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Metastatic cardiac tumor resulting in cardiogenic shock from muscle-invasive urothelial carcinoma of the bladder: a case report 转移性心脏肿瘤引起心源性休克的肌肉侵袭性膀胱尿路上皮癌：1例报告
IF 0.4
Urology Case Reports Pub Date : 2025-08-25 DOI: 10.1016/j.eucr.2025.103178
Logan Wesemann , Brian Thomas , Daniel Kim , Zachariah Taylor , Matthew McCoo , Gregory C. McMahon
{"title":"Metastatic cardiac tumor resulting in cardiogenic shock from muscle-invasive urothelial carcinoma of the bladder: a case report","authors":"Logan Wesemann ,&nbsp;Brian Thomas ,&nbsp;Daniel Kim ,&nbsp;Zachariah Taylor ,&nbsp;Matthew McCoo ,&nbsp;Gregory C. McMahon","doi":"10.1016/j.eucr.2025.103178","DOIUrl":"10.1016/j.eucr.2025.103178","url":null,"abstract":"<div><div>Muscle-invasive bladder cancer (MIBC) with cardiac metastasis typically carries a very poor prognosis. A Black woman in her 70s developed high-grade urothelial carcinoma with squamous differentiation invading the bladder muscle. Despite chemotherapy, radiation, and nephrostomy, the disease progressed. Six months after diagnosis, imaging revealed metastases to the heart and liver with biopsy showing a rare p63-positive, CK7-negative phenotype. Following a single dose of pembrolizumab, she died within three weeks, likely from cardiogenic shock. In CK7-negative variant urothelial carcinoma, early cardiac imaging and expanded immunohistochemical panels may improve detection of atypical metastases.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"62 ","pages":"Article 103178"},"PeriodicalIF":0.4,"publicationDate":"2025-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144906949","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
When contraception goes rogue: Bladder migration of an intrauterine device presenting as refractory cystitis 当避孕失控时：宫内节育器膀胱移位，表现为难治性膀胱炎
IF 0.4
Urology Case Reports Pub Date : 2025-08-25 DOI: 10.1016/j.eucr.2025.103177
Kamila Askarova , Shakhnoz Mamadjanova , Bekhzod Ayubov
{"title":"When contraception goes rogue: Bladder migration of an intrauterine device presenting as refractory cystitis","authors":"Kamila Askarova ,&nbsp;Shakhnoz Mamadjanova ,&nbsp;Bekhzod Ayubov","doi":"10.1016/j.eucr.2025.103177","DOIUrl":"10.1016/j.eucr.2025.103177","url":null,"abstract":"<div><div>Intrauterine device (IUD) migration into the urinary bladder is a rare but significant complication that may mimic chronic cystitis or recurrent urinary tract infections due to nonspecific symptoms such as dysuria, hematuria, suprapubic pain. A 31-year-old multiparous woman presented with persistent lower abdominal pain, fatigue, and urinary symptoms. Imaging and cystoscopy revealed a migrated IUD embedded in the bladder wall. Transurethral removal failed due to fibrosis, but laparoscopic removal was successful, with complete symptom resolution. This case underscores the need to consider IUD migration in women with recurrent urinary symptoms and highlights the value of early imaging and minimally invasive treatment.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"63 ","pages":"Article 103177"},"PeriodicalIF":0.4,"publicationDate":"2025-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144989017","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 rare case of late chromophobe RCC metastasis with indolent course 罕见的晚期嫌色性肾癌转移，病程缓慢
IF 0.4
Urology Case Reports Pub Date : 2025-08-25 DOI: 10.1016/j.eucr.2025.103180
Periklis Anastasiou , Konstantinos Douroumis , Panagiotis Panagopoulos , Panagiotis Katsikatsos , Christos Kalfountzos , Spyridon Davakis , Ioannis Anastasiou
