IJU Case Reports最新文献_第9页

Simultaneous Robot-Assisted Radical Prostatectomy and Repair of Inguinal Bladder Hernia 同时机器人辅助根治性前列腺切除术和腹股沟膀胱疝修复

IJU Case Reports Pub Date : 2025-02-24 DOI: 10.1002/iju5.70008

Naoki Imasato, Shugo Yajima, Ryo Andy Ogasawara, Minoru Inoue, Kohei Hirose, Madoka Kataoka, Yasukazu Nakanishi, Hitoshi Masuda

{"title":"Simultaneous Robot-Assisted Radical Prostatectomy and Repair of Inguinal Bladder Hernia","authors":"Naoki Imasato, Shugo Yajima, Ryo Andy Ogasawara, Minoru Inoue, Kohei Hirose, Madoka Kataoka, Yasukazu Nakanishi, Hitoshi Masuda","doi":"10.1002/iju5.70008","DOIUrl":"https://doi.org/10.1002/iju5.70008","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>We report the first case of simultaneous robot-assisted radical prostatectomy (RARP) and inguinal bladder hernia repair in a patient with prostate cancer, highlighting the feasibility and technical considerations of a combined robotic approach.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Case Presentation</h3>\u0000 \u0000 <p>A 70-year-old male underwent simultaneous RARP and inguinal hernia repair using a robotic approach. A 3D Max mesh (Bard Inc., New Providence, NJ) was placed to reinforce the hernia repair. Postoperatively, the patient has shown no recurrence of the hernia or signs of infection during follow-up.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Simultaneous RARP and bladder hernia repair using a robotic approach was successfully performed without complications. This combined procedure may be a safe and effective surgical option for similar cases requiring dual interventions.</p>\u0000 </section>\u0000 </div>","PeriodicalId":52909,"journal":{"name":"IJU Case Reports","volume":"8 3","pages":"214-217"},"PeriodicalIF":0.0,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/iju5.70008","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143914754","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

Diagnosis of Hereditary Leiomyomatosis and Renal Cell Cancer After Subcapsular Renal Hematoma 肾包膜下血肿后遗传性平滑肌瘤病和肾细胞癌的诊断

IJU Case Reports Pub Date : 2025-02-20 DOI: 10.1002/iju5.70009

Kazuma Soya, Takeru Fujimoto, Daisuke Takahashi, Kana Kohashiguchi, Yusuke Takei, Yoshio Sugino, Hiroshi Iwamura

{"title":"Diagnosis of Hereditary Leiomyomatosis and Renal Cell Cancer After Subcapsular Renal Hematoma","authors":"Kazuma Soya, Takeru Fujimoto, Daisuke Takahashi, Kana Kohashiguchi, Yusuke Takei, Yoshio Sugino, Hiroshi Iwamura","doi":"10.1002/iju5.70009","DOIUrl":"https://doi.org/10.1002/iju5.70009","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Hereditary leiomyomatosis and renal cell cancer (HLRCC) is a rare autosomal dominant genetic disorder. We report a case diagnosed with HLRCC following a subcapsular renal hematoma caused by a tumor.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Case Presentation</h3>\u0000 \u0000 <p>A 28-year-old woman with a history of uterine myomas presented with left back pain. Computed tomography revealed a renal mass with a subcapsular hematoma, and coil embolization was performed. The tumor had enlarged rapidly, and <sup>18</sup>F-fluorodeoxyglucose positron emission tomography/computed tomography revealed significant <sup>18</sup>F-fluorodeoxyglucose uptake, suggesting malignancy. Subsequently, robot-assisted radical nephrectomy was performed. Histopathological examination confirmed papillary renal carcinoma (Stage pT2aN0M0). Fumarate hydratase immunostaining was negative, and a fumarate hydratase gene pathogenic germline variant confirmed the HLRCC diagnosis. No recurrence has been reported for 2 years since the surgery.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>A combination of imaging tests using multiple modalities and close follow-ups contributed to establishing an accurate diagnosis and providing early definitive treatment.</p>\u0000 </section>\u0000 </div>","PeriodicalId":52909,"journal":{"name":"IJU Case Reports","volume":"8 3","pages":"218-222"},"PeriodicalIF":0.0,"publicationDate":"2025-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/iju5.70009","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143914651","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

