Case Reports in Urology http://www.hindawi.com The latest articles from Hindawi Publishing Corporation © 2014 , Hindawi Publishing Corporation . All rights reserved. Robot-Assisted Excision of a Pararectal Gastrointestinal Stromal Tumor in a Patient with Previous Ileal Neobladder Mon, 01 Sep 2014 05:36:59 +0000 http://www.hindawi.com/journals/criu/2014/632852/ Gastrointestinal stromal tumors (GISTs) are the most frequent mesenchymal tumors of the gastrointestinal tract with surgical resection remaining the cornerstone of therapy. Pararectal lesions are considered to be technically difficult and pose in some cases a challenge. We report, to the best of our knowledge, the first robotic-assisted pararectal GIST excision. A 43-year-old man was referred to our center with pararectal GIST recurrence, despite treatment with targeted therapy. Eleven years ago, he underwent extensive abdominal surgery including cystoprostatectomy with ileal neobladder diversion due to GIST resection in the rectoprostatic space. Robot-assisted surgical resection was successfully performed without the need for temporary colostomy. The postoperative course of the patient was uneventful, and the pathology report confirmed a GIST recurrence with negative surgical margins and pelvic lymph nodes free of any tumor. Robotic-assisted pelvic surgery can be extended to incorporate excision of pararectal GISTs, as a safe, less invasive surgical alternative with promising oncological results and minimal injury to adjacent structures. A. Ploumidis, A. Mottrie, A. F. Spinoit, M. Gan, V. Ficarra, and R. Andrianne Copyright © 2014 A. Ploumidis et al. All rights reserved. IgG4-Related Disease in a Urachal Tumor Mon, 18 Aug 2014 07:48:33 +0000 http://www.hindawi.com/journals/criu/2014/275850/ IgG4-related disease is a newly recognized fibroinflammatory disorder that has the ability to affect nearly every organ system. It is characterized by tumefactive lesions and fibrosis and closely mimics neoplasms. Only one case of IgG4-related bladder mass has been reported in the literature, but there are no reports of IgG4-related disease in a urachal mass. Herein, we report a 26-year-old male who initially presented with symptoms of recurrent UTI. Work-up revealed a 6 cm urachal tumor, a 1.4 cm pulmonary lesion, and mediastinal lymphadenopathy; all metabolically active on PET scan and suspicious for urachal adenocarcinoma. Lung lesion fine needle aspiration and TURBT pathology revealed inflammation but no evidence of malignancy. The patient underwent a partial cystectomy and umbilectomy with pathology demonstrating dense plasmacytic cells, a high rate of immunohistochemistry staining positive for IgG4 plasma cells, a storiform pattern of fibrosis, and an obliterative phlebitis. Furthermore, the patient had an elevated serum IgG4 level of 227 mg/dL (range 2.4–121 mg/dL). IgG4-related disease is a newly recognized fibroinflammatory disorder that can mimic neoplastic processes and a high index of suspicion and accurate tissue pathology is necessary for an accurate diagnosis. Travis W. Dum, Da Zhang, and Eugene K. Lee Copyright © 2014 Travis W. Dum et al. All rights reserved. Forgotten DJ Stent with a Large Calculus at Its Distal End in an Ileal Conduit Diversion Mon, 18 Aug 2014 07:41:30 +0000 http://www.hindawi.com/journals/criu/2014/684651/ Calculus formation in an ileal conduit following cystectomy is a known complication. Encrustation and formation of calculus may also occur over a DJ stent retained for a long period; but this is never reported in patients with conduit diversion because of close surveillance of these patients. Here we report first case of a large calculus encrusted over a forgotten DJ stent within an ileal conduit in a man who had undergone urinary diversion following radical cystectomy for carcinoma urinary bladder 8 years earlier. Anurag Puri, Vinod Priyadarshi, Nivedita Raizada, and Dilip Kumar Pal Copyright © 2014 Anurag Puri et al. All rights reserved. Nanoparticle Albumin-Bound-Paclitaxel in the Treatment of Metastatic Urethral Adenocarcinoma: The Significance of