{"title":"A case of nephrocolic fistula presenting primarily with changes in bowel habits","authors":"Yuzhi Wan, Feng Xiao, Jiang Wu, Chaowu Chen","doi":"10.1016/j.eucr.2024.102904","DOIUrl":"10.1016/j.eucr.2024.102904","url":null,"abstract":"<div><div>We report a rare case of nephrocolic fistula in a 56-year-old female presenting with a three-month history of altered bowel habits. Initial colonoscopy revealed a sinus tract in the descending colon. Her hemoglobin was 79 g/L, and she had a history of nephrolithiasis and trauma. Further imaging, including CT and contrast studies, confirmed a nephrocolic fistula. Surgical intervention involved left hemicolectomy, excision of the fistula tract, and renal repair. This case highlights the importance of considering nephrocolic fistula in patients with gastrointestinal symptoms and a history of urinary tract pathology.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"58 ","pages":"Article 102904"},"PeriodicalIF":0.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11696616/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142932959","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}
EL Abidi Hamza , Ibrahimi Ahmed , Tariqi Reda , Mikou Mohammed Ali , Bennasser Abdallah , EL Sayegh Hashem , Nouini Yassine
{"title":"Fournier's gangrene with corpus spongiosum necrosis following obstructive emphysematous pyelonephritis: An exceptional and severe urological complication","authors":"EL Abidi Hamza , Ibrahimi Ahmed , Tariqi Reda , Mikou Mohammed Ali , Bennasser Abdallah , EL Sayegh Hashem , Nouini Yassine","doi":"10.1016/j.eucr.2024.102913","DOIUrl":"10.1016/j.eucr.2024.102913","url":null,"abstract":"<div><div>Fournier's gangrene is a grave necrotizing fasciitis that primarily affects the perineum, spreading through the fascias and leading to significant tissue destruction. The involvement of the urethra in necrosis is extremely rare, if not anecdotal.</div><div>Emphysematous pyelonephritis, is a urinary infection with a high risk of progression to sepsis. Although both Fournier's gangrene and obstructive pyelonephritis are independently well-documented, their concurrent presentation is uncommon and poses significant diagnostic and therapeutic challenges.</div><div>In this report, we present a rare case of Fournier's gangrene secondary to emphysematous pyelonephritis, which further led to necrosis of the corpus spongiosum, a scarcely reported complication.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"58 ","pages":"Article 102913"},"PeriodicalIF":0.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11732494/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142984459","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":"Blastomycosis of the scrotum: Not a fun guy","authors":"Duncan Petrik , Dylan Hoare , Megan MacGillivray , Daniel Ricciuto","doi":"10.1016/j.eucr.2024.102907","DOIUrl":"10.1016/j.eucr.2024.102907","url":null,"abstract":"<div><div><em>Blastomycosis dermatitidis</em> is a fungal pathogen endemic to North America. Infection from inhalation of its conidia has diffuse clinical manifestations. These can include genitourinary system infections which may manifest as ulcerative, draining skin lesions. Tissue culture is essential as anerobic bacteria and fungi grow more reliably through this medium, than with tissue swabs. A more accurate and efficient diagnosis of blastomycosis, as evidenced in this case, would have prevented prolonged treatment for presumed bacterial epididymo-orchitis and would have eliminated concern regarding possible disseminated malignancy.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"58 ","pages":"Article 102907"},"PeriodicalIF":0.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11721211/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142972523","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":"Vesicoureteral reflux of a solitary kidney treated with endoscopic injection therapy comprising tandem injections administered with the assistance of a ureteral guidewire in a young girl","authors":"Tetsuji Maruyama , Kentaro Mizuno , Hidenori Nishio , Daisuke Matsumoto , Takuya Sakata , Yutaro Hayashi","doi":"10.1016/j.eucr.2024.102921","DOIUrl":"10.1016/j.eucr.2024.102921","url":null,"abstract":"<div><div>We present the case of a 12-year-old girl with vesicoureteral reflux (VUR) of a solitary kidney treated using a modified hydrodistention implantation technique. A needle was set parallel to the ureteral guidewire inserted through the ureteral orifice before performing injections to correct VUR. Multi-site tandem injections were administered along the wire, which confirmed the direction and length of the ureteral tunnel. The mounds were aligned without ureteral kinking. A reduced volume of dextranomer-hyaluronic acid copolymer (Deflux®) was required to construct an effective anti-reflux tunnel. A voiding cystourethrogram confirmed VUR resolution. This technique avoided complications associated with a solitary kidney.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"58 ","pages":"Article 102921"},"PeriodicalIF":0.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11741089/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143013498","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":"Dissolution of struvite stones with ascorbic acid","authors":"Satoshi Yoshikawa","doi":"10.1016/j.eucr.2024.102906","DOIUrl":"10.1016/j.eucr.2024.102906","url":null,"abstract":"<div><div>This case report describes an elderly man with a history of recurrent urinary tract infections and obstructive pyelonephritis with struvite stones caused by Proteus mirabilis. Despite appropriate antibiotic treatment, the stones increased in size, necessitating alternative therapy. This case highlights the use of ascorbic acid to lower the urine pH, which contributes to the dissolution of struvite stones. Dual-energy CT was used to differentiate the stone composition for the initiation of ascorbic acid. These findings suggest that ascorbic acid can accelerate struvite stone dissolution, and that dual-energy CT is valuable for both initial diagnosis and follow-up.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"58 ","pages":"Article 102906"},"PeriodicalIF":0.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11699346/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142932960","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}
Yuchong Qiu , Sicheng Wu , Jianyang Lv , Zhigang Ji , Jie Dong
