ABSTRACT
The retroaortic renal vein is a malformation characterized by the presence of a vessel that drains the left renal blood up to the inferior vena cava crossing behind the aortic artery. Unfamiliarity with this condition may lead to an incorrect diagnosis of adenopathy in patients with testicular and/or renal neoplasia and increases the number of complications of surgery of the left renal pedicle. Herein we describe a 71-year-old male with a retroaortic renal vein that had been detected during radical surgery for a left renal tumor.
Subject(s)
Renal Veins/abnormalities , Aged , Aorta, Abdominal , Humans , MaleABSTRACT
Nephro-intestinal fistulas involve the GI tract and the kidney or pyelocalyceal system. The main causes may be urologic or digestive, the site diverse. Reno-colic fistulas, although rare, are more frequently observed. We describe a case of left reno-colic fistula secondary to lithiasic pyonephrosis that presented as sepsis. Diagnosis was confirmed by retrograde pyelography. Treatment was by surgery (left nephrectomy, closure of the fistula, and colonorhaphy).
Subject(s)
Colonic Diseases , Intestinal Fistula , Kidney Diseases , Urinary Fistula , Colonic Diseases/diagnostic imaging , Colonic Diseases/etiology , Colonic Diseases/surgery , Female , Humans , Intestinal Fistula/diagnostic imaging , Intestinal Fistula/etiology , Intestinal Fistula/surgery , Kidney Calculi/complications , Kidney Diseases/diagnostic imaging , Kidney Diseases/etiology , Kidney Diseases/surgery , Middle Aged , Pyelonephritis/complications , Radiography , Urinary Fistula/diagnostic imaging , Urinary Fistula/etiology , Urinary Fistula/surgeryABSTRACT
We report on a case of primary transitional cell carcinoma of the prostate associated with focal prostatic carcinoma, incidentally discovered after TUR of the prostate. An underlying bladder tumor was discarded by randomized TUR of the bladder and serial cytologic analyses.
Subject(s)
Adenocarcinoma , Carcinoma, Transitional Cell , Neoplasms, Multiple Primary , Prostatic Neoplasms/pathology , Adenocarcinoma/radiotherapy , Adenocarcinoma/surgery , Aged , Carcinoma, Transitional Cell/radiotherapy , Carcinoma, Transitional Cell/surgery , Combined Modality Therapy , Humans , Male , Neoplasms, Multiple Primary/radiotherapy , Neoplasms, Multiple Primary/surgery , Prostatectomy , Prostatic Neoplasms/radiotherapy , Prostatic Neoplasms/surgeryABSTRACT
We report on a 54-year-old male patient with Leydig cell tumor of testis, an incidental finding following orchiectomy for a testicular tumor. The pathological findings met the established histologic criteria for a benign tumor. The patient required no other treatment. The results of hormonal analyses were hormonal. We discuss recently proposed histologic and hormonal criteria to distinguish the benign from the malignant form of this tumor type. The foregoing are useful in determining the therapeutic approach.