Synchronous clear cell renal cell carcinoma and classic Hodgkin lymphoma 同步透明细胞肾细胞癌和典型霍奇金淋巴瘤

IJU Case Reports Pub Date : 2025-02-13 DOI: 10.1002/iju5.12831

Phuoc Christie-Nguyen, Ahmed A Ahmed, Nourhan Ibrahim, Jacob Armstrong, Brenda Mai

{"title":"Synchronous clear cell renal cell carcinoma and classic Hodgkin lymphoma","authors":"Phuoc Christie-Nguyen, Ahmed A Ahmed, Nourhan Ibrahim, Jacob Armstrong, Brenda Mai","doi":"10.1002/iju5.12831","DOIUrl":"https://doi.org/10.1002/iju5.12831","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>The coexistence of renal cell carcinoma and classic Hodgkin lymphoma is exceedingly rare, with only two documented cases. Here, we present the third case diagnosed in our institution.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Case presentation</h3>\u0000 \u0000 <p>A 46-year-old man presented with right flank pain, fever, mild pancytopenia, and renal mass on computed tomography scan, suggesting renal malignancy. Despite intravenous antibiotics and extensive workup for recurrent fever, his condition did not improve. A bone marrow biopsy revealed rare large EBV-positive B cells. Surprisingly, imaging only showed minimal intraabdominal lymphadenopathy in the perinephric region. Subsequent surgery confirmed clear cell renal cell carcinoma in the kidney and scattered large, atypical cells consistent with classic Hodgkin lymphoma in the suprahilar lymph node.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>This case presents a rare case of classic Hodgkin lymphoma occurring in the perirenal region. When clinicians encounter unexplained symptoms in patients with primary tumors, additional biopsies should be considered for possible secondary malignancy.</p>\u0000 </section>\u0000 </div>","PeriodicalId":52909,"journal":{"name":"IJU Case Reports","volume":"8 3","pages":"185-189"},"PeriodicalIF":0.0,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/iju5.12831","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143914641","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

Granulocyte colony-stimulating factor-associated aortitis in a man with advanced prostate cancer 晚期前列腺癌患者的粒细胞集落刺激因子相关性主动脉炎

IJU Case Reports Pub Date : 2025-02-13 DOI: 10.1002/iju5.12835

Ryota Ikadai, Goshi Kitano, Manabu Kato, Takahiro Kojima

{"title":"Granulocyte colony-stimulating factor-associated aortitis in a man with advanced prostate cancer","authors":"Ryota Ikadai, Goshi Kitano, Manabu Kato, Takahiro Kojima","doi":"10.1002/iju5.12835","DOIUrl":"https://doi.org/10.1002/iju5.12835","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Granulocyte colony-stimulating factor-associated aortitis remains poorly understood among clinicians.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Case presentation</h3>\u0000 \u0000 <p>We present a case of G-CSF-associated aortitis in a 70-year-old male with stage IVb castration-resistant prostate cancer (cT3bN0M1b) receiving docetaxel chemotherapy. Neutropenia (280/μL) developed on day 8 of the first chemotherapy cycle, prompting subcutaneous administration of filgrastim, a short-acting G-CSF, on days 8–10. On day 14, the patient presented to the outpatient clinic with fever but no other significant symptoms. Computed tomography revealed filgrastim-induced thoracic aortitis. Daily prednisone treatment (equivalent to 25 mg prednisolone) was initiated on the following day. Although the initial episode of aortitis resolved within 5 weeks, subsequent pegfilgrastim resulted in recurrence around the left subclavian artery, necessitating further steroid therapy.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Persistent high fever following G-CSF administration may indicate drug-induced aortitis, highlighting the potential for aortitis recurrence with repeated G-CSF use.</p>\u0000 </section>\u0000 </div>","PeriodicalId":52909,"journal":{"name":"IJU Case Reports","volume":"8 3","pages":"190-193"},"PeriodicalIF":0.0,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/iju5.12835","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143914636","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