Molecular Profiling and Targeted Therapy Mon, 18 Aug 2014 06:59:14 +0000 http://www.hindawi.com/journals/criu/2014/489686/ Primary urethral cancer is rare and accounts for only 0.003% of all malignancies arising from the female genitourinary tract. Due to the rarity of this disease, no consensus exists regarding the optimal therapeutic approach. Nanoparticle albumin-bound-paclitaxel has been shown to be effective in the treatment of a number of malignancies including metastatic breast, pancreatic, and bladder cancer. We present a 67-year-old woman with advanced metastatic urethral adenocarcinoma resistant to two lines of chemotherapy (ifosfamide/paclitaxel/cisplatin and irinotecan/5-fluorouracil/leucovorin) that showed a dramatic response to nanoparticle albumin-bound-paclitaxel. This is the first case report to document the use and efficacy of nanoparticle albumin-bound-paclitaxel in the treatment of unresectable metastatic urethral cancer. Yasmin M. Abaza and Carlos Alemany Copyright © 2014 Yasmin M. Abaza and Carlos Alemany. All rights reserved. Growing Teratoma Syndrome Sun, 17 Aug 2014 11:03:03 +0000 http://www.hindawi.com/journals/criu/2014/139425/ Growing teratoma syndrome (GTS) is a rare clinical entity, which presents with enlarging teratomas masses of the retroperitoneum or other locations, occurring during or after systemic chemotherapy for the treatment of nonseminomatous germ cell of the testis (NSGCT), with normalised tumour markers. Awareness of this syndrome is necessary in order to prevent unnecessary chemotherapy and allow optimal management. Prognosis is excellent after the excision of these tumors, but surgery has to be as complete as possible. Surgical resection of bulky GTS lesions is technically challenging; intraoperative complications may occur; that is, why the treatment must not be delayed. Our experience in the surgical management of these lesions is reviewed in the following work. Anna Scavuzzo, Zael Arturo Santana Ríos, Nancy Reynoso Noverón, and Miguel Angel Jimenez Ríos Copyright © 2014 Anna Scavuzzo et al. All rights reserved. Metastatic Prostate Adenocarcinoma Posing as Urothelial Carcinoma of the Right Ureter: A Case Report and Literature Review Wed, 13 Aug 2014 12:58:07 +0000 http://www.hindawi.com/journals/criu/2014/230852/ This is a case report of a 67-year-old patient with distant metastasis of prostate cancer to the right ureter which caused hydronephrosis. At the beginning, both of the cytology of the morning urine and imaging findings were consistent with urothelial carcinoma. Nephroureterectomy was subsequently performed. Interestingly, the pathological examination of the excised ureter revealed that the malignancy was derived from the prostate. No skeletal metastasis was detected. However, after four months of follow-up, several abnormal signal shadows were reported in skeletal scintigraphy and the prostate specific antigen (PSA) was gradually increasing. We present such a case for its unique presentation. A review of the literature is also provided. Tian-bao Huang, Yang Yan, Huan Liu, Jian-ping Che, Guang-chun Wang, Min Liu, Jun-hua Zheng, and Xu-dong Yao Copyright © 2014 Tian-bao Huang et al. All rights reserved. Bladder Endometriosis and Endocervicosis: Presentation of 2 Cases with Endoscopic Management and Review of Literature Tue, 12 Aug 2014 13:07:59 +0000 http://www.hindawi.com/journals/criu/2014/296908/ Urinary tract endometriosis and endocervicosis are an uncommon pathologic finding, with a common embryological origin. We present 2 cases of female patients with bladder mass. The first one was a finding of a nodular formation in the bladder during study of a nonviable foetus and the second was an incidental finding of a neoformation in the fundus of the bladder during the realization of an ultrasound. In both cases, we performed a surgical management with transurethral resection. Histopathological examination revealed a bladder endometrioma in the first case and endocervicosis with associated endometriosis in the second. Javier Fuentes Pastor, Roberto Ballestero Diego, Miguel Ángel