ABSTRACT
The adrenal lipoma is an extremely rare, benign, and non-functional tumor. We present the first case of adrenal lipoma on the African continent and the youngest patient reported to date. computed tomography (CT) scan guided diagnosis and laparoscopic adrenalectomy was performed given symptomatic and large mass. Histological examination confirmed the diagnosis. At 12 months after the surgery, the patient had no evidence of recurrence.
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
Testicular ENKTCL is a rare disease. Asia is the most affected. Primary testicular NK/T-cell lymphoma is rare. Metastases are early and the prognosis is poor. Metastases mainly involve the lymph nodes, skin, contralateral testis, bone marrow, spleen and central nervous system. Nasal metastasis giving rise to bifocal presentation is extremely rare. We report the management of a patient initially seen for a nasal swelling with a hidden history of scrotal swelling, in whom nasal biopsies as well as the analysis of the orchidectomy part made it possible to retain the diagnosis of ENKTCL of the testis with a nasal metastasis.
ABSTRACT
Small cell carcinoma of the upper urinary tract is very rare. Their aggressiveness and their poor prognosis make it grave. We report the management of a patient who consulted in the emergency room for low back pain and to whom the radiological and endoscopic assessments found a tumor of the upper urinary tract with lung, liver, bone and adrenal damage. Anatomopathological study of biopsies obtained by flexible ureteroscopy and percutaneous liver biopsy confirmed the diagnosis and the metastatic nature of secondary lesions.
ABSTRACT
Renal cell carcinoma (RCC) is an extremely rare and fatal tumor for women of childbearing age. Consequently, the cases published in the literature are limited and medical experience with therapeutic management of newly diagnosed RCC in pregnant women is poor. We report our clinical experience with a renal tumor diagnosed in first-trimester pregnancy complicated in postoperative by an inferior vena cava thrombosis. Further reporting of such a case should help to collect more data in purpose to establish a clear, systematic and evidence guide-ligne in front of this unique situation.
ABSTRACT
Hydatidosis is a rare parasitic disease that is endemic in many countries of the Mediterranean basin. Among unusual localizations, renal involvement is rarer (2-3% of visceral forms) than splenic and soft tissue localizations but more frequent than cardiac, bony or cerebral localizations.
ABSTRACT
INTRODUCTION: Persistent Mullerian duct syndrome is a rare form of pseudohermaphroditism, possibly resulting from the absence of Mullerian duct inhibiting factor. PRESENTATION OF CASE: We report the case of a 36 year-old patient with a syndrome of persistent Müllerian ducts (PMDS) of the female type. The Clinical examination revealed avacant scrotum, a normal penis. The spermogram analysis found azoospermia. Imaging using ultrasound and tomotensidometry found the presence of amass in the back of bladder. A Laparoscopic exploration revealed two slightly enlarged testicles, in a pelvic situation intimately confined to a rudimentary uterus with two tubes. The histological examination was in favor of a uterine endometrium and two fallopian tubes. The karyotype requested later was male 46 XY. DISCUSSION: Since the first case, between 200 and 262 cases have been reported in literature around the world, this might reveal that the incidence and prevalence of this type of diseases are not well-estimated. The diagnosis is often a fortuitous discovery during a cryptorchidism surgery or inguinal hernia, more rarely during the management of a state of infertility or the degenerescence of the testis or Mullerian derivative. It is caused by either the anti-Mullerian hormone deficiency (AMH) or a dysfunction of its receptor. CONCLUSION: A multidisciplinary approach is necessary for surgical management. long-term prognosis is favorable, though fertility seem to be decreased and also it might lead to a riskiness of malignancy owing to cryptorchidism and preserved Mullerian remants.
ABSTRACT
OBJECTIVE: To assess the long-term follow-up after ileocaecal continent cutaneous reservoir (ICCR) and to review the late complications. PATIENTS AND METHODS: In all, 756 patients underwent an ICCR in our department, with long-term follow-up data available in 50 patients. The inclusion criterion was ICCR regardless of the indication and the exclusion criteria were orthotopic neobladder or other continent urinary diversions not performed with the ileocaecum. Patients were followed to record primary outcomes and late complications. Complications were stratified according to the Clavien-Dindo classification. RESULTS: The mean patient age was 44 years and pelvic malignancies were the first indication for urinary diversion. The mean (range) follow-up was 19 (9-36) years. A stoma stenosis was the most frequent outlet-related complication requiring re-intervention, followed by ischaemic outlet degeneration, and stoma incontinence. Six renal units (RUs) developed obstruction at the anastomotic site and were managed by open surgery. Three RUs had to be removed due to deterioration. A dederivation was necessary in three patients (6%). CONCLUSION: The ICCR is a safe and established technique when an orthotopic pouch is impossible. The long-term follow-up shows acceptable complication rates and satisfactory continence conditions. However, large population studies are necessary to confirm this observation.
