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Management of a nephrostomy tube misplacement into the inferior vena cava following PCNL
IF 0.5
Urology Case Reports Pub Date : 2025-04-16 DOI: 10.1016/j.eucr.2025.103044
Zhuoran Gu , Tantu Ma , Wentao Zhang , Lei Jiang , Xudong Yao , Yifan Chen
{"title":"Management of a nephrostomy tube misplacement into the inferior vena cava following PCNL","authors":"Zhuoran Gu ,&nbsp;Tantu Ma ,&nbsp;Wentao Zhang ,&nbsp;Lei Jiang ,&nbsp;Xudong Yao ,&nbsp;Yifan Chen","doi":"10.1016/j.eucr.2025.103044","DOIUrl":"10.1016/j.eucr.2025.103044","url":null,"abstract":"<div><div>A 50-year-old female with left flank pain and 3.1 cm renal calculi underwent PCNL. Intraoperatively, an anatomical variant led to accidental insertion of a nephrostomy tube into the inferior vena cava (IVC), while a second tube was correctly placed. Postoperative edema prompted CT imaging revealing the malposition. The misplaced tube was incrementally withdrawn under CT guidance over days to prevent bleeding complications, then repositioned successfully. Three-month follow-up confirmed resolution of hydronephrosis, absence of strictures or bleeding, and complete wound healing. This case underscores the necessity of intraoperative anatomical vigilance and staged management of iatrogenic vascular injuries during PCNL.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"60 ","pages":"Article 103044"},"PeriodicalIF":0.5,"publicationDate":"2025-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143847398","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Bilateral renal lymphangiectasia- an unusual case of page kidney
IF 0.5
Urology Case Reports Pub Date : 2025-04-12 DOI: 10.1016/j.eucr.2025.103040
Manu Jose Chirayath, H. Balabhaskar, C.H. Haris, Amal Mohan, Suman De, S. Govind
{"title":"Bilateral renal lymphangiectasia- an unusual case of page kidney","authors":"Manu Jose Chirayath,&nbsp;H. Balabhaskar,&nbsp;C.H. Haris,&nbsp;Amal Mohan,&nbsp;Suman De,&nbsp;S. Govind","doi":"10.1016/j.eucr.2025.103040","DOIUrl":"10.1016/j.eucr.2025.103040","url":null,"abstract":"<div><div>Renal lymphangiectasia is a rare benign condition caused by failed renal lymphatic drainage. A 36-year-old female presented with bilateral flank pain, pedal oedema, and secondary hypertension due to Page kidney. Imaging revealed large bilateral perirenal fluid collections, and aspiration confirmed chylous fluid. Despite temporary relief, reaccumulation and worsening renal function necessitated bilateral cyst deroofing, allowing drainage into the peritoneum. Postoperatively, blood pressure and renal function normalized, with complete resolution on follow-up. This case highlights the importance of recognizing renal lymphangiectasia as a cause of secondary hypertension and renal impairment to ensure timely and effective management.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"60 ","pages":"Article 103040"},"PeriodicalIF":0.5,"publicationDate":"2025-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143843963","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Surgical treatment of local recurrence after radical prostatectomy: Robot-assisted surgical approach combined with three-dimensional virtual reconstruction
IF 0.5
Urology Case Reports Pub Date : 2025-04-10 DOI: 10.1016/j.eucr.2025.103039
Matheus N.M. Reis , Bruno H.O.S. Lopes , Paulo B.O. Arantes , Stella D.S. Ramos , Pedro R. de Castro
{"title":"Surgical treatment of local recurrence after radical prostatectomy: Robot-assisted surgical approach combined with three-dimensional virtual reconstruction","authors":"Matheus N.M. Reis ,&nbsp;Bruno H.O.S. Lopes ,&nbsp;Paulo B.O. Arantes ,&nbsp;Stella D.S. Ramos ,&nbsp;Pedro R. de Castro","doi":"10.1016/j.eucr.2025.103039","DOIUrl":"10.1016/j.eucr.2025.103039","url":null,"abstract":"<div><div>The treatment of local recurrence after radical prostatectomy and salvage pelvic irradiation, has no consensus in the literature. A surgical approach is possible, the main benefit of which is delaying an androgen blockade.</div><div>We present a patient who evolved with local recurrence in this scenario. He underwent a salvage robotic surgery. The surgical planning included anatomical reconstruction in a virtual three-dimensional model.</div><div>There is no standard therapeutic modality. Few studies have looked at stereotactic radiotherapy and surgery, whose main benefits have been delaying the need for androgen blockade and metastatic progression.</div><div>Salvage surgery presented encouraging short-term results and lower toxicity.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"60 ","pages":"Article 103039"},"PeriodicalIF":0.5,"publicationDate":"2025-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143821111","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Non obstructive azoospermia as the only indicator of focal segmental glomerulosclerosis and chronic kidney failure: A case report
IF 0.5
Urology Case Reports Pub Date : 2025-04-09 DOI: 10.1016/j.eucr.2025.103041
Raneen Sawaid Kaiyal , Hala Aslih , Inshirah Sgayer , Lior Lowenstein , Ekaterina Shlush