Penile fracture after nerve-sparing radical prostatectomy: Case report and review of literature 保神经根治性前列腺切除术后阴茎骨折1例报告及文献复习

IJU Case Reports Pub Date : 2025-02-10 DOI: 10.1002/iju5.70004

Eri Fukagawa, Masayuki Sano, Masaki Shimbo, Fumiyasu Endo, Kazunori Hattori

{"title":"Penile fracture after nerve-sparing radical prostatectomy: Case report and review of literature","authors":"Eri Fukagawa, Masayuki Sano, Masaki Shimbo, Fumiyasu Endo, Kazunori Hattori","doi":"10.1002/iju5.70004","DOIUrl":"https://doi.org/10.1002/iju5.70004","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Penile fractures typically do not occur in patients unable to maintain an adequate erection. Erectile dysfunction is known as one of the major complications of radical prostatectomy, and no cases of postoperative penile fractures have been reported.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Case presentation</h3>\u0000 \u0000 <p>A 78-year-old male with a history of radical prostatectomy with bilateral nerve-sparing for prostate cancer 12 years ago presented with a penile injury sustained during erection. Clinical examination showed subcutaneous hemorrhage and swelling throughout the penis, and magnetic resonance imaging showed discontinuity of the tunica albuginea. Emergent repair identified and corrected a laceration on the right lateral corpus cavernosum. He reported no complications and could maintain an erection after the surgery.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>This is the first reported case of penile fracture following radical prostatectomy, as well as the eldest case of penile fracture to date.</p>\u0000 </section>\u0000 </div>","PeriodicalId":52909,"journal":{"name":"IJU Case Reports","volume":"8 3","pages":"198-201"},"PeriodicalIF":0.0,"publicationDate":"2025-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/iju5.70004","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143913978","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

Primary renal well-differentiated neuroendocrine tumors with lymph node metastasis: A case report and literature review 原发性肾高分化神经内分泌肿瘤伴淋巴结转移1例并文献复习

IJU Case Reports Pub Date : 2025-02-10 DOI: 10.1002/iju5.70005

Huy-Hoang Nguyen, Hoang-Giang Phan, Duc-Thuong Ho, Van-Hung Le

{"title":"Primary renal well-differentiated neuroendocrine tumors with lymph node metastasis: A case report and literature review","authors":"Huy-Hoang Nguyen, Hoang-Giang Phan, Duc-Thuong Ho, Van-Hung Le","doi":"10.1002/iju5.70005","DOIUrl":"https://doi.org/10.1002/iju5.70005","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Well-differentiated neuroendocrine tumors of the kidney are rare and generally less aggressive than renal cell carcinoma, although metastasis is still present at the time of diagnosis. Surgical resection remains the preferred treatment, even in cases with lymph node metastases.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Case presentation</h3>\u0000 \u0000 <p>We present the case of a 38-year-old female with a right renal WDNET and lymph node metastasis who underwent laparoscopic radical nephrectomy with lymphadenectomy. Pathological examination confirmed metastasis in 9 out of 11 lymph nodes. Immunohistochemistry results were positive for synaptophysin and chromogranin, with a Ki-67 index of less than 10%. No recurrence was observed after 36 months.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Well-differentiated neuroendocrine tumors are rare, with non-specific clinical and imaging characteristics, requiring immunohistochemical analysis for diagnosis. Surgical resection is the treatment of choice, and long-term follow-up is essential.</p>\u0000 </section>\u0000 </div>","PeriodicalId":52909,"journal":{"name":"IJU Case Reports","volume":"8 3","pages":"202-205"},"PeriodicalIF":0.0,"publicationDate":"2025-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/iju5.70005","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143913979","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