Correas Gómez, Eduardo Torres Díez, Alejandro Fernández Flórez, Gerardo Ballesteros Olmos, and Jose Luis Gutierrez Baños Copyright © 2014 Javier Fuentes Pastor et al. All rights reserved. Glanuloplasty with Oral Mucosa Graft following Total Glans Penis Amputation Tue, 12 Aug 2014 00:00:00 +0000 http://www.hindawi.com/journals/criu/2014/671303/ This is a report on the technique of neoglans reconstruction in a patient with amputated glans penis following guillotine neonatal circumcision. A 4 cm long and 2 cm wide lower lip oral mucosa graft was harvested and used to graft the distal 2 cm of the corporal bodies after 2 cm of the distal penile skin had been excised. One edge of the lower lip oral mucosa graft was anastomosed to the urethral margins distally and proximally to the skin. At six months of followup, patient had both satisfactory cosmetic and functional outcomes. Kwaku Appiah, George Amoah, Roland Azorliade, Kofi Gyasi-Sarpong, Ken Aboah, Douglas Arthur, Baah Nyamekye, Kwaku Otu-Boateng, Patrick Maison, Benjamin Twumasi-Frimpong, Issac Opoku Antwi, and Edwin Yenli Copyright © 2014 Kwaku Appiah et al. All rights reserved. Coexisting Papillary and Clear Renal Cell Carcinoma in the Same Kidney Sun, 10 Aug 2014 09:05:55 +0000 http://www.hindawi.com/journals/criu/2014/575181/ Renal cell carcinoma (RCC) is the most common solid lesion of the kidney. Bilateral synchronous benign and malignant renal tumors have been defined in some reports. However, unilateral concordance of malignant renal tumors is very rare and there are only a few cases that had synchronous different subtypes of malignant renal tumors arising within the same kidney. Herein, we describe a 67-year-old male patient who had clear cell RCC and papillary RCC in his right kidney that were successfully treated with radical nephrectomy. We also reviewed the pertinent literature. Murat Ustuner, Busra Yaprak, Kerem Teke, Seyfettin Ciftci, Mucahit Kart, Kursat Yildiz, and Melih Culha Copyright © 2014 Murat Ustuner et al. All rights reserved. Palliative Surgery for Rare Cases of Anterior Urethral Metastasis in Prostate Cancer Tue, 05 Aug 2014 07:20:19 +0000 http://www.hindawi.com/journals/criu/2014/584957/ Penis metastasis from prostate cancer is very rare, and its management varies from case to case as there are very few cases reported in the literature. We describe a patient with prostate cancer treated with radiotherapy and androgen deprivation therapy who presented with urethral bleeding as a symptom of anterior urethral metastasis during followup. We propose a way to manage this and review the literature. Enrique Gómez Gómez, Jose Carlos Carrasco Aznar, Maria del Mar Moreno Rodríguez, José Valero Rosa, and Maria José Requena Tapia Copyright © 2014 Enrique Gómez Gómez et al. All rights reserved. Giant Malignant Pheochromocytoma with Palpable Rib Metastases Sun, 03 Aug 2014 12:52:48 +0000 http://www.hindawi.com/journals/criu/2014/354687/ Pheochromocytoma is a rare and usually benign neuroendocrine neoplasm. Only 10% of all these tumors are malignant and there are no definitive histological or cytological criteria of malignancy. Single malignancy criteria are the presence of advanced locoregional disease or metastases. We report a case, with a giant retroperitoneal tumor having multiple metastases including palpable rib metastases, who was diagnosed as a malignant pheochromocytoma. The patient was treated with surgery. The literature was reviewed to evaluate tumor features and current diagnostic and therapeutic approaches for patients with metastatic or potentially malignant pheochromocytoma. Esat Korgali, Gokce Dundar, Gokhan Gokce, Fatih Kilicli, Sahande Elagoz, Semih Ayan, and Emin Yener Gultekin Copyright © 2014 Esat Korgali et al. All rights reserved. Huge Trombus including Left Renal Vein, Ovarian Vein, and Inferior Vena Cava Mimicking Renal Colic Tue, 22 Jul 2014 07:26:20 +0000 http://www.hindawi.com/journals/criu/2014/351270/ A 31-year-old female presented with acute left flank pain; she had a C/S at the postpartum day 24. Ureteral stone was suspected but ultrasound