Rashed Almusalam , Shaikha Janahi , Mohammed Basem , Hasan Isa , Abdulrahman Alshafei
{"title":"An unusual path to diagnosis: Sertoli cell neoplasia revealing Peutz-Jeghers syndrome in an 8-year-old boy","authors":"Rashed Almusalam , Shaikha Janahi , Mohammed Basem , Hasan Isa , Abdulrahman Alshafei","doi":"10.1016/j.eucr.2025.103211","DOIUrl":"10.1016/j.eucr.2025.103211","url":null,"abstract":"<div><div>Sertoli cell tumors (SCTs) are a rare occurrence, accounting for 0.4 %–1.5 % of all testicular masses. They are characterized as classic, large cell calcifying, or sclerosing Sertoli cell tumors depending on their clinical characteristics. These tumors can be associated with multiple genetic disorders, one of which is Peutz-Jeghers syndrome (PJS). PJS is a result of the mutation of STK11/LKB1 gene, manifesting as oral hyperpigmentation, benign colonic polyps, gastrointestinal and non-gastrointestinal tumors. Here we describe a case of intratubular large cell hyalinizing Sertoli cell tumor, a particularly rare variant of SCTs, with the detailed steps in diagnosis and management.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"63 ","pages":"Article 103211"},"PeriodicalIF":0.4,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145118653","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}
Sami Chebbi , Houssem Ben Hadj Alouane , Mohamed Amine Oueslati , Imen Helal , Sami Ben Rhouma
{"title":"Paratesticular leiomyosarcoma in a 44-year-old male: A case report","authors":"Sami Chebbi , Houssem Ben Hadj Alouane , Mohamed Amine Oueslati , Imen Helal , Sami Ben Rhouma","doi":"10.1016/j.eucr.2025.103214","DOIUrl":"10.1016/j.eucr.2025.103214","url":null,"abstract":"<div><div>Paratesticular leiomyosarcoma is a rare malignant tumor with diagnostic and therapeutic challenges due to its nonspecific presentation and lack of standardized protocols. We report the case of a 44-year-old man presenting with a left scrotal mass managed with fertility-sparing surgery and adjuvant therapy. Pathological analysis confirmed grade II leiomyosarcoma. Multidisciplinary management emphasized the balance between oncological control and fertility preservation. This case underscores the importance of personalized approaches in rare neoplasms, by relying on imaging, negative surgical margins, and adjuvant therapies in improving outcomes.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"63 ","pages":"Article 103214"},"PeriodicalIF":0.4,"publicationDate":"2025-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145106424","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":"Sustentaculoma of the adrenal medulla in a young male Japanese patient observed for an extended period after surgery","authors":"Mitsuhiro Tachibana , Shigeki Fukuzawa","doi":"10.1016/j.eucr.2025.103208","DOIUrl":"10.1016/j.eucr.2025.103208","url":null,"abstract":"<div><div>We describe an exceptionally rare case of sustentaculoma of the left adrenal medulla in a 39-year-old Japanese male. Abdominal computed tomography and magnetic resonance imaging revealed a well-defined, smoothly bordered left adrenal tumor measuring 3.3× 2.3 cm in size. Histologically, the neoplasm comprised irregularly sized solid nests and collagenous fibrosis in the stroma. Immunohistochemical staining revealed positivity for vimentin, S-100 protein, CD56 (NCAM), and CD45 (LCA). No recurrence or metastasis has been observed for 16 years post-surgery. The CD45-positive finding in this case is unique as it is the first reported case in Japan.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"63 ","pages":"Article 103208"},"PeriodicalIF":0.4,"publicationDate":"2025-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145106426","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 Chaabouni, Hazem Hachicha, Firas Zouari, Mohamed A. Mseddi, Nouri Rebai, Mourad H. Slimen
