstruction using the prepuce: A case report 包皮输尿管长段重建术1例。
IF 0.5 Q4 UROLOGY & NEPHROLOGY Pub Date : 2025-01-01 DOI: 10.1016/j.eucr.2024.102912
Xiaoyong Zeng, Zhenliang Qin, Xing Li, Jun Zhou, Shuai Lu, Weiwu Liu, Ying Zhan, Ruibao Chen
Long segment ureteral reconstruction has always posed a challenge for surgeons. We report the case of a 49 years male patient with a right ureteral obstruction between the ileal orthotopic bladder and the ureter. The patient underwent a 12cm ureteral reconstruction with the prepuce. One month after the surgery, anterograde angiography through the nephrostomy tube showed ureteral patency. After one year of postoperative follow-up, the patient's ureteral stricture did not recur. Using the prepuce as a free graft for ureteral reconstruction is one of the available options.
长段输尿管重建一直是外科医生面临的挑战。我们报告了一例 49 岁男性患者的病例,他的右侧输尿管梗阻位于回肠正位膀胱和输尿管之间。患者接受了 12 厘米的输尿管包皮重建术。术后一个月,通过肾造瘘管进行的前行血管造影显示输尿管通畅。术后随访一年,患者的输尿管狭窄没有复发。使用包皮作为输尿管重建的游离移植物是可选方案之一。
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引用次数: 0
Incidental discovery of gastrointestinal stromal tumor via PSMA-PET/CT imaging: Insights from a case report
IF 0.5 Q4 UROLOGY & NEPHROLOGY Pub Date : 2025-01-01 DOI: 10.1016/j.eucr.2024.102926
Venetia A. Florou, Diane K. Reyes, Kenneth J. Pienta
PSMA-PET/CT has emerged as a superior diagnostic tool for prostate cancer, demonstrating enhanced accuracy over conventional imaging methods. Although sensitive for detecting local and metastatic prostate tumors, it can also identify other non-prostate PSMA positive lesions. Here, we report a rare case of a 67-year-old patient with metastatic prostate adenocarcinoma who was found to have an incidental Gastrointestinal Stromal Tumor (GIST), during restaging with 68Ga-PSMA-11 PET/CT. Given the broad application of PSMA PET/CT in prostate cancer, its role in diagnosing other non-prostate PSMA tumors remains uncertain, highlighting the need for further research into its application in cancer management.
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引用次数: 0
Unforeseen encounter: After liver abscess drainage, a foreign body was found in the renal pelvis 意外遭遇:肝脓肿引流后,发现肾盂内有异物。
IF 0.5 Q4 UROLOGY & NEPHROLOGY Pub Date : 2025-01-01 DOI: 10.1016/j.eucr.2024.102896
Omar Safar , Adel Elatreisy , Saad Thamer , Saeed A. Asiri , Mahmoud Z. El Madawie , Abdulrahman Al-Aown
Intrarenal foreign bodies are rare and could be iatrogenic through direct penetration, penetration through the gastrointestinal tract (GIT), or retrograde migration from the lower urinary tract. We present Intraoperatively incidental findings of an intrarenal foreign body during percutaneous nephrolithotomy (PCNL) with no previous urological intervention. However, there is a significant multiple percutaneous liver abscess drainage and endoscopic procedures. This case report of a pigtail thread rupture, likely resulting from recent hepatic abscess drainage. In conclusion, Intrarenal foreign bodies are rare, and there is no standard protocol for retrieving them. However, Treatment can be challenging by retrograde intrarenal surgery and PCNL.