examination was normal. Then Doppler ultrasound revealed a trombus in left renal vein and inferior vena cava. Contrast enhanced MDCT scan showed swelled and nonfunctional left kidney, a trombus including distal part of left ovarian vein, left renal vein, and inferior vena cava. We started anticoagulation treatment. Further examination revealed diagnosis of chronic myeloproliferative disease. The trombus was completely recanalized at 3-month followup. Sakir Ongun, Sermin Coban, Abdullah Katgi, Funda Obuz, and Aykut Kefi Copyright © 2014 Sakir Ongun et al. All rights reserved. A Case of the Nutcracker Syndrome Developed after Delivery Tue, 22 Jul 2014 06:38:47 +0000 http://www.hindawi.com/journals/criu/2014/503017/ We report a case of nutcracker syndrome that developed after delivery. A 32-year-old woman visited our clinic complaining of gross hematuria 4 months after delivery. Urethrocystoscopic examination failed to show hematuria coming from the ureteral orifice; however, enhanced computed tomography revealed the compression of the left renal vein between the aorta and superior mesenteric artery. Therefore, we diagnosed her with nutcracker syndrome and conservatively observed her. The macrohematuria disappeared by itself after 1 month. This is the first report to describe a case of nutcracker syndrome that developed after delivery. Koji Tsumura, Kanae Yoshida, Sachi Yamamoto, Sayuri Takahashi, Katsuyuki Iida, and Yutaka Enomoto Copyright © 2014 Koji Tsumura et al. All rights reserved. SIMPLE Technique of Laparoscopic Nephrectomy for Ectopic Nonfunctioning Pelvic Kidney Secondary to Pelviureteric Junction Obstruction: A Feasible and Safe Technique Mon, 21 Jul 2014 09:10:47 +0000 http://www.hindawi.com/journals/criu/2014/367246/ Ectopic kidneys are rare developmental anomalies. Anomalous blood supply of the pelvic ectopic kidneys poses a problem for a minimally invasive surgery. Although laparoscopic nephrectomies have been described for symptomatic nonfunctioning pelvic ectopic kidney, this is the first case report that highlights the safety and feasibility of SIMPLE technique of laparoscopic nephrectomy in a pelvic kidney. Santosh Kumar, Kalpesh Mahesh Parmar, Sriharsha Shankaregowda Ajjoor, Nitin Garg, Kumar Jayant, and Shrawan Kumar Singh Copyright © 2014 Santosh Kumar et al. All rights reserved. Spontaneous Postmenopausal Urethral Prolapse Treated Surgically and Successfully Mon, 21 Jul 2014 07:51:17 +0000 http://www.hindawi.com/journals/criu/2014/695471/ Urethral prolapse (UP) is a circular complete eversion of the distal urethral mucosa through the external meatus. It is a rare condition seen mostly in African-American premenarcheal girls. Both a medical and a surgical approach to this condition have been described. We present a case of a spontaneous urethral prolapse in a 60-year-old postmenopausal Caucasian woman, who failed medical management and underwent successful surgical management. The patient is asymptomatic 18 months following the procedure. I. Klein, Y. Dekel, and A. Stein Copyright © 2014 I. Klein et al. All rights reserved. Forgotten Kirschner Wire Causing Severe Hematuria Thu, 17 Jul 2014 06:29:21 +0000 http://www.hindawi.com/journals/criu/2014/305868/ Kirschner wire (K-wire) is commonly used in the treatment of hip fracture and its migration into pelvis leading to bladder injury is a very rare complication. Nonremoval of these devices either because of lack of followup or because of prolonged requirement due to disease process is associated with this complication. We report a case of a patient who presented with acute onset severe hematuria with clot retention secondary to perforation of bladder by a migrated K-wire placed earlier, for the treatment of hip fracture. Initial imaging showed its presence in the soft tissues of the pelvis away from the major vascular structures. Patient was taken for emergency laparotomy and wire was removed after cystotomy. Postoperative period was uneventful and patient was discharged in satisfactory condition. K-wires are commonly used in the management of fracture bones and