[Pheochcromocytoma, report of 10 cases]

The pheochromocytoma is a rare endocrine tumor, issued from the chromaffine surrenalian or extra-surrenalian tissue. We report a retrospective study of 10 cases of pheochromocytoma collected during a period 3 years. Our study concerned 3 men and 7 women, with an average age of 32, 5 years. Revealing symptomatology was dominated by an arterial hypertension [8 cases]. The triad of Menard [headaches, sweating and palpitations] was found in 6 cases. The biological assessment found a rise in the urinary catecholamine. Complementary exams [ultrasonography, tomodensitometry, magnetic resonances] were usefull for the location of the tumor. The adenalectomy realised by transperitoneal under costal way was realised in all the cases. Histological examination confirmed the diagnosis. The pheochromocytoma is a neuroendocrine tumor of neuroectodermic origin. The clinical and biological presentations depend on the importance of the hypersecretion of catecholamines. The treatment is surgical. The objective of this study is to insist on the rarity of this pathology, the diagnostic difficulties, the severity of this pathology and curability of the benign forms

unusual renal ttimor: low-grade mucinous tubular and spindle cell carcinoma

Low-grade mucinous tubular and spindle cell carcinoma is a rare tumor which was described in the 2004 OMS Classification as a new entity. We report the case of a 42-year-old female patient presenting with chronic lower back pain on the left side. On CT scan a left renal mass of 10 cm in diameter was seen, and the patient underwent left radical nephrectomy. Macroscopic examination of the resected organ revealed a well-defined, fleshy, partly hemorrhagic and necrotic tumor on the medial aspect of the kidney, measuring 8.2 cm in diameter. Microscopic evaluation confirmed the diagnosis of a non-infiltrating mucinous tubular carcinoma with spindle cells not invading the hilum. Histopathologic studies revealed positive staining for CK [KL1], CK7, CK20, EMA, vimentin and CD 15 and negative staining for CD 10. Our case report of this rare entity aims to draw the attention of pathologists and clinicians to the importance of its diagnosis, in view of its favorable prognosis

Renal hydatid cyst: Retrospective analysis of 15 cases

To analyze of the various epidemiological, clinical and therapeutical aspects of renal hydatid cyst. In this retrospective study we evaluated 15 cases of renal hydatid cysts treated at the Urology Department of Ibn Rochd University Hospital, Casablanca, between January 2004 and December 2007. The patient group consisted of 7 men and 8 women with a mean age of 40 [range 23-70] years. The parameters studied included the presenting symptoms, the findings on clinical and radiological investigations and the methods of treatment. The patients presented within a mean period of 14 months from the onset of symptoms. Presenting symptoms included pain, hydaturia, hematuria and the presence of a tumoral mass on palpation. Intravenous urography [IVU] revealed calcifications in one patient, a mass lesion in two patients and a non-functioning kidney in one patient. A CT scan of the abdomen was carried out in 6 patients where the radiological examination was inconclusive. However, all patients were subjected to ultrasonography, which remains the diagnostic modality of choice. Hydatid serology was positive in 8 patients. Treatment consisted of unroofing of the cyst in 13 patients and pericystectomy and nephrectomy in one patient each. During the post-operative period 2 patients developed urinary fistulae. After a follow-up of 30 months all patients are symptom-free. In the Maghreb region, where hydatidosis is endemic, the kidneys are rarely affected. The diagnosis of renal hydatid cysts mainly depends on sonography. CT scan is useful in cases with doubtful diagnosis. Magnetic resonance imaging [MRI] is the modality of choice in cases with atypical forms and helps in differentiating a renal hydatid cyst from a serous cyst or cystic renal cancer

new case of intrascrotal cystic lymphangioma

Cystic lymphangioma of the scrotum is a rare benign tumor of the lymphatic system with very few cases described in the literature. We report the case of a 23-year-old patient admitted to our service with the presumptive diagnosis of a right-sided hydrocele. Surgical exploration revealed a moderately sized multi-septated hydrocele, chronic inflammation and thickening of the tunica vaginalis and a small cystic mass 1 cm in size near the head of the epididymis, but separate from it, the testis and the spermatic cord. Treatment consisted of surgical excision of the mass and resection of the tunica vaginalis. Histological examination revealed a cystic lymphangioma. The objective of this article is to report the clinical presentation, diagnostic and therapeutic aspects of scrotal cystic lymphangiomas

[Squamous cell carcinoma of the pelvis presenting as pyonephrosis. A case report and review of the literature]

Squamous cell carcinoma of the renal pelvis is a rare tumor with a poor prognosis, mainly occurring in patients with neglected and secondarily infected pyelocalyceal stones. We report a new case of a 45-year old man who presented with features of pyonephrosis and was subjected to nephrectomy. Post-operative histological evaluation revealed an unsuspected squamous cell carcinoma of the renal pelvis. The patient died 3 months after the operation. Based on our observation and a review of the literature, we discuss the etiopathogenesis, histological, clinical and therapeutic aspects of this pathology

[Approach of diagnosis and treatment of female urinary stress incontinence]

This work concerns twenty eight cases of urinary stress incontinence treated between 1977 and 1987. The high incidence of previous perineal operations and multiparity is noted. The diagnosis has been established clinically in all cases.Different types of surgery for urinary stress incontinence have been used: endoscopic bladder neck suspension in 17 cases, and retropubic colpopexy in 9 cases. The results are good in respectively 88% and 78%. Correct diagnosis and operative indication are the main elements of treatment of urinary stress incontinence. Each procedure permiting reposition of the bladder neck and proximal urethra in abdominal manometric enclosure amends the urinary stress incontinence. This endoscopic bladder neck suspension procedure is indicated. Otherwise, this procedure is quick, simple, allowing an easy access eventhough for multi-operated and fat patients. The failure's factors are analysed