Case Studies

PELVIC HEMATOMA: A RARE CAUSE OF BLADDER PERFORATION AND GROSS HEMATURIA

In urological practice, bladder perforations are often seen in the context of trauma or as a complication of surgery. Here we report the second case of bladder perforation caused by a large pelvic hematoma without direct injury to the bladder.The patient was a 46-year-old woman. She was admitted to the hospital with cardiogenic shock. One week after a percutaneous coronary angiography performed through the right femoral artery, she presented with gross hematuria. A CT scan of her abdomen and pelvis…

Papillary Renal Cell Carcinoma and Clear Cell Renal Cell Carcinoma Arising in a Single Kidney

We report a case of clear cell RCC and papillary RCC arising in the same kidney. Authors: Tait, Laura; Coleman, Pamela; Ahaghotu, Chiledum Corresponding Author: Tait, Laura Department of Surgery-Division of Urology, Howard University Hospital Washington, DC   Introduction Renal cell carcinoma (RCC) is responsible for 80 percent of all primary renal neoplasms and approximately 65,000 Americans are diagnosed with RCC each year (1). Clear cell RCC comprises a majority of all RCC tumors…

Massive urinary tract haemorrhage following bladder decompression by urethral catheterisation

The development of haematuria following bladder decompression is a well described phenomenon, but is usually transient, mild, and of little clinical consequence. We describe a case in which bladder decompression precipitated massive urinary tract haemorrhage requiring multiple blood transfusions and bilateral nephrostomy insertion Authors: Spencer Chapman, Michael; Harber, Mark Department of Nephrology, Royal Free Hampstead NHS Trust, London, UK Corresponding Author: Spencer Chapman, Michael   Introduction Urinary…

Right Inguinal Ectopic Scrotum With Ipsilateral Renal Agenesis And Left Foot CTEV (Congenital Talipes Equinovarus ) Deformity: A Rare Congenital Anomaly

A case of an ectopic scrotum located in the right inguinal area is described. The left hemiscrotum was in the normal location and each hemiscrotum contained a testis. The patient also had a left foot CTEV (congenital talipes equinovarus) deformity, right renal agenesis and bladder outlet obstruction with recurrent bladder stone formation. Patient was treated for recurrent bladder stone formation by cystolithotomy and reconstructive surgery. Authors: Kumar, Amarendra; Singh, Rajendra; Kumar, Satish;…

Hydronephrosis of Pregnancy in an Ectopic Pelvic Kidney

We present a case of a woman with an ectopic pelvic kidney and symptomatic hydronephrosis who failed conservative treatment and required ureteric stent placement. Authors: Toepfer, Nicholas; Parikh, Ankur; Bhangdia, Darshan Corresponding Author: Toepfer, Nicholas J   Introduction Hydronephrosis during pregnancy is common and has a reported occurrence between 43% and 100% (1).  Both mechanical and hormonal changes during pregnancy are thought to contribute to its etiology, but evidence…

Primary small cell carcinoma of the ureter with hydronephrosis

We report a case of primary small cell carcinoma of the ureter with hydronephrosis. Authors: Zhao Zhenhua (1), Wang Boyin (1), Yang Jianfeng (1), Wang Ning (2), Pan Shouhua (3) 1. Department of Radiology, Shaoxing People’s Hospital (Zhejiang University Shaoxing Hospital) Shaoxing, Zhejiang, China 2. Department of Pathology, Shaoxing People’s Hospital (Zhejiang University Shaoxing Hospital) Shaoxing, Zhejiang, China 3. Department of Urology, Shaoxing People’s Hospital (Zhejiang University…

Port–Site recurrence following Laparoscopic Radical Nephrectomy for Chromophobe Renal Cell Carcinoma

Port-site metastasis following laparoscopic radical nephrectomy is being increasingly recognized as a complication following laparoscopic surgery, especially when correct surgical principles are violated. All previously reported cases have been of either the clear cell or papillary variant of renal cell carcinoma. Herein we report a case of chromophobe renal cell carcinoma with port-site recurrence 10 months after laparoscopic radical nephrectomy. Authors: Javali, Tarun; Dogra, Premnath; Singh,…

Renal cell carcinoma in a setting of chronic lithium toxicity

A case of renal cell carcinoma on a background of acquired cystic disease due to chronic lithium toxicity is described. The possible pathogenetic mechanisms that may have lead to the development of the renal cell carcinoma in this setting are explored. Authors: Zardawi, Ibrahim; Nagonkar, Santoshi; Patel, Purvish Corresponding Author: Zardawi, Ibrahim   Lithium salts are widely used in the treatment of affective disorders of the bipolar type. Lithium is a nephrotoxic substance and…

Megameatus Intact Prepuce revisited

We present the case of a 41 year old male who was referred to the outpatient department with microscopic hematuria Authors: Bourdoumis, Andreas; Kapoor, Sona; Bhanot, Shiv Corresponding Author: Bourdoumis, Andreas   Introduction Hypospadias is an abnormality in which the urethral opening is ectopically located on the ventrum of the penis as far down as in the scrotum or perineum. It occurs in 1 to 300 live births and presents with a 3 fold increasing incidence during the last 30 years,…

Intra-operative pulmonary embolism secondary to dislodged tumor thrombus from synovial sarcoma of the kidney

Primary synovial sarcoma (PSS) of the kidney is a rare occurrence, with preoperative diagnosis difficult to distinguish from other renal neoplasms. Presented here is the case of a patient who underwent elective left laparoscopic nephrectomy for a 6-cm renal mass. Intra-operatively, she decompensated into PEA from multiple pulmonary emboli secondary to dislodged tumor thrombus requiring emergent sternotomy and embolectomy after placing the patient on cardiopulmonary bypass. Patient survived the surgery…
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