Bilateral renal abscess fusing with the psoas on the right: A case report.

Renal abscess is a medical and surgical urological emergency whose diagnosis has been improved by modern imaging. It often poses a problem of therapeutic management between antibiotic therapy or the association of a drainage. Most abscesses are unilateral, the bilateral nature of the abscessed lesions suggests a hematogenous diffusion. We report a case of a bilateral renal abscess fusing to the psoas muscle on the right that progressed well with antibiotic treatment and percutaneous drainage.

Venous thrombosis of the pampiniform plexus after coronavirus infection (COVID-19): A case report.

Because of an increased hypercoagulable state, a significant proportion of COVID-19 patients develop various and extensive venous thromboembolic complications. We report the case of a young patient with a history of pneumopathy related to COVID-19 disease, in whom the diagnosis of thrombosis of a pampiniform plexus vein was made on color doppler ultrasound data. We adopted a conservative treatment with good clinical and radiological evolution. To our knowledge, this is the second association of venous thrombosis of the pampiniform plexus with COVID-19 disease.

Rupture of urinary bladder secondary to bladder carcinoma with extensive abdominal gangrene: A case report.

INTRODUCTION AND IMPORTANCE: Spontaneous rupture of the urinary bladder is rare but potentially severe. It is unusually related to bladder tumours. The morbidity and mortality rate are very high in these groups of patients. CASE PRESENTATION: We present a case of a 62-year-old man who was known to have a bladder tumour who presented with extensive gangrene of the anterior abdominal wall. Imaging showed an extraperitoneal urinoma extended to the anterior abdominal wall secondary to a bladder rupture with posterior bladder wall thickening suggesting a bladder tumour. After optimization of the patient's condition, urinoma drainage and upper urinary tract drainage by bilateral nephrostomy, excision of all necrotic tissues and a biopsy of the bladder lesion was performed. At a multidisciplinary meeting, we opted for a transurethral resection of the bladder followed by palliative chemotherapy considering that the tumour was locally advanced and depending on the disease course and patient's condition. CLINICAL DISCUSSION: Gangrene secondary to urinary bladder rupture caused by transitional cell carcinomas is a very rare disease with poor oncological and infectious prognoses. For these reasons, treatment is often palliative. CONCLUSION: Urinary bladder rupture secondary to bladder carcinoma could rarely be complicated with abdominal gangrene. No standardized treatment is recommended seeing the extreme rarity of this disease and management should be discussed on a case-by-case basis.

Spontaneous bladder diverticulum rupture due to a squamous cell carcinoma of the bladder: a case report.

While bladder rupture is most of the time secondary to external injury such as trauma or iatrogenic events, spontaneous bladder rupture (SBR) is a rare condition which is mostly associated with bladder cancer, neurologic bladder or radiotherapy. We report a case of a 63-year-old patient with an invasive squamous cell bladder carcinoma who presented acute peritonitis caused by a SBR while being prepared for radical surgery. CT-scan helped to confirm diagnosis and emergency cystectomy was performed. SBR should be considered in differential diagnosis of peritonitis. On time diagnosis and adequate surgery could improve its prognosis.