{"title":"A rare case of late chromophobe RCC metastasis with indolent course","authors":"Periklis Anastasiou ,&nbsp;Konstantinos Douroumis ,&nbsp;Panagiotis Panagopoulos ,&nbsp;Panagiotis Katsikatsos ,&nbsp;Christos Kalfountzos ,&nbsp;Spyridon Davakis ,&nbsp;Ioannis Anastasiou","doi":"10.1016/j.eucr.2025.103180","DOIUrl":"10.1016/j.eucr.2025.103180","url":null,"abstract":"<div><div>Renal cell carcinoma (RCC) is the predominant solid lesion of the kidney. Among the various subtypes of RCC, chromophobe RCC (chRCC) is relatively rare, and it is characterized by an indolent clinical course and a favourable prognosis. We present a rare case of a 40-year-old patient who developed a retroperitoneal metastasis four years after undergoing radical nephrectomy for chRCC. The patient was under surveillance for another six years before surgical excision of the recurrence was performed. This case underscores the potential for late recurrence in chRCC and highlights the importance of long-term surveillance, even in patients with an initially favourable prognosis.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"63 ","pages":"Article 103180"},"PeriodicalIF":0.4,"publicationDate":"2025-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144922955","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
Cystoscope assisted trans-conduit removal of fragmented percutaneous nephrostomy catheter 膀胱镜辅助下破片经皮肾造口导管取管术
IF 0.4
Urology Case Reports Pub Date : 2025-08-25 DOI: 10.1016/j.eucr.2025.103176
Ahmed Awad, Judy Ahrar, Mohamed E. Abdelsalam
{"title":"Cystoscope assisted trans-conduit removal of fragmented percutaneous nephrostomy catheter","authors":"Ahmed Awad,&nbsp;Judy Ahrar,&nbsp;Mohamed E. Abdelsalam","doi":"10.1016/j.eucr.2025.103176","DOIUrl":"10.1016/j.eucr.2025.103176","url":null,"abstract":"<div><div>Percutaneous nephrostomy catheter fragmentation is an uncommon complication that is managed through different approaches. In this report we describe an iatrogenicly fragmented nephrostomy catheter in a patient with an ileal conduit, that was removed by using combined cystoscope and fluoroscopy guidance through a retrograde trans conduit approach.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"62 ","pages":"Article 103176"},"PeriodicalIF":0.4,"publicationDate":"2025-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144911838","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
Huge hematoma following extracorporeal shock wave lithotripsy leading to nephrectomy 体外冲击波碎石术后巨大血肿导致肾切除术
IF 0.4
Urology Case Reports Pub Date : 2025-08-22 DOI: 10.1016/j.eucr.2025.103164
Mehdi Dadpour , Jamal Sadr , Seyed Mohammad Hashem Montazeri , Mina Vishteh , Sina Poorsalimi , Hamidreza Samadpour
{"title":"Huge hematoma following extracorporeal shock wave lithotripsy leading to nephrectomy","authors":"Mehdi Dadpour ,&nbsp;Jamal Sadr ,&nbsp;Seyed Mohammad Hashem Montazeri ,&nbsp;Mina Vishteh ,&nbsp;Sina Poorsalimi ,&nbsp;Hamidreza Samadpour","doi":"10.1016/j.eucr.2025.103164","DOIUrl":"10.1016/j.eucr.2025.103164","url":null,"abstract":"<div><div>Extracorporeal shockwave lithotripsy (ESWL) is a noninvasive and relatively safe method for treating small urinary tract stones, however it may be accompanied with some important complications including hematoma. In this report, we review an instructive and rare case of a patient with massive renal hematoma following ESWL. Despite full conservative management, due to patient instability, emergent exploration and nephrectomy was inevitable. Massive hematoma leading to nephrectomy following ESWL procedure is very rare, but urologists should be aware. Also, if a patient is unstable and don't response to conservative treatment, nephrectomy may be considered after primary resuscitation.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"62 ","pages":"Article 103164"},"PeriodicalIF":0.4,"publicationDate":"2025-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144904071","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