Intravesical fungus ball following robot-assisted radical prostatectomy in diabetes mellitus patient 糖尿病患者机器人辅助根治性前列腺切除术后膀胱内真菌球

IJU Case Reports Pub Date : 2025-02-06 DOI: 10.1002/iju5.12838

Toru Suzuki, Takahiro Fukuda, Kosuke Nishizaki, Koji Fukui, Masato Tomono, Shohei Matsuo, Sayaka Arinobe, Yuta Wakamatsu, Masakazu Sugio, Mutsunobu Yoshioka

{"title":"Intravesical fungus ball following robot-assisted radical prostatectomy in diabetes mellitus patient","authors":"Toru Suzuki, Takahiro Fukuda, Kosuke Nishizaki, Koji Fukui, Masato Tomono, Shohei Matsuo, Sayaka Arinobe, Yuta Wakamatsu, Masakazu Sugio, Mutsunobu Yoshioka","doi":"10.1002/iju5.12838","DOIUrl":"https://doi.org/10.1002/iju5.12838","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>A case with a rare complication considered to be related to a robot-assisted radical prostatectomy procedure and medication given thereafter is presented.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Case presentation</h3>\u0000 \u0000 <p>A 73-year-old male diagnosed with prostate cancer underwent a robot-assisted radical prostatectomy and lymphadenectomy. The medical history included type II diabetes mellitus managed with canagliflozin hydrate. Six months after the operation, the patient was affected by pneumaturia and soft yellowish tissue discharge during micturition. <i>Candida</i> species were detected in urine and soft tissue cultures. Based on a diagnosis of intravesical fungus ball, a transurethral resection was performed. It was considered that partial impairment of vesical blood supply caused by clamping of a branch of the inferior vesical artery during the lymphadenectomy procedure likely contributed to intravesical fungus ball formation.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Awareness of the various arteries supplying vesical blood flow and urogenital infection following sodium-glucose cotransporter-2 inhibitor administration can be beneficial for the attending surgeon.</p>\u0000 </section>\u0000 </div>","PeriodicalId":52909,"journal":{"name":"IJU Case Reports","volume":"8 3","pages":"194-197"},"PeriodicalIF":0.0,"publicationDate":"2025-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/iju5.12838","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143914350","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

A successful case of urinary rediversion from a complicated cutaneous ureterostomy to a new ileal conduit 从复杂的皮肤输尿管造口到新的回肠导管的尿重转成功病例

IJU Case Reports Pub Date : 2025-02-03 DOI: 10.1002/iju5.70001

Yu Tashiro, Mami Yamazaki, Yasuaki Katsunaga, Go Takeuchi, Satoshi Nagayama, Yasumasa Shichiri, Masaaki Ito

{"title":"A successful case of urinary rediversion from a complicated cutaneous ureterostomy to a new ileal conduit","authors":"Yu Tashiro, Mami Yamazaki, Yasuaki Katsunaga, Go Takeuchi, Satoshi Nagayama, Yasumasa Shichiri, Masaaki Ito","doi":"10.1002/iju5.70001","DOIUrl":"https://doi.org/10.1002/iju5.70001","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>A ureteral stricture often develops after a cutaneous ureterostomy and can lead to complicated situations in some cases.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Case presentation</h3>\u0000 \u0000 <p>We performed surgery on a 54-year-old man who required routine replacement of a ureteral stent every 2 weeks after cystectomy. We surgically converted his cutaneous ureterostomy into a new ileal conduit. Following the surgery, his ureteral stent was removed, allowing him to resume his social activities.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>We reported the possibility of urinary rediversion as a treatment option for a complicated cutaneous ureterostomy patient.</p>\u0000 </section>\u0000 </div>","PeriodicalId":52909,"journal":{"name":"IJU Case Reports","volume":"8 2","pages":"170-173"},"PeriodicalIF":0.0,"publicationDate":"2025-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/iju5.70001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143530309","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

A case of multiple bone metastases during the course of non-invasive bladder and prostate cancer 非侵袭性膀胱癌及前列腺癌过程中多发性骨转移1例