{"title":"Non obstructive azoospermia as the only indicator of focal segmental glomerulosclerosis and chronic kidney failure: A case report","authors":"Raneen Sawaid Kaiyal ,&nbsp;Hala Aslih ,&nbsp;Inshirah Sgayer ,&nbsp;Lior Lowenstein ,&nbsp;Ekaterina Shlush","doi":"10.1016/j.eucr.2025.103041","DOIUrl":"10.1016/j.eucr.2025.103041","url":null,"abstract":"<div><div>Azoospermia, the absence of sperm in the ejaculate, affects 1 % of men, with non-obstructive azoospermia (NOA) comprising 60 % of cases. We report a 29-year-old male with NOA and primary infertility, initially asymptomatic with history of chronic diseases and normal evaluations. Routine blood tests revealed elevated creatinine, leading to a diagnosis of end-stage renal disease (ESRD) due to focal segmental glomerulosclerosis. After hemodialysis and kidney transplantation, semen analysis showed cryptozoospermia, suggesting partial spermatogenesis recovery. This case highlights NOA as a potential silent indicator of systemic disease, emphasizing the importance of thorough evaluation and a multidisciplinary approach in idiopathic cases.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"60 ","pages":"Article 103041"},"PeriodicalIF":0.5,"publicationDate":"2025-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143825631","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Consequences of a non-supplemented pediatric vegan diet: Nephrolithiasis & nutritional calcipenic rickets
IF 0.5
Urology Case Reports Pub Date : 2025-04-09 DOI: 10.1016/j.eucr.2025.103035
Stacy R. Bedore , Joshua van der Eerden , Om Sakhalkar , Sung Alexander , Pablo J. SantaMaria , Martha K. Terris , Bradley Morganstern
{"title":"Consequences of a non-supplemented pediatric vegan diet: Nephrolithiasis & nutritional calcipenic rickets","authors":"Stacy R. Bedore ,&nbsp;Joshua van der Eerden ,&nbsp;Om Sakhalkar ,&nbsp;Sung Alexander ,&nbsp;Pablo J. SantaMaria ,&nbsp;Martha K. Terris ,&nbsp;Bradley Morganstern","doi":"10.1016/j.eucr.2025.103035","DOIUrl":"10.1016/j.eucr.2025.103035","url":null,"abstract":"<div><div>Rickets and other nutritional deficiencies have largely been eradicated in the industrialized world. However, strict adherence to modern diet trends such as veganism may leave individuals vulnerable to nutritional deficiencies if proper supplementation is not followed. The effects of such deficiencies due to diet trends, particularly in children, is not well documented as occurrences are rare. Here we present a case of a 3-year-old female fed a strict vegan diet which led to the development of nutritional calcipenic rickets, failure to thrive, and nephrolithiasis.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"60 ","pages":"Article 103035"},"PeriodicalIF":0.5,"publicationDate":"2025-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143828958","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A case of severe retroperitoneal chyle leakage and subsequent chylothorax secondary to partial laparoscopic nephrectomy
IF 0.5
Urology Case Reports Pub Date : 2025-04-09 DOI: 10.1016/j.eucr.2025.103037
Lu Ping , Chuhan Wang , Haoran Huang , Runmeng Cui , Jian Cao , Jie Dong
{"title":"A case of severe retroperitoneal chyle leakage and subsequent chylothorax secondary to partial laparoscopic nephrectomy","authors":"Lu Ping ,&nbsp;Chuhan Wang ,&nbsp;Haoran Huang ,&nbsp;Runmeng Cui ,&nbsp;Jian Cao ,&nbsp;Jie Dong","doi":"10.1016/j.eucr.2025.103037","DOIUrl":"10.1016/j.eucr.2025.103037","url":null,"abstract":"<div><div>Retroperitoneal chyle leakage combined with chylothorax after nephrectomy is rare in clinical practice. We report a 41-year-old female who developed severe chyloretroperitoneum along with subsequent chylothorax after partial nephrectomy. The patient underwent nutritional control, received octreotide treatment and had a complete recovery after 58 days. A damage to the cisterna chylic could account for the leakage. The chylothorax was a displacement through the diaphragmatic hiatus. Comprehensive review showed that near 30 % of such patients would require re-surgery or interventional treatment. The current case stresses the importance of careful examination, timely diagnostic test and appropriate treatment of abnormal drainage after nephrectomy.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"60 ","pages":"Article 103037"},"PeriodicalIF":0.5,"publicationDate":"2025-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143839452","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Sentinel lymph node dissection during radical cystectomy for bladder adenocarcinoma following gastrocystoplasty
IF 0.5
Urology Case Reports Pub Date : 2025-04-09 DOI: 10.1016/j.eucr.2025.103036
Diana A. Aponte-Colon , Rand N. Wilcox Vanden Berg , Terence Z. Wong , Jonathan C. Routh , Michael Abern