肾内异物是罕见的,可能是医源性的,通过直接渗透,穿透胃肠道(GIT),或从下尿路逆行迁移。我们报告术中偶然发现的经皮肾镜取石术(PCNL)中肾内异物,之前没有泌尿外科干预。然而,有明显的多发性经皮肝脓肿引流和内窥镜手术。本病例报告的辫子线断裂,可能是由于最近肝脓肿引流。总之,肾内异物是罕见的,并且没有标准的方案来取出它们。然而,逆行肾内手术和PCNL治疗可能具有挑战性。
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引用次数: 0
Treatment of a high-volume retroperitoneal lymphocele with obstructive hydronephrosis following lymph node dissection via combined intra-lymphocele retrograde lymphangiography with glue embolization and sclerotherapy 淋巴鞘内逆行淋巴管造影联合胶栓和硬化疗法治疗淋巴结清扫后大容量腹膜后淋巴囊肿伴阻塞性肾积水。
IF 0.5 Q4 UROLOGY & NEPHROLOGY Pub Date : 2025-01-01 DOI: 10.1016/j.eucr.2024.102895
Jonathan Bock , Vidit Sharma , Michael Jundt , Emily Bendel , Scott Thompson
Management of symptomatic lymphoceles typically involves sclerotherapy and lymphangiography with embolization. When many afferent lymphatic channels are supplying a large-volume lymphocele, sclerotherapy is associated with high recurrence rate. This case presents a patient who underwent retroperitoneal lymph node dissection and developed a high-volume lymphocele that was compressing the ipsilateral ureter, causing hydronephrosis. He was treated with retrograde lymphangiography, whereby contrast dye was injected through the existing lymphocele drain and afferent lymphatics were visualized upon contrast reflux. These afferent channels were embolized and the lymphocele cavity was sclerosed, leading to reduction in lymphocele output, drain removal, and normalization of kidney function.
症状性淋巴囊肿的治疗通常包括硬化治疗和栓塞性淋巴管造影。当许多传入淋巴通道供应大容量淋巴囊肿时,硬化治疗与高复发率有关。本病例是一例接受腹膜后淋巴结清扫术的患者,出现压迫同侧输尿管的大容量淋巴囊肿,导致肾积水。他接受逆行淋巴管造影治疗,通过现有的淋巴细胞引流管注入造影剂,造影剂回流后可见传入淋巴管。这些传入通道被栓塞,淋巴囊肿腔被硬化,导致淋巴囊肿输出减少,引流物清除,肾功能正常化。
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引用次数: 0
A case of xanthogranulomatous epididymitis complicated by florid testicular cystic ectasia 附睾黄色肉芽肿性炎并发黄质睾丸囊性扩张1例。
IF 0.5 Q4 UROLOGY & NEPHROLOGY Pub Date : 2025-01-01 DOI: 10.1016/j.eucr.2024.102918
Gregory Apap Bologna, David Pisani, Cressida Gauci, Steven Camilleri, Simon Bugeja
Xanthogranulomatous inflammation (XGI) is a rare, benign inflammatory condition of unclear pathogenesis, characterised by infiltration and subsequent destruction of normal tissue by lipid-laden macrophages together with lymphocytes and plasma cells. A 56-year-old gentleman was referred to the urology department of our hospital due to concerns that his right testicle felt firmer than his left over the preceding six months. He was investigated and subsequently underwent a right sided orchidectomy. The overall histopathological findings were consistent with chronic xanthogranulomatous epididymitis with testicular outflow tract obstruction and cystic ectasia of the rete testis and testicular parenchyma.
黄色肉芽肿性炎症(XGI)是一种罕见的良性炎症,发病机制尚不清楚,其特征是脂质巨噬细胞与淋巴细胞和浆细胞一起浸润并随后破坏正常组织。一位56岁的男士,在过去的六个月里,由于担心他的右睾丸比左睾丸结实,他被转介到我院泌尿科。他接受了检查,随后接受了右侧睾丸切除术。整体病理组织学表现符合慢性附睾黄色肉芽肿性炎伴睾丸流出道梗阻、睾丸网及睾丸实质囊性扩张。
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引用次数: 0
Warfarin-ciprofloxacin interaction complicated by subcapsular renal hematoma and retroperitoneal hematoma: Case report 华法林-环丙沙星相互作用并发肾囊下血肿和腹膜后血肿:病例报告。
IF 0.5 Q4 UROLOGY & NEPHROLOGY Pub Date : 2025-01-01 DOI: 10.1016/j.eucr.2024.102908
Masoud Basheer Alshammari , Zainab Ali Alhassar , Abdulla Abduljaleel Alkhalifa , Abdulmalik Abdulaziz Alkhamis , Hatem Hamed Al-Thubiany
Spontaneous, non-traumatic bleeding into the subcapsular and perirenal space is a rare and potentially fatal condition known as Wunderlich syndrome (WS). It has a variety of causes including the usage of anticoagulation. Many anticoagulants including warfarin can interact with other medication and lead to potentially fatal complications, Herein, we report a case of a 47 year old female on warfarin who developed subcapsular renal hematoma and retroperitoneal hematoma after the completion of ciprofloxacin treatment course.