Resolution of unilateral obstructive uropathy from a bladder adherent large exophytic cervical leiomyoma following selective inferior vesical artery embolization 选择性膀胱下动脉栓塞后膀胱附着性大外生性宫颈平滑肌瘤单侧梗阻性尿病的解决
IF 0.4
Urology Case Reports Pub Date : 2025-08-22 DOI: 10.1016/j.eucr.2025.103174
Sydney Whalen , R. Jeffrey Karnes , Scott M. Thompson
{"title":"Resolution of unilateral obstructive uropathy from a bladder adherent large exophytic cervical leiomyoma following selective inferior vesical artery embolization","authors":"Sydney Whalen ,&nbsp;R. Jeffrey Karnes ,&nbsp;Scott M. Thompson","doi":"10.1016/j.eucr.2025.103174","DOIUrl":"10.1016/j.eucr.2025.103174","url":null,"abstract":"<div><div>51-year old female with history of hysterectomy for fibroid uterus was diagnosed with an 12.3 cm exophytic leiomyoma arising from the cervix that was growing into the urinary bladder with chronic obstruction of the right ureteral orifice and resulting in reduced right kidney function to 14 %. With the goal of bladder preservation, she underwent trans-arterial embolization of the leiomyoma. There was resolution of the right hydroureteronephrosis by 12-months. At 3-year follow-up, the fibroid had continued to decrease in size with more than two-thirds of the mass non-viable, non-enhancing and right kidney function had increased to 24 % with no recurrent hydronephrosis.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"62 ","pages":"Article 103174"},"PeriodicalIF":0.4,"publicationDate":"2025-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144894972","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-functional oncocytic adrenocortical carcinoma: Case report with clinicopathologic and surgical correlation 无功能嗜瘤细胞性肾上腺皮质癌：1例与临床病理及手术相关
IF 0.4
Urology Case Reports Pub Date : 2025-08-20 DOI: 10.1016/j.eucr.2025.103171
Induparkavi Murugesan , Vikas Kailashiya , Sahil Data , Madan Gopal Bhardwaj , Sameer Trivedi
{"title":"Non-functional oncocytic adrenocortical carcinoma: Case report with clinicopathologic and surgical correlation","authors":"Induparkavi Murugesan ,&nbsp;Vikas Kailashiya ,&nbsp;Sahil Data ,&nbsp;Madan Gopal Bhardwaj ,&nbsp;Sameer Trivedi","doi":"10.1016/j.eucr.2025.103171","DOIUrl":"10.1016/j.eucr.2025.103171","url":null,"abstract":"<div><div>Oncocytic adrenocortical carcinoma (OACC) is a rare variant of adrenocortical carcinoma composed predominantly of oncocytic cells. We present the case of a 45-year-old female with a large, non-functional left adrenal mass diagnosed as OACC. Imaging revealed a well-defined, vascular, heterogeneously enhancing mass without metastasis. Histopathology showed oncocytic cells disposed in nests and sheets with capsular and venous invasion, with low mitotic activity. Surgical excision was curative, and the patient remains disease-free at 10 months. This case highlights the diagnostic and prognostic utility of histologic scoring systems and underlines the role of surgery as the primary treatment in localized OACC.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"62 ","pages":"Article 103171"},"PeriodicalIF":0.4,"publicationDate":"2025-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144888909","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
Upper tract urothelial carcinoma in crossed fused renal ectopia: Case report and review of the literature 交叉融合肾异位的上尿路上皮癌：1例报告及文献复习
IF 0.4
Urology Case Reports Pub Date : 2025-08-19 DOI: 10.1016/j.eucr.2025.103170
Xiaoxuan Bai, Suzhan Lv, Dan Liu, Yuexin Liu, Hao Ping
