Case Reports in UrologyPub Date : 2021-07-09eCollection Date: 2021-01-01DOI: 10.1155/2021/6655127
Manish Swarnkar, Pathan Tanveer Khan
{"title":"Abdominoscrotal Hydrocele: An Uncommon Cause of Abdominoscrotal Cystic Swelling.","authors":"Manish Swarnkar, Pathan Tanveer Khan","doi":"10.1155/2021/6655127","DOIUrl":"https://doi.org/10.1155/2021/6655127","url":null,"abstract":"<p><p>Abdominoscrotal hydrocele (ASH) consists of fluid-filled intercommunicating inguinoscrotal and abdominal sac with a characteristic hourglass-like picture on CECT, which usually affects single testis and a rare cause of abdominoscrotal cystic swelling. The precise etiology of ASH is not known. Ultrasonography is the initial diagnostic modality of choice as it demonstrates the intercommunication between the two sacs and also identifies any abnormality of the testis and genitourinary tract. We are reporting a case of a 27-year-old patient presented in the General Surgery OPD of Acharya Vinoba Bhave Hospital in 2019 with bilateral scrotal and abdominal swelling. On examination, cross fluctuation was positive between left hydrocele and abdominal swelling, raising suspicion of ASH, which was confirmed on CECT. The patient underwent excision of sac through left inguinoscrotal approach and an uneventful postoperative course.</p>","PeriodicalId":30323,"journal":{"name":"Case Reports in Urology","volume":"2021 ","pages":"6655127"},"PeriodicalIF":0.0,"publicationDate":"2021-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8286184/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39273868","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}
{"title":"Intranodal Lymphangiography during Surgical Repair of Pelvic Lymphorrhea after Radical Cystectomy.","authors":"Yasuyuki Onishi, Yusaku Moribata, Hironori Shimizu, Kosuke Shimizu, Takeshi Sano, Takashi Kobayashi, Yuji Nakamoto","doi":"10.1155/2021/7822422","DOIUrl":"https://doi.org/10.1155/2021/7822422","url":null,"abstract":"<p><p>Lymphorrhea can develop after various types of surgeries. Surgical closure of the lymphatic leakage point is an effective treatment option. However, it is difficult to identify the leakage point sometimes. Here, we report a case of pelvic lymphorrhea after radical cystectomy for bladder cancer. Identification of the leakage point was difficult during laparoscopic surgical repair of lymphorrhea. Intranodal lymphangiography was performed via the inguinal lymph node by injection of lipiodol, followed by injection of indigo carmine. Laparoscopy revealed extravasation of lipiodol and indigo carmine from the pelvic wall. The leakage point was successfully cauterized using an electric scalpel. Lymphorrhea improved after the surgical repair. This case suggests that intranodal lymphangiography may be useful for detecting the site of lymphatic leakage during the surgical repair of lymphorrhea.</p>","PeriodicalId":30323,"journal":{"name":"Case Reports in Urology","volume":"2021 ","pages":"7822422"},"PeriodicalIF":0.0,"publicationDate":"2021-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8277509/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39258530","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}
Case Reports in UrologyPub Date : 2021-07-03eCollection Date: 2021-01-01DOI: 10.1155/2021/9936891
Antonio Francesco Maria Giuliano, Marco Vulpi, Francesca Passerini, Antonio Vavallo, Anna Belfiore, Saverio Forte, Vincenzo Ostilio Palmieri, Pasquale Ditonno
{"title":"SARS-CoV-2 Infection as a Determining Factor to the Precipitation of Ischemic Priapism in a Young Patient with Asymptomatic COVID-19.","authors":"Antonio Francesco Maria Giuliano, Marco Vulpi, Francesca Passerini, Antonio Vavallo, Anna Belfiore, Saverio Forte, Vincenzo Ostilio Palmieri, Pasquale Ditonno","doi":"10.1155/2021/9936891","DOIUrl":"https://doi.org/10.1155/2021/9936891","url":null,"abstract":"<p><p>COVID-19 is a disease characterized by respiratory distress, systemic inflammation, multiple organ dysfunction and coagulation disorders, chiefly pulmonary embolism, and deep venous thrombosis. In this case report, we discuss a peculiar case of ischemic priapism in a 36-year-old patient with asymptomatic COVID-19 and no other plausible causes of thrombophilia and/or alternative causes of priapism, as well as discussing possible explanations for such remarkable findings and comparing them to analogous cases recorded in literature. The patient was unsuccessfully treated via cavernous blood aspiration and required several shunting procedures, with no further recurrences and negative testing for pulmonary embolism, deep venous thrombosis, and other causes of thrombophilia.