自发性、非创伤性出血进入包膜下和肾周间隙是一种罕见且潜在致命的疾病,称为Wunderlich综合征(WS)。它有多种原因,包括抗凝剂的使用。包括华法林在内的许多抗凝药物可与其他药物相互作用并导致潜在的致命并发症。在此,我们报告了一例47岁的女性在接受华法林治疗后,在环丙沙星疗程结束后出现肾包膜下血肿和腹膜后血肿。
{"title":"Warfarin-ciprofloxacin interaction complicated by subcapsular renal hematoma and retroperitoneal hematoma: Case report","authors":"Masoud Basheer Alshammari ,&nbsp;Zainab Ali Alhassar ,&nbsp;Abdulla Abduljaleel Alkhalifa ,&nbsp;Abdulmalik Abdulaziz Alkhamis ,&nbsp;Hatem Hamed Al-Thubiany","doi":"10.1016/j.eucr.2024.102908","DOIUrl":"10.1016/j.eucr.2024.102908","url":null,"abstract":"<div><div>Spontaneous, non-traumatic bleeding into the subcapsular and perirenal space is a rare and potentially fatal condition known as Wunderlich syndrome (WS). It has a variety of causes including the usage of anticoagulation. Many anticoagulants including warfarin can interact with other medication and lead to potentially fatal complications, Herein, we report a case of a 47 year old female on warfarin who developed subcapsular renal hematoma and retroperitoneal hematoma after the completion of ciprofloxacin treatment course.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"58 ","pages":"Article 102908"},"PeriodicalIF":0.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11732512/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142984847","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
Pediatric renal calyceal diverticular calculi: Diagnostic and management by percutaneous nephrolithotomy “case report” 小儿肾盏憩室结石:经皮肾镜取石术诊断及治疗个案报告。
IF 0.5 Q4 UROLOGY & NEPHROLOGY Pub Date : 2025-01-01 DOI: 10.1016/j.eucr.2024.102900
Nangue Ngansob Loïs Landry , Pankaj Wadhwa , Meera Luthra , Shweta Joshi
Renal calyceal diverticula are rarely diagnosed in children. Calculus formation within the diverticulum is a significant complication and its management in children remains controversial. We report our experience with 1 case, managed with minimally invasive surgery.
We report one pediatric case who presented with flank pain. Physical examination, biochemistry and urinalysis were normal. Contrast-enhanced computed tomography revealed calyceal diverticulum type II with secondary diverticular calculus. The patient underwent mini-percutaneous nephrolithotomy and recovered uneventfully.
Percutaneous nephrolithotomy is safe and effective, and it can be offered as a first line therapy for symptomatic calyceal diverticular calculi in children.
