Nephrocutaneous fistula due to textiloma with in the pelvicalyceal system

Textiloma or gossypiboma is an embarrassing surgical scenario. Nephrocutaneous fistula is itself a rare complication after renal surgeries, but due to textiloma, it is rarest of the rare. In this case, 30-year-old lady presented with the complaints of chronic seropurulent discharge from a wound on her right lumbar region. On exploration it was found to be a retained surgical sponge in pelvicalyceal system, which was there for last seven years.

A Rare Case Of Mucinous Tubular And Spindle Cell Renal Cell Carcinoma With Sarcomatoid Change

Mucinous tubular and spindle cell renal cell carcinoma is a rare and recently described subtype of RCC. We present the case of a 45-year-old woman with incidentally detected left renal mass. Imaging revealed a large mass and left radical nephrectomy was performed, histopathology revealed it to be a mucinous tubular and spindle cell carcinoma with sarcomatoid change. She is under close follow-up for the last 6 months

Primary Transitional Cell Carcinoma Of Bulbar Urethra

Primary urethral carcinoma (UC) is a rare entity, and bulbar UCs of transitional cell origin are even rarer. Primary presentation as a scrotal abscess and urethrocutaneous fistula is rarely documented in UC patients. We present a case of a 66-year-old male presenting to emergency department with a scrotal abscess. Following blind incision and drainage, the urethral injury was suspected, and biopsy of suspicious lesion was taken from scrotum which came out to be invasive transitional cell carcinoma. A wide local excision of the tumor was done after workup. Hence, all patients with scrotal abscess and urethrocutaneous fistula should be investigated before performing any blind procedure.