</p>","PeriodicalId":30323,"journal":{"name":"Case Reports in Urology","volume":"2021 ","pages":"9936891"},"PeriodicalIF":0.0,"publicationDate":"2021-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8272654/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39221741","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}
{"title":"Nivolumab and Ipilimumab Combination Immunotherapy for Patients with Metastatic Collecting Duct Carcinoma.","authors":"Tetsuya Danno, Shohei Iwata, Fusako Niimi, Sachi Honda, Haruka Okada, Takeshi Azuma","doi":"10.1155/2021/9936330","DOIUrl":"https://doi.org/10.1155/2021/9936330","url":null,"abstract":"<p><p>Collecting duct carcinoma (CDC) is a rare, extremely aggressive form of renal cancer. Recently, immune checkpoint inhibitors (ICI), anti-programmed death-1 (PD-1) antibody, and anti-cytotoxic T lymphocyte-associated antigen 4 (CTLA-4) antibody were approved for use against metastatic renal cell carcinoma. We herein described two cases of metastatic renal collecting duct carcinoma treated with a combination immunotherapy consisting of nivolumab and ipilimumab. In the first case, which included a bone metastasis, the best response achieved was stable disease (SD) for one year. In the second case, which was accompanied by a lung metastasis, the best response achieved was a partial response. The outcome of these cases suggested that the combination of nivolumab and ipilimumab is effective against renal collecting duct carcinoma.</p>","PeriodicalId":30323,"journal":{"name":"Case Reports in Urology","volume":"2021 ","pages":"9936330"},"PeriodicalIF":0.0,"publicationDate":"2021-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8270715/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39221740","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}
Case Reports in UrologyPub Date : 2021-05-28eCollection Date: 2021-01-01DOI: 10.1155/2021/5599014
Kazuhiro Watanabe, Go Hasegawa, Yohei Ikeda, Noboru Hara, Tsutomu Nishiyama
{"title":"Clear Cell Adenocarcinoma of the Ureter Similar to Clear Cell Renal Cell Carcinoma Histology.","authors":"Kazuhiro Watanabe, Go Hasegawa, Yohei Ikeda, Noboru Hara, Tsutomu Nishiyama","doi":"10.1155/2021/5599014","DOIUrl":"https://doi.org/10.1155/2021/5599014","url":null,"abstract":"<p><p>A 70-year-old woman was referred to our hospital with gross hematuria and diagnosed with right invasive ureteral cancer and bladder urothelial carcinoma in situ. Intravesical BCG therapy and neoadjuvant chemotherapy with carboplatin and gemcitabine were performed at the same time. Subsequently, laparoscopic right nephroureterectomy was performed. Urothelial carcinoma in situ persisted; however, most of the tumor was clear cell carcinoma. The clear cell carcinoma lesion had clear cytoplasm with round nuclei and visible nucleoli in an insular arrangement as is the case with clear cell renal cell carcinoma. No transitional lesion between clear cell adenocarcinoma and urothelial carcinoma was presented. The clear cell carcinoma lesion was GATA3 negative and HNF4<i>α</i> positive; however, the urothelial cancer lesion was GATA3 positive and HNF4<i>α</i> negative. Clear cell carcinoma was diagnosed as clear cell adenocarcinoma similar to clear cell renal cell carcinoma histology.</p>","PeriodicalId":30323,"journal":{"name":"Case Reports in Urology","volume":"2021 ","pages":"5599014"},"PeriodicalIF":0.0,"publicationDate":"2021-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8178004/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39238884","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}
Case Reports in UrologyPub Date : 2021-05-10eCollection Date: 2021-01-01DOI: 10.1155/2021/6672052