their migration has been reported in the literature although such migration in the intrapelvic region involving bladder is very rare. Early diagnosis and prompt removal of such foreign bodies are required to avert potentially fatal involvement of major structures. Santosh Kumar, Shrawan Kumar Singh, Kumar Jayant, Swati Agrawal, Kalpesh Mahesh Parmar, and Sriharsha Ajjoor Shankargowda Copyright © 2014 Santosh Kumar et al. All rights reserved. Fahr Syndrome Unknown Complication: Overactive Bladder Wed, 16 Jul 2014 13:03:23 +0000 http://www.hindawi.com/journals/criu/2014/939268/ A 38-year-old male patient was admitted to our outpatient department because of frequency and urgency incontinence. During evaluation it was detected that the patient was suffering from frequency which was progressive for one year, feeling of incontinence, and urgency incontinence. There was no urologic pathology detected in patient’s medical and family history. Neurologic consultation was requested due to his history of boredom, reluctance to do business, balance disorders, and recession for about 3 years. Brain computerized tomography (CT) scan revealed that amorphous calcifications were detected in the bilaterally centrum semiovale, basal ganglia, capsula interna, thalami, mesencephalon, pons and bulbus, and the bilateral cerebellar hemispheres. We have detected spontaneous neurogenic detrusor overactivity without sphincter dyssynergia after evaluating the voiding diary, cystometry, and pressure flow study. We consider the detrusor overactivity which occurred one year after the start of the neurological symptoms as the suprapontine inhibition and damage in the axonal pathways in the Fahr syndrome. Devrim Tuglu, Ercan Yuvanç, Fatih Bal, Yakup Türkel, Ersel Dağ, Erdal Yılmaz, and Ertan Batislam Copyright © 2014 Devrim Tuglu et al. All rights reserved. Concomitant Urothelial Cancer and Renal Tuberculosis Mon, 14 Jul 2014 11:08:00 +0000 http://www.hindawi.com/journals/criu/2014/625153/ We report a case of coexisting urothelial cancer and renal tuberculosis in the same kidney. The patient is a 72-year-old female with a remote history of treated pulmonary tuberculosis who presented with haematuria, initial investigation of which elucidated no definitive cause. Almost 1 year later, a diagnosis of metastatic urinary tract cancer was made. The patient received chemotherapy for advanced collecting duct type renal cell carcinoma, based on histological features of renal biopsy. Subsequent confirmatory immunostains however led to a revised diagnosis of urothelial cancer, necessitating a change in chemotherapy regimen. A diagnosis of ipsilateral renal tuberculosis was made based on TB-PCR testing of renal biopsy tissue and anti-TB therapy was coadministered with chemotherapy. The patient died 9 months after diagnosis of metastatic urothelial cancer. Sheray N. Chin, Tanya Foster, Gurendra Char, and Audene Garrison Copyright © 2014 Sheray N. Chin et al. All rights reserved. A Rare Cause of Testicular Metastasis: Upper Tract Urothelial Carcinoma Sun, 13 Jul 2014 00:00:00 +0000 http://www.hindawi.com/journals/criu/2014/759858/ Metastatic testicular cancers are rare. Primary tumor sources are prostate, lung, and gastrointestinal tract for metastatic testicular cancers. Metastasis of urothelial carcinoma (UC) to the testis is extremely rare. Two-thirds of upper tract urothelial carcinoma (UTUC) is of invasive stage at diagnosis and metastatic sites are the pelvic lymph nodes, liver, lung, and bone. We report a rare case of metastatic UTUC to the testis which has not been reported before, except one case in the literature. Testicular metastasis of UC should be considered in patients with hematuria and testicular swelling. Alper Nesip Manav, Ercan Kazan, Mehmet Şirin Ertek, Akın Soner Amasyalı, Nil Çulhacı, and Haluk Erol Copyright © 2014 Alper Nesip Manav et al. All rights reserved. A Giant Case of Pyonephrosis Resulting from Nephrolithiasis Thu, 03 Jul 2014 06:55:17 +0000 http://www.hindawi.com/journals/criu/2014/161640/ Pyonephrosis is an uncommon disease that is associated