{"title":"Fistulized renal cyst in the stomach: A diagnostic and therapeutic challenge","authors":"Ahmed Chaabouni, Hazem Hachicha, Firas Zouari, Mohamed A. Mseddi, Nouri Rebai, Mourad H. Slimen","doi":"10.1016/j.eucr.2025.103205","DOIUrl":"10.1016/j.eucr.2025.103205","url":null,"abstract":"<div><div>Renal cysts are usually asymptomatic, and superinfection is rare. We report the case of a 90-year-old woman presenting with fever, flank pain, and vomiting. Laboratory tests showed leukocytosis and elevated C-reactive protein. CT imaging revealed an infected upper-pole renal cyst with inflammatory changes, without obstruction. Intravenous antibiotics (third-generation cephalosporin plus aminoglycoside) led to rapid improvement. Follow-up imaging demonstrated partial cyst regression and a small renogastric fistula, which closed spontaneously after one month of continued medical therapy. This case highlights an exceptionally rare complication of an infected renal cyst successfully managed without intervention.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"63 ","pages":"Article 103205"},"PeriodicalIF":0.4,"publicationDate":"2025-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145106422","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}
Balaji N. Reddy , Austin Freedman , Curtis Anderson , Angelo Gousse
{"title":"Case report: Acute urinary retention due to sloughed tissue following prostate artery embolization","authors":"Balaji N. Reddy , Austin Freedman , Curtis Anderson , Angelo Gousse","doi":"10.1016/j.eucr.2025.103206","DOIUrl":"10.1016/j.eucr.2025.103206","url":null,"abstract":"<div><div>Benign prostatic hyperplasia (BPH) affects over 80 % of men with lower urinary tract symptoms (LUTS). Medications are first-line in the management of BPH. For patients who are refractory to medications, several minimally invasive surgical therapies are offered, with transurethral resection of prostate (TURP) being the gold standard. Prostate artery embolization (PAE) is among the minimally invasive therapies with good results, minimal adverse events and especially suitable for patients who would otherwise not be suitable for a TURP. Here we present a rare adverse event of acute urinary retention secondary to a sloughed tissue in a patient following PAE.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"63 ","pages":"Article 103206"},"PeriodicalIF":0.4,"publicationDate":"2025-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145060932","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}
Pui-long Wilson Hung , Stacia chun-chun Tsun , Karen Yuen , Hoi-lung Wong , Chiu-fung Tsang , Hok-leung Tsu , Ada Ng
{"title":"Malacoplakia of the testis in a renal transplant recipient: case report and review of the literature","authors":"Pui-long Wilson Hung , Stacia chun-chun Tsun , Karen Yuen , Hoi-lung Wong , Chiu-fung Tsang , Hok-leung Tsu , Ada Ng","doi":"10.1016/j.eucr.2025.103203","DOIUrl":"10.1016/j.eucr.2025.103203","url":null,"abstract":"<div><div>Malacoplakia is an uncommon chronic inflammatory disease. The commonest form of malacoplakia after renal transplant is allograft parenchymal involvement while testicular malacoplakia remains one of the rarest forms amongst recipients of renal transplant.</div><div>We report a case of a 58-year-old gentleman, with live donor renal transplantation 39 years ago, who presented to our unit with one-week history of acute left scrotal pain. Ultrasonography revealed a heterogeneous left testicular mass. Inguinal orchidectomy was done and the lesion was confirmed to be malacoplakia.</div><div>Testicular malacoplakia is rare. Clinicians managing renal transplant recipients should be alert of this condition in their practice.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"63 ","pages":"Article 103203"},"PeriodicalIF":0.4,"publicationDate":"2025-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145106431","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":"Robot-assisted laparoscopic radical nephrectomy for renal cell carcinoma with direct colon invasion and concomitant inferior vena cava tumor thrombus: A case report","authors":"Kosuke Hamada, Takeshi Yamasaki, Nawa Masaki, Shoma Yamamoto, Taisuke Matsue, Nao Yukimatsu, Taiyo Otoshi, Minoru Kato, Katsuyuki Kuratsukuri, Junji Uchida","doi":"10.1016/j.eucr.2025.103204","DOIUrl":"10.1016/j.eucr.2025.103204","url":null,"abstract":"<div><div>Resectable renal cell carcinoma (RCC) with colon invasion is extremely rare and is usually managed by open surgery. To our knowledge, this is the first case report documenting the management of a patient with robot-assisted laparoscopic radical nephrectomy (RARN) with colon resection and inferior vena cava thrombotectomy. The procedure was completed without conversion to open surgery or major peri- and post-operative complications, confirming the technical feasibility of RARN in this challenging setting. However, given the complexity and high morbidity risk, this approach should be reserved for experienced surgeons in high-volume centers, and further evidence is required to define its role.