Jean Sossa, Dedjinnin Josue Georges Avakoudjo, Dodji Magloire Ines Yevi, Lionelle Fanou, Gilles Natchagande, Michel Michael Agounkpe, Fred Hodonou, Yao Felicien Hounto, Felix Atadokpede
{"title":"The Management of Primary Hyperaldosteronism in a Poor Technology Environment.","authors":"Jean Sossa, Dedjinnin Josue Georges Avakoudjo, Dodji Magloire Ines Yevi, Lionelle Fanou, Gilles Natchagande, Michel Michael Agounkpe, Fred Hodonou, Yao Felicien Hounto, Felix Atadokpede","doi":"10.1155/2021/6672052","DOIUrl":"https://doi.org/10.1155/2021/6672052","url":null,"abstract":"<p><p>We report a case of Conn's adenoma in a 35-year-old female successfully managed in a poor hospital technology environment.</p>","PeriodicalId":30323,"journal":{"name":"Case Reports in Urology","volume":"2021 ","pages":"6672052"},"PeriodicalIF":0.0,"publicationDate":"2021-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8131141/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39034970","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}
Case Reports in UrologyPub Date : 2021-05-05eCollection Date: 2021-01-01DOI: 10.1155/2021/8865146
Ahmad Dahman, Daniel McClelland, Stanley Zaslau, Valerie Galvan Turner, Omar Duenas, Robert Shapiro
{"title":"Utilizing Colpocleisis to Repair a Vesicovaginal Fistula in a Cervical Cancer Patient with History of Pelvic Radiation: A Case Report and Literature Review.","authors":"Ahmad Dahman, Daniel McClelland, Stanley Zaslau, Valerie Galvan Turner, Omar Duenas, Robert Shapiro","doi":"10.1155/2021/8865146","DOIUrl":"https://doi.org/10.1155/2021/8865146","url":null,"abstract":"<p><strong>Background: </strong>Vesicovaginal fistula is a rare and distressing urological condition. It is especially prevalent in developing countries with the predominant etiology secondary to obstructed labor. Radiation therapy in female patients with cervical cancer is a risk factor for vesicovaginal fistula formation in the United States. <i>Case Presentation</i>. A 53-year-old woman with a history of cervical cancer and radiation presented with continuous urinary incontinence. Following diagnostic vaginoscopy, a 1 cm vesicovaginal fistula was diagnosed at the vaginal apex. The patient elected for surgical repair. She subsequently underwent successful transvaginal fistula closure using colpocleisis to optimally address the systemic factors of poor wound healing associated with irradiated tissue. Because of the adjacent tissue having been compromised by pelvic radiation, we opted to use a biologic graft made of human cadaveric pericardial tissue (CPT) instead of a native tissue flap to provide additional support for the fistula repair.</p><p><strong>Conclusion: </strong>A transvaginal approach for surgical repair of vesicovaginal fistula can be successful in patients with a prior history of pelvic radiation. Transvaginal colpocleisis is a viable option to augment vesicovaginal fistula repair for patients with significant comorbidities when sexual intercourse is no longer desired.</p>","PeriodicalId":30323,"journal":{"name":"Case Reports in Urology","volume":"2021 ","pages":"8865146"},"PeriodicalIF":0.0,"publicationDate":"2021-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8118741/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39019204","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}
Case Reports in UrologyPub Date : 2021-05-03eCollection Date: 2021-01-01DOI: 10.1155/2021/5590432
Pietro Pepe, Letterio D'Arrigo, Domenico Patane', Ludovica Pepe, Giuseppe Candiano, Michele Pennisi