{"title":"Sentinel lymph node dissection during radical cystectomy for bladder adenocarcinoma following gastrocystoplasty","authors":"Diana A. Aponte-Colon ,&nbsp;Rand N. Wilcox Vanden Berg ,&nbsp;Terence Z. Wong ,&nbsp;Jonathan C. Routh ,&nbsp;Michael Abern","doi":"10.1016/j.eucr.2025.103036","DOIUrl":"10.1016/j.eucr.2025.103036","url":null,"abstract":"<div><div>Patients with spina bifida are at increased risk of developing malignancy in the native or augmented bladder and tend to present with more advanced disease. Surgical guidelines for oncologic resections in patients with augmented bladders are not well described. Furthermore, there is limited knowledge regarding the changes in lymphatic drainage after bladder reconstruction. Herein we describe the case of a 45-year-old male with spina bifida who underwent gastrocystoplasty and developed adenocarcinoma of the augmented bladder segment 33 years later. We describe his surgical management with radical cystectomy and the use of sentinel lymph node dissection.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"60 ","pages":"Article 103036"},"PeriodicalIF":0.5,"publicationDate":"2025-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143828957","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The diagnostic dilemma of squamous differentiation in prostate cancer: A case report 前列腺癌鳞状分化的诊断难题：病例报告
IF 0.5
Urology Case Reports Pub Date : 2025-04-04 DOI: 10.1016/j.eucr.2025.103034
Abdul-Jawad J. Majeed , Joshua Warrick , Jay D. Raman
{"title":"The diagnostic dilemma of squamous differentiation in prostate cancer: A case report","authors":"Abdul-Jawad J. Majeed ,&nbsp;Joshua Warrick ,&nbsp;Jay D. Raman","doi":"10.1016/j.eucr.2025.103034","DOIUrl":"10.1016/j.eucr.2025.103034","url":null,"abstract":"<div><div>Squamous differentiation in prostate cancer is rare, presenting unique diagnostic and therapeutic challenges. We report a case of high-grade prostatic adenocarcinoma with focal squamous differentiation in a 73-year-old man without prior radiation or androgen deprivation. Immunohistochemistry confirmed the squamous component arose from the adenocarcinoma, not a separate malignancy. This case highlights the importance of morphological assessment and strategic immunohistochemical evaluation to distinguish prostate cancer variants. A biopsy capturing only the squamous component could have led to misdiagnosis and inappropriate treatment. To improve diagnostic accuracy and management, we propose the term 'adenocarcinoma with focal squamous differentiation' over adenosquamous carcinoma.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"60 ","pages":"Article 103034"},"PeriodicalIF":0.5,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143785835","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
Severe emphysematous pyelonephritis managed with staged percutaneous drainage – A Changing paradigm
IF 0.5
Urology Case Reports Pub Date : 2025-03-31 DOI: 10.1016/j.eucr.2025.103033
Shravankrishna Ananthapadmanabhan, Zoe Williams, Ramesh Shanmugasundaram, Henry Wang, Nicholas Mehan
{"title":"Severe emphysematous pyelonephritis managed with staged percutaneous drainage – A Changing paradigm","authors":"Shravankrishna Ananthapadmanabhan,&nbsp;Zoe Williams,&nbsp;Ramesh Shanmugasundaram,&nbsp;Henry Wang,&nbsp;Nicholas Mehan","doi":"10.1016/j.eucr.2025.103033","DOIUrl":"10.1016/j.eucr.2025.103033","url":null,"abstract":"<div><div>Emphysematous pyelonephritis (EPN) is a potentially life-threatening infection of the renal parenchyma and perinephric tissues by gas-forming organisms. Historically, open surgical drainage or nephrectomy was the standard of care, however, in recent years percutaneous drainage as a minimally invasive approach has become popular. However, whether percutaneous drainage can be successful in more severe cases of EPN is less clear. We report a case of severe Class IIIb EPN managed successfully with multiple staged percutaneous drainage procedures guided by interval re-assessment of clinical, biochemical, and radiological progress in a 52-year-old male with poorly controlled Type 2 Diabetes.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"60 ","pages":"Article 103033"},"PeriodicalIF":0.5,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143747450","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
Retzius space hematoma after prostate biopsy: A case report
IF 0.5
Urology Case Reports Pub Date : 2025-03-31 DOI: 10.1016/j.eucr.2025.103030
Trushar Patel , Haoyu Wang , Joseph Balbona
{"title":"Retzius space hematoma after prostate biopsy: A case report","authors":"Trushar Patel ,&nbsp;Haoyu Wang ,&nbsp;Joseph Balbona","doi":"10.1016/j.eucr.2025.103030","DOIUrl":"10.1016/j.eucr.2025.103030","url":null,"abstract":"<div><div>The most commonly reported complications after prostate biopsies are associated with bleeding. We present the case of a 60 y/o male with a history of elevated Prostate-Specific Antigen (PSA) and a PI-RADS 4 lesion who underwent an MRI-guided transrectal ultrasound (TRUS) biopsy which resulted in a rare phenomenon of a hematoma in the space of Retzius. Conservative management may be effective for patients with Retzius space hematomas who are stable or asymptomatic.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"60 ","pages":"Article 103030"},"PeriodicalIF":0.5,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143747448","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
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