{"title":"Primary localized bladder amyloidosis with negative postoperative Congo red staining: A case report","authors":"Yuchong Qiu , Sicheng Wu , Jianyang Lv , Zhigang Ji , Jie Dong","doi":"10.1016/j.eucr.2024.102902","DOIUrl":"10.1016/j.eucr.2024.102902","url":null,"abstract":"<div><div>Localized bladder amyloidosis is a rare disorder mimicking bladder tumor, with merely over 200 reported cases. Here, we report a case of a 67-year-old female presented with painless gross hematuria. A positive Congo red staining of the cystoscopy biopsy raised suspicion of bladder amyloidosis, and transurethral resection of the mass was performed. Interestingly, the histopathology of the excised mass showed pink-staining material under Hematoxylin and Eosin staining, but negative Congo red staining. This case demonstrates that a negative Congo red staining doesn't exclude amyloidosis. An accurate diagnosis should rely on a comprehensive evaluation of clinical, laboratory, radiological, and histopathological findings.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"58 ","pages":"Article 102902"},"PeriodicalIF":0.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11696844/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142932963","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}
N. Bahlouli, A. Lemrabet, F. Chait, K. Sfaar, S. Essetti, L. Ihsane, O. El aoufir, L. Jroundi
{"title":"Tuberculous adrenal abscess revealed by pleurisy: An extremely rare presentation: About a case","authors":"N. Bahlouli, A. Lemrabet, F. Chait, K. Sfaar, S. Essetti, L. Ihsane, O. El aoufir, L. Jroundi","doi":"10.1016/j.eucr.2024.102923","DOIUrl":"10.1016/j.eucr.2024.102923","url":null,"abstract":"<div><div>We report an extremely rare presentation of a tuberculous adrenal abscess discovered accidently during a chest CT scan. This case involves a 21-year-old male patient with pleurisy and a left adrenal abscess simultaneously of tuberculous origin, without clinical or biological signs of adrenal insufficiency. The condition showed complete regression of the abscess after medical treatment. The aim of our work is to report an extremely rare case of adrenal tuberculosis in its abscessed form, to describe the imaging aspect in order to facilitate the diagnosis for radiologists.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"58 ","pages":"Article 102923"},"PeriodicalIF":0.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11741074/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143013497","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":"Dorsal penile nerve block complicated by local anaesthetic systemic toxicity","authors":"Claris Oh , Ned Kinnear , Jason Lee","doi":"10.1016/j.eucr.2024.102911","DOIUrl":"10.1016/j.eucr.2024.102911","url":null,"abstract":"<div><div>A 39-year-old man presented with priapism. To facilitate corporal cavernosal aspiration, a dorsal penile nerve block was performed. A dose of 2000mg lignocaine was administered, instead of the intended 200mg. The patient developed local anaesthetic systemic toxicity, including hallucinations, loss of vision and agitation. This was treated with sedation, intubation, intravenous 20 % lipid emulsion, corporal aspiration and intensive care admission. The following day the patient was extubated and discharged. Clinical governance processes identified four potential causes for drug error. This is the third reported case of local anaesthetic systemic toxicity due to penile block in an adult.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"58 ","pages":"Article 102911"},"PeriodicalIF":0.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11732516/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142984505","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":"Pre-hormonal therapy combined with buccal mucosal graft for glans reconstruction in complete penile amputation: A case report and review of literature","authors":"Joko Pitoyo , Albert Ciam","doi":"10.1016/j.eucr.2024.102914","DOIUrl":"10.1016/j.eucr.2024.102914","url":null,"abstract":"<div><div>Penile amputation following circumcision is a rare but serious complication. Reconstructing the glans poses a complex surgical challenge, and <u>several</u> techniques have been <u>proposed</u> to address this issue. <u>We present the case of</u> a 10-year-old boy <u>who experienced</u> complete glans amputation 14 hours after circumcision. The initial remaining penile length was measured at 2 cm. We <u>performed</u> stump repair and <u>planned for</u> staged surgery. Buccal mucosal <u>grafting</u> for neo-glans reconstruction, <u>combined with</u> testosterone pre-hormonal therapy, <u>proved to be</u> a simple procedure <u>with satisfactory results</u>. This case provides valuable insights <u>into</u> the management of similar cases in the future.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"58 ","pages":"Article 102914"},"PeriodicalIF":0.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11732514/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142984747","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}
Majd Oweidat , Islam H. Karajeh , Widad Abu Mayyala , Mohammed Alra'e , Ammar Y. Hmidat
{"title":"Henoch-Schönlein purpura with epididymo-orchitis: A rare extra-cutaneous manifestation","authors":"Majd Oweidat , Islam H. Karajeh , Widad Abu Mayyala , Mohammed Alra'e , Ammar Y. Hmidat","doi":"10.1016/j.eucr.2024.102919","DOIUrl":"10.1016/j.eucr.2024.102919","url":null,"abstract":"<div><div>Henoch-Schönlein Purpura (HSP), or IgA vasculitis, is a systemic inflammatory disorder primarily affecting children. While common symptoms include purpura, abdominal pain, and arthritis, testicular involvement is rare. We report a case of a young boy presenting with severe scrotal pain and swelling, later identified as epididymo-orchitis secondary to HSP. Diagnosis was confirmed via Doppler ultrasound, and treatment with corticosteroids and antibiotics resulted in rapid symptom resolution. This case highlights the importance of recognizing rare extra-cutaneous manifestations of HSP and underscores the need for prompt diagnosis and tailored management to achieve favorable outcomes.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"58 ","pages":"Article 102919"},"PeriodicalIF":0.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11741082/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143013495","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}