ABSTRACT
BACKGROUND: Living kidney donation for transplantation has become common practice. The decisions to accept a donor with nephrolithiasis are becoming frequent. AIM: The aim of our study was to report our experience in the living donor kidney with asymptomatic lithiasis. METHODS: Over a period of 4 years from 2009 to 2013 we collected 18 cases. From the clinical, metabolic and radiological data, we have determined the etiology of urolithiasis in our patients and established, after a literature review, a decision tree of kidney donation. RESULTS: Our study included 10 women and 8 men with a mean age of 43 years. The nephrolithiasis was discovered incidentally during radiological assessment through the urinary tract without preparation in 1 case, the abdominal ultrasound in 6 cases and the abdominal CT scan in 11 cases. The donation of kidney in our study was performed in 1 case and disqualified in the others cases especially for metabolic abnormalities. In the single couple donor-recipient, after a follow up of 5 years; we have not identified adverse side effects either in the donor or in the recipient patient. CONCLUSION: In living donors with nephrolithiasis the final decision of renal transplantation must be based on the confrontation between the clinical, biological and radiological data. Metabolic disorders constituted the mainly contraindication of kidney donation in our patients.
Subject(s)
Kidney Calculi/epidemiology , Kidney Transplantation/statistics & numerical data , Living Donors/statistics & numerical data , Urolithiasis/epidemiology , Adult , Female , Humans , Incidence , Incidental Findings , Kidney/pathology , Kidney/physiopathology , Kidney Failure, Chronic/epidemiology , Kidney Failure, Chronic/therapy , Kidney Function Tests , Male , Middle Aged , Nephrectomy/statistics & numerical data , Nephrologists/statistics & numerical data , Young AdultABSTRACT
Cutaneous metastases from bladder malignancies are rare. We report the case of a 74 year old man who underwent cysto-prostatectomy and adjuvant chemotherapy for a pT3b N+ bladder transitional cell carcinoma. Four months later, he presented with skin disseminated pigmented lesions. Skin biopsy confirmed cutaneous metastasis from urothelial carcinoma.
ABSTRACT
Brachytherapy is a possible treatment for localized low risk prostate cancer. Although this option is minimally invasive, some side effects may occur. Acute retention of urine (ARU) has been observed in 5% to 22% of cases and can be prevented in most cases by alpha-blocker treatment. Several alternatives have been reported in the literature for the management of ARU following brachytherapy: prolonged suprapubic catheterization, transurethral resection of the prostate and also intermittent self-catheterization. The authors report an original endoscopic approach, using urethral endoprosthesis, with a satisfactory voiding status.
Subject(s)
Brachytherapy/adverse effects , Prostatic Neoplasms/radiotherapy , Stents , Urethra/surgery , Urinary Retention/etiology , Urinary Retention/surgery , Aged , Humans , MaleABSTRACT
Gangrene of the penis is a rare and serious complication of end stage renal disease, being an expression of systemic calciphylaxis. We report the case of a 58-year-old patient with chronic renal failure and diabetes, who presented with a necrosis of the gland. MRI defined the limits of necrosis. The treatment consisted in partial amputation of the penis. Histological examination found a calciphylaxis.
Subject(s)
Calciphylaxis/complications , Penile Diseases/etiology , Penile Diseases/pathology , Penis/pathology , Gangrene/etiology , Humans , Male , Middle AgedABSTRACT
The lung, the liver, the bone tissue and the brain are the most frequent sites for renal cell carcinoma metastasis. Small bowel metastasis from renal cell carcinoma is rare, with only few cases published. We report the case of ileal metastasis from operated kidney cancer revealed by ileocolic intussusception and causing intestinal obstruction in a 32-year-old woman.
Subject(s)
Carcinoma, Renal Cell/surgery , Ileal Neoplasms/surgery , Ileocecal Valve , Intussusception/surgery , Kidney Neoplasms/surgery , Adult , Carcinoma, Renal Cell/secondary , Colectomy , Fatal Outcome , Female , Humans , Ileal Neoplasms/secondary , Intussusception/etiology , Intussusception/pathology , Kidney Neoplasms/pathology , NephrectomyABSTRACT
The carpal scaphoid is an uncommon localization for chondroma. Ten cases have been reported in the literature. We report a new case of right carpal scaphoid chondroma complicated by fracture in a 30 year-old man. The diagnosis was strongly suggested by the computed tomography scan and confirmed at pathology examination of the operative specimen. Treatment consisted in tumor enucleation and a cortico-cancellous graft to fill the gap followed by plaster case immobilization. Clinical and radiological outcome was favorable.
