C Lingesh Sairam , H. Balabhaskar , G Manoj Kumar , C.H. Haris , A.B. Harikrishnan , Jinesh Jayadevan
{"title":"Primary synovial sarcoma of kidney- a diagnostic and interventional enigma","authors":"C Lingesh Sairam , H. Balabhaskar , G Manoj Kumar , C.H. Haris , A.B. Harikrishnan , Jinesh Jayadevan","doi":"10.1016/j.eucr.2025.103052","DOIUrl":"10.1016/j.eucr.2025.103052","url":null,"abstract":"<div><div>A 46-year-old male with right flank pain after a fall was diagnosed with monophasic synovial sarcoma after surgery. Despite radical nephrectomy, wide local excision, and radiotherapy, the tumor recurred. Further resection with right hemicolectomy, followed by chemotherapy, resulted in complete remission at 26 months. This case highlights the diagnostic challenge of synovial sarcoma, which can mimic a hematoma, and the importance of a multidisciplinary approach for effective management and successful outcomes.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"61 ","pages":"Article 103052"},"PeriodicalIF":0.5,"publicationDate":"2025-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143890617","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}
Hanane Inrhaoun , Ibrahim Elghissassi , Sara Naciri , Salma Najem , Sihame Lkhoyaali , Ahmed Ibrahimi , Tsioukaka Gray , Rachida Latib , Saber Boutayeb , Hind Mrabti , Hassan Errihani
{"title":"Prostatic cancer with parotid metastases","authors":"Hanane Inrhaoun , Ibrahim Elghissassi , Sara Naciri , Salma Najem , Sihame Lkhoyaali , Ahmed Ibrahimi , Tsioukaka Gray , Rachida Latib , Saber Boutayeb , Hind Mrabti , Hassan Errihani","doi":"10.1016/j.eucr.2025.103050","DOIUrl":"10.1016/j.eucr.2025.103050","url":null,"abstract":"<div><div>Parotid metastases from prostate cancer are unusual. The distinction between a primary parotid neoplasm and a metastasis is important clinically, because the management of metastasis in castration resistant prostate cancer is different.</div><div>We report a rare case of a 75 years old man, who presented a parotid metastasis from a primary prostate cancer.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"61 ","pages":"Article 103050"},"PeriodicalIF":0.5,"publicationDate":"2025-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143890618","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}
Jingde Wu , Rong Ma , Qingwei Zhang , Jianlin Xie , Xiande Huang
{"title":"Genitourinary rhabdomyosarcoma in a child with urinary incontinence as the initial symptom: A case report and literature review","authors":"Jingde Wu , Rong Ma , Qingwei Zhang , Jianlin Xie , Xiande Huang","doi":"10.1016/j.eucr.2025.103051","DOIUrl":"10.1016/j.eucr.2025.103051","url":null,"abstract":"<div><div>Rhabdomyosarcoma (RMS) is a morphologically heterogeneous high-grade malignancy that occurs <u>uncommonly</u> in the pediatric genitourinary (GU) system, and the most typical clinical symptoms are <u>urinary</u> frequency, urgency, hematuria, <u>and</u> associated with infection. The boys in this case, persistent urinary incontinence was relatively rare, and it was easily misdiagnosed as pediatric urinary incontinence in clinical diagnosis. Incontinence disease and lower urinary tract symptoms were identified by imaging examination, and final pathological biopsy confirmed the diagnosis of pediatric GU embryonal rhabdomyosarcoma (ERMS). Learning through case report and literature can help clinicians to better understand the manifestations and accurate diagnostic treatment of the disease.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"61 ","pages":"Article 103051"},"PeriodicalIF":0.5,"publicationDate":"2025-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143890616","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}
{"title":"Transvaginal partial excision of a circumferential urethral leiomyoma: Surgical technique and outcome","authors":"Leanne Brechtel , Joanna Orzel , Yiqin Xiong , Annah Vollstedt","doi":"10.1016/j.eucr.2025.103049","DOIUrl":"10.1016/j.eucr.2025.103049","url":null,"abstract":"<div><div>We present a rare case of a 68-year-old female with urinary retention and a peri-urethral mass. The patient, with a history of thoracic aortic aneurysm, was referred to urology after a urethral mass was incidentally detected on CT imaging during aneurysm surveillance. Pelvic MRI identified a 4.8 cm circumferential, enhancing mass along the proximal urethra. A transvaginal ultrasound-guided biopsy confirmed a low-grade smooth muscle neoplasm, consistent with leiomyoma. The mass was successfully excised via a transvaginal approach. This case highlights the importance of a broad differential in female urinary retention and demonstrates the feasibility of vaginal excision for peri-urethral masses.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"61 ","pages":"Article 103049"},"PeriodicalIF":0.5,"publicationDate":"2025-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143878703","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}
Sadra Sepehri , Ezra Baraban , Mohammad E. Allaf , Sunil Patel
{"title":"Traumatic retroperitoneal neuroma at the site of prior radical nephrectomy: A case report","authors":"Sadra Sepehri , Ezra Baraban , Mohammad E. Allaf , Sunil Patel","doi":"10.1016/j.eucr.2025.103048","DOIUrl":"10.1016/j.eucr.2025.103048","url":null,"abstract":"<div><div>We present a case of a 68-year-old male with past history of renal cell carcinoma and radical nephrectomy, who developed a traumatic retroperitoneal neuroma at the site of his prior surgery thirteen years later which initially was thought to be a cancer recurrence. We review the patient's past medical history, clinical presentation, and disease course. Finally, we provide a brief review of retroperitoneal peripheral nerve lesions and discuss current approaches to their management.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"61 ","pages":"Article 103048"},"PeriodicalIF":0.5,"publicationDate":"2025-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143868093","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}
