ABSTRACT
We report the rare case of a primary pelvic hydatid cyst in a 37-years old from a rural area. The diagnosis was suspected preoperatively based on the origin of the patient, and CT findings and it was confirmed intraoperatively by finding the typical cystic content. A total excision of the cyst without causing or contamination of the field was carried out by median incision. Our work aims to point to an unusual localization of hydatid disease, clinical and radiological characteristics, and above all to discuss the different ethnic-pathogenic theories and surgical treatment.
ABSTRACT
Renal infarction is a rare pathology, with a serious threat to the functional prognosis of the kidney. Because of its nonspecific clinic presentation, renal infarction is often misdiagnosed as renal colic and pyelonephritis or any etiology of abdominal pain. Embolic Renal infarction occurs commonly in a patient with the risk factors of thromboembolic with heart diseases especially atrial fibrillation. It's important to be aware of this condition to initiate treatment to increase the chance of renal salvage. We report a patient with a renal infarction due to the emboli from left ventricular thrombus with a brief review of the literature.
ABSTRACT
The Common sites for breast cancer metastasis include bones, lungs, brain and liver. Kidney metastases from the breast are rare. We report a case of metastatic kidney cancer. A 33-year-old woman who underwent a left mastectomy at the age of 30 for breast cancer followed by pulmonary and cerebral metastasis under chemotherapy. The CT scan revealed two right kidney lesions. He imitated a primary kidney tumor. Percutaneous kidney tumor biopsy confirmed metastases from breast cancer. Kidney surgery was avoided and treated with systemic chemotherapy.
ABSTRACT
INTRODUCTION: Penile calciphylaxis is a rare disease whose diagnosis is not easy. It is associated with chronic renal failure. It is a result of media calcification and blood vessels' fibrosis such as penile arteries that eventually lead to gangrene formation in extremities and penis. Calcific uremic arteriolopathy is commonly associated with secondary hyperparathyroidism and high level of calcium and phosphate. PRESENTATION OF CASE: In this paper, we report a case of penile necrosis induced by calciphylaxis associated with chronic renal failure and diabetic macroangiopathy. We performed a partial and total amputation in two stages because of the wound infection. The patient died one week after a total penectomy. DISCUSSION: The skin biopsy is the gold standard for the diagnosis despite being a risky process. In most cases, appropriate medical management is advocated. The treatment of this pathology is still controversial. CONCLUSION: The management of this rare situation is controversial, and its diagnosis is still difficult due to the scarcity of reported cases.