with suppurative destruction of the renal parenchyma in adults. Upper urinary tract infection and obstruction play a role in its etiology. Immunosuppression from medications (steroids), diseases (diabetes mellitus, AIDS), and anatomic variations (pelvic kidney, horseshoe kidney) may also be risk factors for pyonephrosis. Fever, shivering, and flank pain are frequent clinical symptoms. On physical examination, a palpable abdominal mass may be associated with the hydronephrotic kidney. Septic shock and death can occur if the disorder is not treated with urgent surgery. After the acute phase, most patients are treated with nephrectomy. In this paper, we share the etiology, clinical features, diagnosis and treatment of pyonephrosis using the background of a case with giant pyonephrosis developing due to a kidney stone, the most common cause of upper urinary tract obstruction. Ali Erol, Soner Çoban, and Ali Tekin Copyright © 2014 Ali Erol et al. All rights reserved. Contralateral Renal Cell Carcinoma Ureteric Metastases Can Arise on Tyrosine Kinase Adjuvant Therapy and Be Effectively Treated by Endoscopic Laser Excision and Ablation Tue, 01 Jul 2014 08:55:39 +0000 http://www.hindawi.com/journals/criu/2014/359352/ Renal cell carcinoma (RCC) uncommonly metastasizes to the ureter and rarely to the contralateral ureter. We describe the presentation of 2 successive contralateral ureteric metastases from RCC in our institution. The first represents the only reported metachronous ureteric deposit on adjuvant sorafenib after laparoscopic radical nephrectomy for RCC. The other presented with a synchronous lesion after radiological work-up. Both lesions were treated with endoscopic excision and laser ablation with preservation of the renal unit and no local recurrence. We report these cases and discuss the literature. Sarah L. Reid, Nikolas J. Arestis, Craig McIlhenny, and Gavin W. A. Lamb Copyright © 2014 Sarah L. Reid et al. All rights reserved. Conservative Management of a Delayed Neovesicocutaneous Fistula Sun, 29 Jun 2014 11:32:43 +0000 http://www.hindawi.com/journals/criu/2014/632917/ A neovesicocutaneous fistula is a rare complication after orthotopic bladder reconstruction, particularly in the late postoperative period. We report the case of a 59-year-old man who had undergone ileal neobladder construction 17 months previously. He presented with urinary retention concomitant with urinary tract infection due to a neovesicourethral anastomotic stricture. After a combination of transurethral catheter drainage and broad-spectrum antibiotic therapy for 3 weeks, the fistulous tract completely closed. Therefore, conservative treatment may be regarded as a valid option for a delayed neovesicocutaneous fistula. Koichi Kodama, Yasukazu Takase, and Isamu Motoi Copyright © 2014 Koichi Kodama et al. All rights reserved. Giant Nephrothoracic Abscess: A Misleading Disease, a Surgical Challenge, and an Unexpected Complication Thu, 26 Jun 2014 00:00:00 +0000 http://www.hindawi.com/journals/criu/2014/513579/ A rare case of perinephric abscess with unilateral secondary pulmonary involvement that was further complicated by spillover of purulent content into the contralateral lung is reported here. Its diagnosis, treatment, and evolution are described and discussed along with certain features of nephropulmonary fistulas. The diagnosis of these abscesses is difficult, largely because of the paucity of primary symptoms and the frequent presence of misleading secondary symptoms. Deceptive cases like this one highlight the importance of its contemplation in every physician’s differential diagnosis. Peter Kronenberg, Bruno Graça, and Manuel Ferreira Coelho Copyright © 2014 Peter Kronenberg et al. All rights reserved. Primary Vesical Actinomycosis in a 23-Year-Old Man Tue, 17 Jun 2014 11:21:32 +0000 http://www.hindawi.com/journals/criu/2014/691360/ Introduction. Actinomycosis can affect any organ of the body, although cutaneous fistulas are common in actinomycotic infections, and other organs such as the bladder are only rarely involved. Case Presentation. Herein we