Ahmed Ibrahimi, Adam El Aboudi, Salim Ouskri, Hamza El Abidi, Imad Boualaoui, El Sayegh Hachem, Nouini Yassine
{"title":"Bilateral epididymal injury following trauma: An uncommon cause of obstructive infertility","authors":"Ahmed Ibrahimi, Adam El Aboudi, Salim Ouskri, Hamza El Abidi, Imad Boualaoui, El Sayegh Hachem, Nouini Yassine","doi":"10.1016/j.eucr.2025.103045","DOIUrl":"10.1016/j.eucr.2025.103045","url":null,"abstract":"<div><div>Scrotal trauma, though uncommon, can rarely result in isolated epididymal injury, as seen in a rare case of bilateral epididymal injury leading to obstructive infertility in a 23-year-old male who sustained blunt scrotal trauma. Doppler ultrasound revealed bilateral hematocele and epididymal discontinuity, which was confirmed by surgical exploration showing bilateral epididymal lacerations. Postoperative semen analysis indicated azoospermia. Isolated epididymal injuries are rarely diagnosed early, emphasizing the importance of thorough imaging and consideration of fertility preservation. Urologists should consider early sperm preservation in cases with a high risk of infertility.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"61 ","pages":"Article 103045"},"PeriodicalIF":0.5,"publicationDate":"2025-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143852049","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}
Hamad alkhudhayri , Abdullah aljarbou , Yazeed Alghtani , Mohammed Bin Shunayf , Mansour Albawardy
{"title":"45-Year-old with testicular mixed germ-cell tumor associated with massive hydrocele and a misleading CT scan showing bilateral testicles involvement: A case report","authors":"Hamad alkhudhayri , Abdullah aljarbou , Yazeed Alghtani , Mohammed Bin Shunayf , Mansour Albawardy","doi":"10.1016/j.eucr.2025.103042","DOIUrl":"10.1016/j.eucr.2025.103042","url":null,"abstract":"<div><div>Testicular mixed germ cell tumors (TMGCTs) are rare malignancies, occasionally presenting with hydrocele, and potentially complicating the diagnosis. We report a 45-year-old male with a massive hydrocele and elevated AFP. CT suggested bilateral testicular tumors, but intraoperatively the left testis appeared normal and was preserved. Histopathology confirmed seminoma; however, due to high AFP, treatment followed TMGCT protocols. subsequent MRI of the left testis was negative. This case highlights the limitations of imaging and pathology alone and stresses the importance of integrating tumor markers, intraoperative findings, and clinical judgment for accurate diagnosis and optimal management of testicular tumors.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"61 ","pages":"Article 103042"},"PeriodicalIF":0.5,"publicationDate":"2025-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143852048","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}
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 , Tantu Ma , Wentao Zhang , Lei Jiang , Xudong Yao , 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}
{"title":"Inguinal bladder hernia with bladde calculi and renal impairment in an elderly male: A case report","authors":"Xiaojie Liu , Yun Zhang , Chao Yang","doi":"10.1016/j.eucr.2025.103043","DOIUrl":"10.1016/j.eucr.2025.103043","url":null,"abstract":"<div><div>Inguinal bladder hernia (IBH) is a rare condition, representing less than 5 % of all inguinal hernias. We present a case of IBH with bladder calculi and renal impairment, emphasizing the role of ultrasound and CT imaging in diagnosis and management. Through this case, we discussed the clinical features and imaging findings of IBH, and mentioned \"second eye ultrasound\" in order to improve the understanding of this rare disease and the level of preoperative diagnosis and treatment.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"61 ","pages":"Article 103043"},"PeriodicalIF":0.5,"publicationDate":"2025-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143852050","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}
Victor Kenji Utino Kitahara, Afonso da Silva Alves Bento, Ricardo Haidar Berjeaut, Bruno Nicolino Cezarino, Francisco Tibor Dénes, Roberto Iglesias Lopes
{"title":"Gross hematuria associated to bladder vascular malformation in Proteus syndrome successfully treated with holmium laser fulguration: A case report","authors":"Victor Kenji Utino Kitahara, Afonso da Silva Alves Bento, Ricardo Haidar Berjeaut, Bruno Nicolino Cezarino, Francisco Tibor Dénes, Roberto Iglesias Lopes","doi":"10.1016/j.eucr.2025.103046","DOIUrl":"10.1016/j.eucr.2025.103046","url":null,"abstract":"<div><div>Proteus Syndrome (PS) is a rare congenital disease marked by a broad spectrum of congenital malformation. We present a case of an eight-year-old boy who was previously diagnosed with PS and started with 1 week of gross hematuria with no other symptoms. During the investigation, CT scan and MRI were performed showing some nodular (polypoid) lesions up to 1 cm in the bladder wall with diffusion restriction, contrast gain and no signs of invasion. Cystoscopy was done and the vascular malformations were fulgurated with Ho:Yag laser. After an eighteen-month follow-up, he had no new episodes of hematuria.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"61 ","pages":"Article 103046"},"PeriodicalIF":0.5,"publicationDate":"2025-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143876982","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}