Case Studies

AV malformation of the penis

AVM of the glans penis is a very rare entity. It may be congenital or there may be a history of trauma. It may present asymptomatically. Meticulous surgery provides complete excision & good cosmetic results Authors: Gupta, Anurag ; Jaideep, Mahajani Corresponding Author: Gupta, Anurag   Introduction AV malformations of genitalia have been reported very rarely in the literature. Although they are usually thought to be congenital, trauma has been implicated as a cause. For diagnosis,…

Osseous Metaplasia in Anterior Urethra

A 40-year-old male with history of gonococcal urethritis 20 years ago presented with repeated episodes of dysuria and urinary stream thinning for nearly 10 years. The clinical diagnosis was urethral stricture with calculi formation. Segmental resection of urethral stricture and end to end anastomosis were performed. Postoperative pathologic examination revealed multiple submucosal focal deposition of calcium salts with osseous metaplasia. Urethral osseous metaplasia is extremely rare and chronic…

Renal artery dissection as an unusual cause of unilateral loin pain

A 36-year old gentleman presented with severe sudden onset unilateral loin pain, suggestive of renal colic. Renal tract ultrasonography was unremarkable, but computerised tomography demonstrated renal infarction. Subsequent angiography proved a renal artery dissection. This uncommon diagnosis should be considered in patients with sudden onset loin pain, particularly those with risk factors such as hypertension, connective tissue disease or trauma. Authors: King, Chris; Amdekar, Shivan Corresponding…

MALIGNANT PRIAPISM DUE TO PRIMARY CARCINOMA OF THE PENIS – AN UNREPORTED ENTITY

Priapism is defined as full or partial erection persisting beyond four hours after sexual stimulation and orgasm. Malignant priapism caused by invasion of malignant cells into the cavernosal sinuses and their associated venous systems has been reported to be caused by penile metastasis but malignant priapism due to primary squamous cell carcinoma of the penis has not been reported in literature so far. Treatment of malignant priapism due to penile metastasis is palliative and the prognosis is poor.…

Microwave ablation of a small cortical renal tumour – an unexpected adverse outcome

Percutaneous ablation therapies have become an increasingly important treatment option for smaller volume renal tumours. Microwave ablation (MWA) appears to have significant advantages over radiofrequency ablation (RFA) in terms of treatment times and achievable ablation zone volumes. We report the case of a fit 71 year old gentleman with a 17mm slow-growing cortical lower pole renal carcinoma. Given the small volume nature of the tumour, MWA was used instead of cryoablation (CRA) so as to avoid…

CRYPTORCHIDISM WITH BILATERAL MALIGNANT TRANSFORMATION

Introduction: The incidence of bilateral testicular germ-cell tumour (BGCT) ranges between 1 and 5% [1]. Synchronous bilateral germ cell tumour (BGCT) of the testis is rare and its association with bilateral cryptorchidism is even rarer. Case report: 26year old male patient presented with lump in left iliac fossa since 3 months. USG guided FNAC of left iliac fossa lump and right sided inguinal testis was done which revealed seminoma bilaterally. Exploratory laparotomy done. Both lumps were excised.…

CALCITE UROLITHIASIS IN PATIENT WITH ACROMEGALY CONFIRMED BY PERCUTANEOUS REMOVAL AND INFRARED SPECTROSCOPIC ANALYSIS

Calcite is considered to rarely ever be a true component of urolithiasis being present only in 0.01% to 0.25% of all stones [1, 3, 4]. When found within analyzed stone material calcite is often characterized as “artifact”[5, 6] or “factitious”[5, 7, 8]. We report a 70 year-old gentleman with acromegaly found to have calcite stones among the stone mixture extracted from his kidney and mid-ureter. Thus we are certain that these calcite stones are not artifactual. Authors: Viers, Boyd ; Williams,…

Seizure with left hemiparesis complicating a percutaneous transthoracic needle biopsy

Air embolism is a rare unpredictable complication after CT guided tranthoracic needle biopsy of lung masses but potentially fatal if not managed correctly and urgently. We present a case of cerebral air embolism following lung nodule biopsy manifested by seizure and left hemiparesis. The patient had a full recovery following 100% oxygenotherapy. Authors: Maalouly, Rina Antou ; Tannouri, Fadi; Mattar, Hanna; Kassis, Antoine Corresponding Author: Maalouly, Rina Antoun   Introduction Computed…

Eosinophilic Variant of Chromophobe Renal Cell Carcinoma with Tubulocystic Features: A Case Report

Cells with eosinophilic granular or oncocytic cytoplasm are a hallmark of benign renal oncocytoma, but they can be seen in other renal tumors. We report an unusual case of a large renal tumor with medium-sized oncocytic cells that were arranged in sheets and tubulocystic growth patterns. With histological, immunohistochemical and ultrastructural studies, a diagnosis of eosinophilic variant of chromophobe renal cell carcinoma (ChRCC) with tubulocystic features was made. The eosinophilic granular cytoplasm…

Missed Double Urethral Obstruction

A 14 days old infant who presented to a regional hospital with inability to pass urine and severe bilateral hydronephrosis. He underwent a suprapubic cystostomy which was complicated by bladder rupture. He presented to us pyrexial with abdominal distention and deteriorating renal functions. Child underwent a laparotomy. Extra and intra-peritoneal bladder rents were indentified, repaired with mini-vesicostomy was performed . An MCU done through the vesicostomy suggested posterior urethral valves which…
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