report and discuss a young male patient with primary vesical actinomycosis. A 23-year-old man was hospitalized complaining of intermittent gross hematuria over a 6-month duration. The patient underwent a cystoscopic examination under general anesthesia; an edematous, hyperemic, wide-based mass, which protruded from the dome of the bladder, was seen and incompletely resected. The histopathological examination of the material showed Actinomyces organisms surrounded by inflammation and a photomicrograph showed the microorganism. After confirmation of bladder actinomycosis, the patient received penicillin. A CT scan of the abdomen and pelvis showed no evidence of the mass at the postoperative 6th month. Cystoscopic examination showed complete healing of the transurethral resection area at the dome of the bladder. Conclusion. In conclusion, we believe that the gold standard treatment for vesical actinomycosis should include the combination of a transurethral resection of the mass and long-term penicillin treatment. Tevfik Ziypak, Senol Adanur, Fatih Ozkaya, Muhammet Calık, Ozkan Polat, Yilmaz Aksoy, and Isa Ozbey Copyright © 2014 Tevfik Ziypak et al. All rights reserved. A 55-Year-Old Man with Stage IV Squamous Cell Carcinoma of the Right Groin after External Beam Radiation for Testicular Cancer Sun, 15 Jun 2014 11:55:49 +0000 http://www.hindawi.com/journals/criu/2014/346247/ Treating testicular cancer with adjuvant radiation has been associated with a number of second malignancies affecting the genitourinary tract and retroperitoneal structures; however, there have been few reported cases of cutaneous second malignancies. We report the case of a man who developed stage IV squamous cell carcinoma (SCC) of a condyloma after orchiectomy and adjuvant radiation for testicular cancer. We also review relevant literature available to date. A 55-year-old Caucasian man presented to the hospital with a large growth at the right groin which had grown into his right thigh preventing ambulation. His past medical history was significant for right testicular cancer of unknown pathology treated with orchiectomy and adjuvant radiation twenty years ago. Punch biopsy of the lesion revealed superficially invasive squamous cell carcinoma. He underwent excision of the growth with subsequent Cisplatin, radiation boost, and Paclitaxel regimens. Despite an aggressive treatment regimen and an initial good response, the patient’s cancer progressed requiring palliative care. It is unclear whether or not therapeutic radiation in this case promoted the conversion of the patient’s condyloma to a malignant lesion. Further studies are required at this time to clarify the clinical implications of these findings. Christine Ibilibor, Jeremy Wells, Sravan Kavuri, and Kelvin A. Moses Copyright © 2014 Christine Ibilibor et al. All rights reserved. A Case of Recurrent Renal Aluminum Hydroxide Stone Mon, 09 Jun 2014 08:56:44 +0000 http://www.hindawi.com/journals/criu/2014/212314/ Renal stone disease is characterized by the differences depending on the age, gender, and the geographic location of the patients. Seventy-five percent of the renal stone components is the calcium (Ca). The most common type of the stones is the Ca oxalate stones, while Ca phosphate, uric acid, struvite, and sistine stones are more rarely reported. Other than these types, triamterene, adenosine, silica, indinavir, and ephedrine stones are also reported in the literature as case reports. However, to the best of our knowledge, aluminum hydroxide stones was not reported reported before. Herein we will report a 38-years-old woman with the history of recurrent renal colic disease whose renal stone was determined as aluminum hydroxide stone in type. Aluminum mineral may be considered in the formation of kidney stones as it is widely used in the field of healthcare and cosmetics. Basri Cakıroglu, Akif Nuri Dogan, Tuncay Tas, Ramazan Gozukucuk, and Bekir Sami Uyanik Copyright © 2014 Basri Cakıroglu et al. All rights reserved. Metachronous Primary Adenocarcinoma of Distal and Proximal Ureter within Two Years Mon, 02 Jun 2014 00:00:00 +0000 http://www.hindawi.com/journals/criu/2014/659258/ Primary adenocarcinoma of the upper urinary tract, particularly of the ureter, is an extremely rare entity. We are reporting on the first case of metachronous appearance in one patient. The 71-year-old man underwent partial ureterectomy (R0 resection) for primary adenocarcinoma of the left distal ureter. 