{"title":"Upper tract urothelial carcinoma in crossed fused renal ectopia: Case report and review of the literature","authors":"Xiaoxuan Bai,&nbsp;Suzhan Lv,&nbsp;Dan Liu,&nbsp;Yuexin Liu,&nbsp;Hao Ping","doi":"10.1016/j.eucr.2025.103170","DOIUrl":"10.1016/j.eucr.2025.103170","url":null,"abstract":"<div><div><u>Upper tract urothelial carcinoma in conjunction with congenital renal malformations is exceedingly rare in clinical practice, presenting significant challenges for surgical intervention. We detail a case involving crossed fused renal ectopia accompanied by upper tract urothelial carcinoma.</u> Computed tomography urography imaging revealed abnormalities in the ureteropelvic region. <u>Subsequent urinary cytology, ureteroscopy and pathological analysis confirmed the presence of urothelial carcinoma. A radical laparoscopic nephroureterectomy was conducted, and postoperative pathology indicated a low-grade urothelial carcinoma.</u> No tumor recurrence or metastasis was observed during one-year postoperative follow-up. Our clinical validation confirms laparoscopic surgery as a safe and efficacious therapeutic modality.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"62 ","pages":"Article 103170"},"PeriodicalIF":0.4,"publicationDate":"2025-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144891956","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
Hydroureteronephrosis due to a misplaced suprapubic catheter 耻骨上置管错位所致的尿路积水
IF 0.4
Urology Case Reports Pub Date : 2025-08-19 DOI: 10.1016/j.eucr.2025.103173
Pranabh Kushwaha , Abhinav Kumar , Narendra Choudhary , Pratyusha Priyadarshini
{"title":"Hydroureteronephrosis due to a misplaced suprapubic catheter","authors":"Pranabh Kushwaha ,&nbsp;Abhinav Kumar ,&nbsp;Narendra Choudhary ,&nbsp;Pratyusha Priyadarshini","doi":"10.1016/j.eucr.2025.103173","DOIUrl":"10.1016/j.eucr.2025.103173","url":null,"abstract":"<div><div>Unintentional <u>ureteral catheterisation</u>, especially during the placement of suprapubic catheters, is extremely rare. We present a case of <u>a suprapubic catheter</u> misplaced in the left ureter leading to hydroureteronephrosis in a paediatric patient with <u>history of</u> complex pelvic fracture with urethral distraction defects after a motor vehicle accident. We highlight that emergent imaging evaluation and timely intervention saved us from the potential catastrophe.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"62 ","pages":"Article 103173"},"PeriodicalIF":0.4,"publicationDate":"2025-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144885920","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
Prostate cancer with synchronous metastatic penile lesion: A case report 前列腺癌伴阴茎同步转移性病变1例
IF 0.4
Urology Case Reports Pub Date : 2025-08-19 DOI: 10.1016/j.eucr.2025.103172
Muhammad Fajar , Ikhlas Arief Bramono , Fakhri Rahman , Farilaila Rayhani , Edward Usfie Harahap , Rachmat Budi Santoso
{"title":"Prostate cancer with synchronous metastatic penile lesion: A case report","authors":"Muhammad Fajar ,&nbsp;Ikhlas Arief Bramono ,&nbsp;Fakhri Rahman ,&nbsp;Farilaila Rayhani ,&nbsp;Edward Usfie Harahap ,&nbsp;Rachmat Budi Santoso","doi":"10.1016/j.eucr.2025.103172","DOIUrl":"10.1016/j.eucr.2025.103172","url":null,"abstract":"<div><div>Prostate cancer with penile metastasis is exceedingly rare. We report a synchronous metastatic hormone-sensitive prostate cancer presenting initially as a penile lesion in a 70-year-old male. Penile tumor excision confirmed prostate adenocarcinoma by immunohistochemistry. MRI revealed prostate enlargement without lymph node involvement; biopsy indicated Gleason Score 3 + 3 adenocarcinoma, and bone scan showed pubic bone metastasis. Initial PSA was significantly elevated (318 ng/ml). Androgen deprivation therapy led to progressive PSA decline and good clinical response. Aggressive surgical intervention for penile metastasis is discouraged due to limited benefits and potential deterioration in quality of life.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"62 ","pages":"Article 103172"},"PeriodicalIF":0.4,"publicationDate":"2025-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144893850","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
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