IJU Case Reports Pub Date : 2025-02-02 DOI: 10.1002/iju5.12836

Keisuke Matsubara, Nozomi Hayakawa, Yohei Kubota, Nobuyuki Ohike, Yu Sunakawa, Junki Koike, Eiji Kikuchi

{"title":"A case of multiple bone metastases during the course of non-invasive bladder and prostate cancer","authors":"Keisuke Matsubara, Nozomi Hayakawa, Yohei Kubota, Nobuyuki Ohike, Yu Sunakawa, Junki Koike, Eiji Kikuchi","doi":"10.1002/iju5.12836","DOIUrl":"https://doi.org/10.1002/iju5.12836","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Secondary bladder tumor is rare. We report a case of a bladder tumor initially thought to be a recurrence of non-muscle invasive bladder cancer that was ultimately identified as metastasis from gastric cancer treated 16 years prior.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Case presentation</h3>\u0000 \u0000 <p>A 75-year-old male with a history of gastric, prostate, and recurrent non-muscle invasive bladder cancer was diagnosed to have multiple bone metastases. Open bone biopsy and cancer gene panel testing identified the primary origin of the metastases as gastric cancer. Retrospective evaluation revealed that what was initially suspected as recurrent bladder tumors were actually metastases from the gastric cancer.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>In cases of metastases with an unknown primary origin, detailed evaluation, including biopsy of the metastatic lesion and genomic testing, is recommended.</p>\u0000 </section>\u0000 </div>","PeriodicalId":52909,"journal":{"name":"IJU Case Reports","volume":"8 2","pages":"158-161"},"PeriodicalIF":0.0,"publicationDate":"2025-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/iju5.12836","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143530525","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

A case of Page kidney due to an encapsulated perirenal hematoma improved by capsulectomy 肾周血肿包膜切除术改善Page肾1例

IJU Case Reports Pub Date : 2025-01-30 DOI: 10.1002/iju5.12837

Tomoki Takeda, Atsushi Okada, Keitaro Iida, Toshiki Etani, Kazumi Taguchi, Taku Naiki, Akihiro Nakane, Yasue Kubota, Yukihiro Umemoto, Noriyasu Kawai, Yutaro Hayashi, Takahiro Yasui

{"title":"A case of Page kidney due to an encapsulated perirenal hematoma improved by capsulectomy","authors":"Tomoki Takeda, Atsushi Okada, Keitaro Iida, Toshiki Etani, Kazumi Taguchi, Taku Naiki, Akihiro Nakane, Yasue Kubota, Yukihiro Umemoto, Noriyasu Kawai, Yutaro Hayashi, Takahiro Yasui","doi":"10.1002/iju5.12837","DOIUrl":"https://doi.org/10.1002/iju5.12837","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Page kidney causes secondary hypertension due to external compression of the renal parenchyma and renal hypoperfusion.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Case presentation</h3>\u0000 \u0000 <p>A 21-year-old healthy man was diagnosed with hypertension during a medical examination 3 months after he had gotten a bruise at the right lumbar region. The patient's blood pressure was 176/120 mmHg. Computed tomography showed a large encapsulated cystic lesion around the right kidney and severe external compression of the renal parenchyma. Dimercaptosuccinic acid renal scintigraphy revealed decreased right split renal function. Therefore, the patient was diagnosed with a Page kidney. Percutaneous drainage of the hematoma was performed. However, the hematoma enlarged again. Capsulectomy was subsequently performed. The pathological findings revealed capsule fibrosis and hyperplasia of the capillaries in the inner capsule layer. After capsulectomy, the patient's blood pressure normalized.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Blood leakage from the fibrotic capsule likely maintained the hematoma. Capsulectomy is recommended in cases involving an encapsulated perineal hematoma.</p>\u0000 </section>\u0000 </div>","PeriodicalId":52909,"journal":{"name":"IJU Case Reports","volume":"8 2","pages":"162-165"},"PeriodicalIF":0.0,"publicationDate":"2025-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/iju5.12837","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143530600","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