Case Studies

An unusual presentation of teenage testicular cancer

We present an unusual case of testicular cancer in a 13-year-old boy, referred by his GP with an acute onset of right testicular pain and a provisional diagnosis of testicular torsion.  Authors: Harwood R, Short M, Hosie G Royal Victoria Infirmary, Newcastle Upon Tyne, UK Corresponding Author: Harwood Rachel, Royal Victoria Infirmary, Newcastle Upon Tyne, UK. E-mail: [email protected] Abstract A 13-year-old Afro-Caribbean boy presented with acute testicular pain. His examination was…

Potentially Fatal Lingual Angioedema in Everolimus Treated Metastatic Renal Cell Carcinoma

We describe a case of an acute onset of severe everolimus-induced lingual angioedema in a 70 year-old man, who received everolimus 10 mg in the treatment of mRCC. Authors: Martijn van Dorp1, Sevilay Altintas1, Johan Feyen2, Luc Vanuytrecht3 1Department of Medical Oncology, University Hospital Antwerp, Antwerp, Belgium. 2Department of Orthopaedic Surgery, AZ St Dimpna, Geel, Belgium. 3Department of Head and Neck Surgery, AZ St Dimpna, Geel, Belgium.  Corresponding Author: Martijn van Dorp,…

Scrotal leiomyosarcoma

A case of a 30 year old male presented with a slowly-enlarging, painless lump on the skin of his left hemiscrotum.    Authors: Quinlan, Mark1; D'Arcy, Frank1; Corcoran, Shane1; Casey, Mary1; Harding, Brian2; Hussey, Alan1; Durkan, Garrett1 1. University College Hospital Galway, Ireland 2. Portiuncula Hospital, Ballinasloe, Galway, Ireland  Corresponding Author: Mark Quinlan, University College Hospital Galway, Ireland.  Email: [email protected], [email protected]   Case…

Calcified ureterocoele causing renal tract obstruction in an adult

We believe this is the first report of a calcified ureterocoele, containing no calculi, and causing significant renal tract obstruction in an adult.   Corresponding Author: Ashley Ridout, Croydon University Hospital, Department of Urology, Croydon, UK. Email: [email protected] Abstract   The ureterocele is an intravesical cystic dilatation of the terminal ureter, often due to a congenital weakness in the lower ureteric wall.  Adult orthotopic ureterocoeles, although more…

Acute renal failure in a case of unilateral contracted kidney after extracorporeal shock-wave lithotripsy

We report a patient who experienced acute renal failure following ESWL therapy undertaken three times in consecutive two months.    Authors: Hugo You-Hsien Lin1,2,3, Szu-Chia Chen 1,4, Mei-Yu Jang 5, Hung-Chun Chen1,6 1.Division of Nephrology, Department of Internal Medicine, Kaohsiung Medical University Hospital, Kaohsiung Medical University 2.Graduate Institute of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan 3.Department of Internal Medicine , Kaohsiung…

An Unusual Case of Duplex kidney: Giant Hydroureter of Upper Moiety presenting as abdominal lump

We report a case of giant hydroureter of an upper moiety presenting as abdominal lump.   Authors: Javali, Tarun; Gupta, Narmada  Corresponding Author: Tarun Javali, A.I.I.M.S., Urology department, New Delhi, India.  Email: [email protected] Introduction   Most patients with duplex kidneys are asymptomatic, with genitourinary abnormalities being detected incidentally on imaging performed for some other reasons. In complete duplication, the upper pole ureter usually drains…

Fournier’s Gangrene Complicating Diverticular Colovesical Fistula

We present an 82 year old gentleman who developed Fournier’s gangrene as a result of a colovesical fistula secondary to diverticular disease of sigmoid colon.    Authors: Mr. Yao Pey YONG, SHO General Surgery, Doncaster Royal Infirmary. Mr. Vivek Kumar, Consultant Urology, Doncaster Royal Infirmary   Corresponding Author: Mr. Yao Pey YONG, E:mail: [email protected]   Abstract Colovesical fistula has been described as a cause of Fournier’s gangrene but it is…

Avascular necrosis of hip secondary to sunitinib

We report a case of a 73 year old patient who developed AVN of her left hip while on sunitinib for mRCC.   Authors: Dr Muhammad A Khattak, MBBS1, Dr Hilary L Martin, MBBS2, Dr Chris Karapetis,MBBS, FRACP1 1. Oncology Registrar, Flinders Medical Centre 2. Oncology Registrar, Calvary Hospital   Corresponding Author: Dr Muhammad A Khattak, Oncology Registrar, Flinders Medical Centre, Flinders Drive, Bedford Park, Adelaide, South Australia - 5042.   Tel: +61 8 8204 5511, Fax:…

Pheochromocytoma in the urinary bladder

We describe here the symptoms, diagnosis, and treatment of a pheochromocytoma in the urinary bladder.    Authors: Song Wu1,2, Yingying He1, Kai Yao4, Yongqin Lai2, Zhiming Cai3, Fangjian Zhou4 1 Anhui Medical University, Hefei 230022, An Hui, China 2 Institute of Urology, Shenzhen PKU-HKUST Medical Center, Shenzhen 518036, Guangdong, China 3 The First Hospital of Shenzhen University, Shenzhen 518036, Guangdong, China 4 Department of Urology, Sun Yat-sen University Cancer Center, Guangzhou…

Ewing’s Sarcoma with Isolated Bladder Metastasis

We describe a case of an isolated bladder metastasis in EWS, which, to our knowledge, has not been previously reported.   Authors: Alexander Yeates MBBS, Peter Campbell FRACS, Queen Elizabeth II Jubilee Hospital, Brisbane, Australia   Corresponding Author: Alexander Yeates MBBS, Queen Elizabeth II Jubilee Hospital, Brisbane, Australia. Email: [email protected], [email protected]   Abstract Ewing’s sarcoma (EWS) can occur in almost any bone or soft…
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