{"title":"Asynchronous Bilateral Ureteric-Arterial Fistula: Diagnosis and Treatment.","authors":"Pietro Pepe, Letterio D'Arrigo, Domenico Patane', Ludovica Pepe, Giuseppe Candiano, Michele Pennisi","doi":"10.1155/2021/5590432","DOIUrl":"https://doi.org/10.1155/2021/5590432","url":null,"abstract":"<p><p>A 48-year-old woman submitted to anterior exenteration plus ileal-cutaneous conduit for metastatic cervical cancer during the change of the ureteral stent showed massive bleeding in the left ureter. A selective intra-arterial angiography showed a fistula between the ureter and the left common iliac artery that the interventional radiologist quickly repaired by inserting a vascular endoprosthesis. Six months later, gross hematuria secondary to right ureter-iliac fistula occurred again and a second endoprosthesis was inserted. Asynchronous bilateral ureteric stent-related vascular fistula is an uncommon scenario, but it should be suspected in the presence of hematuria following ureteral stent replacement.</p>","PeriodicalId":30323,"journal":{"name":"Case Reports in Urology","volume":"2021 ","pages":"5590432"},"PeriodicalIF":0.0,"publicationDate":"2021-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8110400/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38996886","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}
{"title":"Leptomeningeal Carcinomatosis in Urothelial Carcinoma of the Urinary Bladder: A Report of a Patient with a Fulminant Course Who Died of Cancer after Definitive Therapies.","authors":"Masayuki Tomioka, Makoto Kawase, Daiki Kato, Manabu Takai, Koji Iinuma, Kengo Horie, Keita Nakane, Natsuko Suzui, Tatsuhiko Miyazaki, Takuya Koie","doi":"10.1155/2021/5543939","DOIUrl":"https://doi.org/10.1155/2021/5543939","url":null,"abstract":"<p><p>A 45-year-old Japanese man visited a community hospital with the chief complaint of asymptomatic macrohematuria. He was diagnosed with muscle-invasive bladder cancer (MIBC), and he received intra-arterial chemotherapy followed by radiation therapy at another institution. Twenty-eight months after chemoradiotherapy, magnetic resonance imaging (MRI) revealed MIBC recurrence. After neoadjuvant chemotherapy, robot-assisted radical cystectomy was performed. Pathological examination indicated high-grade urothelial carcinoma with lymphovascular invasion, a positive surgical margin, and skip lesions of cancer cells in the perivesical adipose tissue. Three months after surgery, he was brought to our hospital in an ambulance with the chief complaint of rotatory vertigo and was speaking inarticulately. Head and whole spine MRI revealed meningeal metastasis along both the vestibulocochlear nerves and cauda equina. Analysis of the cerebrospinal fluid revealed malignant cells. The patient was diagnosed with leptomeningeal carcinomatosis originating from the MIBC. He received whole-brain radiotherapy followed by the administration of pembrolizumab. Unfortunately, the patient's condition quickly deteriorated, and he died of cancer 4 months after surgery.</p>","PeriodicalId":30323,"journal":{"name":"Case Reports in Urology","volume":"2021 ","pages":"5543939"},"PeriodicalIF":0.0,"publicationDate":"2021-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8105107/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38998743","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}
Case Reports in UrologyPub Date : 2021-04-26eCollection Date: 2021-01-01DOI: 10.1155/2021/6647692
Ahmed Osama Mohamed, Bala Eradi, Anthony Owen, Ashok Rajimwale
{"title":"Rare Associations with Posterior Urethral Valves.","authors":"Ahmed Osama Mohamed, Bala Eradi, Anthony Owen, Ashok Rajimwale","doi":"10.1155/2021/6647692","DOIUrl":"10.1155/2021/6647692","url":null,"abstract":"<p><p>Posterior urethral valves are a common cause of congenital bladder outlet obstruction. Known associations include cardiac malformations and gastrointestinal abnormalities. In this case series, we report on two cases of PUV associated with anorectal malformations along with a case of PUV in monochorionic diamniotic twins. We explore the difficulty in achieving a diagnosis and the final management. The association of posterior urethral valves in a patient with anorectal malformation should be suspected in case of associated oligohydramnios or oliguria postnatally. There should be a high index of suspicion in twin pregnancy even if only one of the twins is suspected of bladder outlet obstruction.</p>","PeriodicalId":30323,"journal":{"name":"Case Reports in Urology","volume":"2021 ","pages":"6647692"},"PeriodicalIF":0.0,"publicationDate":"2021-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8096564/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38988986","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}