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"63 ","pages":"Article 103204"},"PeriodicalIF":0.4,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145049145","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":"Bladder paraganglioma presenting with atypical abdominal pain: A diagnostic challenge","authors":"Yuchun Luo , Juncheng Huang , Hongwei Liu","doi":"10.1016/j.eucr.2025.103201","DOIUrl":"10.1016/j.eucr.2025.103201","url":null,"abstract":"<div><div>A 70-year-old man presented with a 10-day history of intermittent abdominal pain. Initial evaluation revealed a bladder nodule on imaging, but cystoscopy showed no tumor. Subsequent investigations including elevated urinary normetanephrine levels and MRI identified a hypervascular bladder mass supplied by the right internal iliac artery. Laparoscopic partial cystectomy confirmed a paraganglioma with positive immunohistochemistry (synaptophysin+, chromogranin A+). Postoperatively, symptoms resolved, and antihypertensive therapy was discontinued. This case highlights the importance of considering catecholamine-secreting tumors in patients with unexplained abdominal pain and hypertension, even without classic symptoms.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"63 ","pages":"Article 103201"},"PeriodicalIF":0.4,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145049144","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":"A giant complex pelvic cystic lesion misdiagnosed as a seminal vesicle tumor: A rare case report of prostatic cyst","authors":"Jianbin Gu, Cong Liu","doi":"10.1016/j.eucr.2025.103202","DOIUrl":"10.1016/j.eucr.2025.103202","url":null,"abstract":"<div><div>Giant prostatic cysts are <u>a</u> rare condition. This case report describes a 53-year-old male patient who presented with acute urinary retention. Imaging studies revealed a giant cystic mass in the pelvic cavity, with septa and nodules, adjacent to the seminal vesicles and compressing the prostate and bladder. Preoperatively, we considered it to be a seminal vesicle tumour and completely resected the cyst and right seminal vesicle via laparoscopic surgery. However, postoperative histological examination confirmed it to be a benign prostatic cyst. This study provides new clinical reference for preoperative decision-making in cases of giant prostatic cyst.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"63 ","pages":"Article 103202"},"PeriodicalIF":0.4,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145027217","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}
Basmah Z. Al Ghanim , Hussain A. Al Ghanim , Erum M. Alhumood
{"title":"Extranodal diffuse large B-cell lymphoma of the spermatic cord: The first reported case in Saudi Arabia","authors":"Basmah Z. Al Ghanim , Hussain A. Al Ghanim , Erum M. Alhumood","doi":"10.1016/j.eucr.2025.103199","DOIUrl":"10.1016/j.eucr.2025.103199","url":null,"abstract":"<div><div>Primary spermatic cord lymphoma is rare, accounting for 1.6 % of spermatic cord tumors. It typically presents as diffuse large B-cell lymphoma (DLBCL) with aggressive course and poor prognosis.</div><div>A 53-year-old male presented with progressive left testicular mass over one year. Imaging revealed spermatic cord tumor. Radical orchiectomy and histopathology confirmed stage IV Extranodal DLBCL.</div><div>Patient received 6 cycles CHOP-R chemotherapy plus 2 additional Rituximab cycles, achieving favorable response despite advanced disease.</div><div>This case emphasizes importance of early diagnosis, advanced imaging, and multidisciplinary treatment for this rare aggressive malignancy.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"63 ","pages":"Article 103199"},"PeriodicalIF":0.4,"publicationDate":"2025-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145010862","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}