肾盏憩室在儿童中很少被诊断出来。憩室内的结石形成是一种重要的并发症,其治疗方法在儿童中仍然存在争议。我们报告1例微创手术治疗的经验。我们报告一个儿科病例谁提出了侧腹疼痛。体格检查、生化及尿液分析均正常。增强计算机断层扫描显示II型肾盏憩室伴继发性憩室结石。病人接受了微型经皮肾镜取石术,恢复顺利。经皮肾镜取石术安全有效,可作为治疗儿童症状性肾盏憩室结石的一线治疗方法。
{"title":"Pediatric renal calyceal diverticular calculi: Diagnostic and management by percutaneous nephrolithotomy “case report”","authors":"Nangue Ngansob Loïs Landry ,&nbsp;Pankaj Wadhwa ,&nbsp;Meera Luthra ,&nbsp;Shweta Joshi","doi":"10.1016/j.eucr.2024.102900","DOIUrl":"10.1016/j.eucr.2024.102900","url":null,"abstract":"<div><div>Renal calyceal diverticula are rarely diagnosed in children. Calculus formation within the diverticulum is a significant complication and its management in children remains controversial. We report our experience with 1 case, managed with minimally invasive surgery.</div><div>We report one pediatric case who presented with flank pain. Physical examination, biochemistry and urinalysis were normal. Contrast-enhanced computed tomography revealed calyceal diverticulum type II with secondary diverticular calculus. The patient underwent mini-percutaneous nephrolithotomy and recovered uneventfully.</div><div>Percutaneous nephrolithotomy is safe and effective, and it can be offered as a first line therapy for symptomatic calyceal diverticular calculi in children.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"58 ","pages":"Article 102900"},"PeriodicalIF":0.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11696635/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142932962","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 of a Sertoli cell tumor with unique presentation including fevers, weight loss, and leukocytosis in a 13-year-old male 一例13岁男性的支持细胞肿瘤,其独特的表现包括发烧、体重减轻和白细胞增多。
IF 0.5 Q4 UROLOGY & NEPHROLOGY Pub Date : 2025-01-01 DOI: 10.1016/j.eucr.2024.102884
Austin G. Kazarian , Caleb Q. Ashbrook , Charles F. Timmons , Craig A. Peters , Bruce J. Schlomer
Sertoli cell tumors are a rare type of sex-cord stromal tumor. We present a case of a thirteen-year-old male presenting with 2–3 months of fevers and twenty-pound weight loss. Evaluation revealed leukocytosis, anemia, elevated systemic inflammatory markers and a negative infectious disease evaluation. An evaluation for malignancy revealed an incidental testicular mass. A radical orchiectomy lead to prompt resolution of fevers, leukocytosis, and elevated systemic inflammatory markers. Final pathology was consistent with a Sertoli cell tumor. To our knowledge, this is the first reported case of a Sertoli cell tumor presenting with fever, leukocytosis, and weight loss.
支持细胞瘤是一种罕见的性索间质瘤。我们报告一个13岁男性的病例,表现为发烧2-3个月,体重减轻20磅。评估显示白细胞增多,贫血,全身炎症标志物升高,传染病评估阴性。恶性肿瘤的评估显示偶发睾丸肿块。根治性睾丸切除术可迅速缓解发热、白细胞增多和全身炎症标志物升高。最终病理符合支持细胞瘤。据我们所知,这是第一例以发热、白细胞增多和体重减轻为表现的支持细胞肿瘤。
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引用次数: 0
Unilateral chylothorax in a renal transplant recipient: A case report 肾移植受者单侧乳糜胸1例。
IF 0.5 Q4 UROLOGY & NEPHROLOGY Pub Date : 2025-01-01 DOI: 10.1016/j.eucr.2024.102905
Bil'awal Ramadhan Amuda, Gerhard Reinaldi Situmorang, Nur Rasyid
Chylothorax is accumulated lymphatic fluid in the pleural space. It rarely happens in end-stage renal illness patients, but possible causes are hospital-related. This case describes a 40-year-old man experiencing unilateral chylothorax after a kidney transplant. Left pleural cavity drainage shows a white, milky, cloudy, and odorless fluid. Fluid analysis findings were consistent with chylous. A chest tube was inserted, resulting in complete evacuation of fluid and total lungs expansion. No fluid accumulation was observed upon tube removal. Chylothorax is a rare complication of renal transplant. Conservative strategies with thoracostomy drainage and avoidance of oral intake and fluids are recommended.
乳糜胸是积存在胸膜间隙的淋巴液。它很少发生在终末期肾脏疾病患者中,但可能的原因与医院有关。这个病例描述了一个40岁的男人在肾移植后经历单侧乳糜胸。左胸膜腔引流可见白色、乳白色、浑浊、无臭的液体。液体分析结果与乳糜吻合。一根胸管被插入,导致液体完全排出和全肺扩张。拔管后未见积液。乳糜胸是一种罕见的肾移植并发症。保守的策略包括开胸引流,避免口服和液体的摄入。
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引用次数: 0
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Urology Case Reports
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