ABSTRACT
The diagnosis and appropriate management of patients with renal injury have remained controversial. From July 1982 through June 1965 we evaluated with computerized tomography and/or angiography 35 selected patients suspected of sustaining major renal trauma, and compared computerized tomography with angiography in regard of accuracy, sensitivity and specificity in l5 patients, whose extents of renal injuries were confirmed at operation. Computerized tomography provides the most precise anatomical detail of rental injuries as well as valuable information regarding other retroperitoneal and intraabdominal structures, often resulting in identification of associated and unsuspected injuries. This study suggests that computerized topography is highly sensitive and accurate method to evaluate renal injury, which allows the surgeon to make a confident choice of treatment.
Subject(s)
Humans , Angiography , Diagnosis , Sensitivity and SpecificityABSTRACT
Primary neoplasms arising in vesical diverticula are rare and present special problems in diagnosis and treatment. We report a case of primary carcinoma arising in vesical diverticula with associated benign prostatic hypertrophy.
Subject(s)
Diagnosis , Diverticulum , Prostatic Hyperplasia , Urinary Bladder NeoplasmsABSTRACT
The first report of cyst formation in the urachal relic was contributed by Lawson Tait in 1883 and re- searches of R.C. Begg (1927-1930) established the nature of development and anomalies of the urachus. Originally urachus was part of the fetal bladder which was formed from the cloaca. In adult, the tract is located in the extraperitoneal tissue of the anterior abdominal wall in the midline between the umbilicus and the urinary bladder. Incomplete regression of the urachus results in anomalies one of which is urachal cyst : mid portion of urachus is patent with both the cephalic and the caudal ends closed. We report a case of infected urachal cyst confirmed by exploration and microscopic examination.
Subject(s)
Adult , Humans , Abdominal Wall , Cloaca , Umbilicus , Urachal Cyst , Urachus , Urinary BladderABSTRACT
The adrenal glands, because of their retroperitoneal location, are difficult to evaluate by physical examination and conventional radiological techniques. This has limited the detection of benign and malignant adrenal neoplasms to those tumors causing local symptoms due to massive enlargement or systemic manifestations of excess hormone production. Technical advances now allow visualization of normal adrenal glands by computed tomography (CT), and the possibility arises that adrenal neoplasms may be diagnosed at an earlier or even preclinical stage. Treatment of these preclinically detected neoplasms would prevent the complications of hormone producing tumors and offer a better chance for cure of malignant tumors. This report describes our experiences with 5 patients who had adrenal tumors; three pheochromocytomas, one primary hyperaldosteronism, one nonfunctioning adrenal cortical carcinoma.
Subject(s)
Humans , Adrenal Gland Neoplasms , Adrenal Glands , Adrenocortical Carcinoma , Hyperaldosteronism , Pheochromocytoma , Physical ExaminationABSTRACT
Renal cell carcinoma has a wide and varied spectrum of symptoms and signs, which are separable into local tumor effect, metastatic symptoms and extrarenal manifestations. Therefore, for the urologist diagnosis of renal cell carcinoma can be difficult to be made even after complete evaluations. We report three cases of unusual presentations of renal cell carcinoma confirmed by exploration and microscopic examination.
Subject(s)
Carcinoma, Renal Cell , DiagnosisABSTRACT
Nonfunctioning carcinoma of adrenal cortex is a rare disease and approximately 120 patients with nonfunctional adrenal cortical carcinoma have been reported in the world literature since first description of Rolienston and Marks in 1898. We report a case of nonfunctioning adrenal cortical carcinoma in a 47-year-old female patient, which was suspected by clinical investigation and confirmed by exploration and microscopic examination.
Subject(s)
Female , Humans , Middle Aged , Adrenal Cortex , Adrenocortical Carcinoma , Rare DiseasesABSTRACT
Nonfunctioning carcinoma of adrenal cortex is a rare disease and approximately 120 patients with nonfunctional adrenal cortical carcinoma have been reported in the world literature since first description of Rolienston and Marks in 1898. We report a case of nonfunctioning adrenal cortical carcinoma in a 47-year-old female patient, which was suspected by clinical investigation and confirmed by exploration and microscopic examination.
Subject(s)
Female , Humans , Middle Aged , Adrenal Cortex , Adrenocortical Carcinoma , Rare DiseasesABSTRACT
Although testicular tumor were reported sporadically in Korea malignant tumors developed in bilateral cryptorchidism were rarely seen in the literature. Seminoma is the most frquent tumor of the testis. Here, we report a rare case of seminoma developed in cryptorchid testis of a 32 years old male and relevant literatures have been reviewed.