3 years later, nephroureterectomy had to be performed because of metachronous primary adenocarcinoma of the left proximal ureter. Extensive examinations revealed no evidence for further malignancies at both times. Primary adenocarcinoma of the upper urinary tract is rare but should be kept in mind, especially in patients with chronic inflammation and urinary tract obstruction. Due to the low incidence, there is a lack of data regarding its pathogenesis, diagnosis, and optimal treatment. Dominik Abt, Gautier Müllhaupt, Livio Mordasini, Pierre André Diener, and Hans-Peter Schmid Copyright © 2014 Dominik Abt et al. All rights reserved. Idiopathic Scrotal Hematoma in Neonate: A Case Report and Review of the Literature Tue, 27 May 2014 08:11:13 +0000 http://www.hindawi.com/journals/criu/2014/212914/ Neonatal scrotal hematoma is a rare genitourinary emergency. Some cases have underlining aetiologic factors such as testicular torsion, adrenal hemorrhage, or birth trauma, and others are idiopathic. Previously, immediate scrotal exploration was considered imperative for diagnosis and treatment. With good imaging techniques, some patients are managed nonoperatively. We report a case of idiopathic scrotal hematoma in a neonate. He was managed conservatively with clinical and radiological follow-up. There was complete resolution of hematoma within two months, thus, avoiding unnecessary exploration. Bioku Muftau Jimoh, Eziechila Bessie Chinwe, Adewumi Oluwafemi Adebisi, Igwilo Chinwe Ifeoma, Maduka Ogechi, and Aiyekomogbon Joshua Oluwafemi Copyright © 2014 Bioku Muftau Jimoh et al. All rights reserved. Multiple Urethral Stones Causing Penile Gangrene Sun, 18 May 2014 00:00:00 +0000 http://www.hindawi.com/journals/criu/2014/182094/ Penile urethral stones are a rare occurrence resulting from a number of causes including migration of stones within the urinary tract, urethral strictures, meatal stenosis, and obstructing tumours such as adenomatous metaplasia of the uroepithelium, hypospadias, urethral diverticulum, and very rarely primary fossa navicularis calculi. We report the case of a 54-year-old male presenting with penile gangrene and sepsis resulting from impaction of multiple stones within the penile urethra. This paper summarises the topic and discusses the pathophysiology of this unusual condition. Michael J. Ramdass and Vijay Naraynsingh Copyright © 2014 Michael J. Ramdass and Vijay Naraynsingh. All rights reserved. A Rare Case of Continuous Type Splenogonadal Fusion in a Young Male with Primary Infertility Wed, 14 May 2014 09:38:58 +0000 http://www.hindawi.com/journals/criu/2014/796761/ Splenogonadal fusion is a rare developmental anomaly in which an abnormal connection between splenic tissue and gonads or mesonephric derivatives is present. Here we present a case of young man with the complaint of primary infertility for 3 years. On evaluation (USG and MRI abdomen and pelvis), his right scrotal testis was atrophied and left intra-abdominal undescended testis. On laparoscopic assessment, a mass was seen on the left side due to continuous type of splenogonadal fusion for which excision and left orchidectomy were done. Postoperative period was uneventful and he was discharged under satisfactory condition. Splenogonadal fusion is a rare entity and it is commonly mistaken for testicular tumour. It should be considered in the differential diagnosis of testicular masses especially when there are associated congenital anomalies and preoperative laparoscopic assessment, should be done to avoid unnecessary radical surgery. Santosh Kumar, Kumar Jayant, Swati Agrawal, Kalpesh Mahesh Parmar, and Shrawan Kumar Singh Copyright © 2014 Santosh Kumar et al. All rights reserved.