ABSTRACT
Malakoplakia is a protean systemic chronic granulomatous disease that usually targets the genito-urinary system and most particularly the bladder. Only in rare occasions do the kidneys get involved. Myelodysplastic syndrome is a heterogeneous clonal haematopoietic disorder characterised by either a hyper- or hypocellular bone marrow dysmyelopoiesis and peripheral blood pancytopenia. The synchronous association of these two unrelated disorders has never been reported. We report a 62-year-old woman who initially developed vague, relapsing gastrointestinal symptoms synchronous with renal malakoplakia and myelodysplastic syndrome.
Subject(s)
Kidney Diseases/complications , Kidney/pathology , Malacoplakia/complications , Myelodysplastic Syndromes/complications , Comorbidity , Diagnosis, Differential , Female , Humans , Kidney Diseases/diagnosis , Kidney Diseases/drug therapy , Malacoplakia/diagnosis , Malacoplakia/drug therapy , Middle Aged , Myelodysplastic Syndromes/diagnosis , Myelodysplastic Syndromes/drug therapyABSTRACT
A case of a large vaginal stone in a 26-year-old woman is presented. Vaginal stones are relatively rare. Various causes can lead to vaginal stone formation. In our case, the calculi was due to vaginal outlet obstruction in childhood. The diagnosis is usually easy to be done. In our patient, X-ray films using frontal and lateral views of the urinary system permitted to establish the right diagnosis. Treatment can vary, depending on the cause of the stone formation and the consistency of the calculi. In this case, the treatment was surgical with simple evolution. It permitted a normal social and sexual life to this young patient.
Subject(s)
Calculi/diagnostic imaging , Vaginal Diseases/diagnostic imaging , Adult , Calculi/surgery , Female , Follow-Up Studies , Humans , Radiography , Treatment Outcome , Urodynamics , Vaginal Diseases/surgeryABSTRACT
Megalourethra is a nonobstructive urethral dilatation associated with poor embryogenic development of the corpus spongiosum and occasionally with maldevelopment of the cavernous bodies. The two entities are distinguished arbitrarily: the scaphoid and the fusiform type. Although megalourethra may be an isolated entity, the association with concomitant upper urinary tract abnormalities is rather frequent. Appropriate investigation of the urinary tract is indicated in all patients presenting this urethral anomaly. We describe the case of a 24-old man complaining of erectile dysfunction due to enlarged corpora cavernosa associated with megalourethra. The penile circumference upon erection made vaginal intromission complicated. Surgical correction based on the Nesbitt technique was performed. The postoperative result is satisfactory and normal sexual life is reported.
