Subject(s)
Knee Joint , Tuberculosis, Osteoarticular/diagnosis , Adult , Diagnostic Errors , Humans , Joint Diseases/diagnosis , MaleABSTRACT
Wegener granulomatosis involves both the respiratory and genitourinary systems. Kidney lesions are invariably focal. Wegener granulomatosis only rarely affects other genitourinary organs and, until now, has not been described as a mass in the kidney. In the case presented, the diagnosis was unknown before surgery, though clinically suspected. The management, which included nephrectomy and chemotherapy with cyclophosphamide (Cytoxan) and prednisone, caused a marked improvement, and the patient was discharged in stable condition.
Subject(s)
Granulomatosis with Polyangiitis/pathology , Kidney Diseases/pathology , Granulomatosis with Polyangiitis/diagnostic imaging , Humans , Kidney Diseases/diagnostic imaging , Lung Diseases/diagnostic imaging , Male , Middle Aged , Nose Diseases/pathology , Radiography , Radionuclide ImagingSubject(s)
Urinary Diversion/methods , Aged , Aged, 80 and over , Colon, Sigmoid/surgery , Female , Humans , Male , Middle Aged , Ureter/surgeryABSTRACT
We report an unusual case of papillary cystadenocarcinoma of the prostate causing symptoms of prostatism.
Subject(s)
Cystadenocarcinoma/diagnosis , Prostatic Neoplasms/diagnosis , Aged , Cystadenocarcinoma/diagnostic imaging , Cystadenocarcinoma/pathology , Humans , Male , Prostatic Neoplasms/diagnostic imaging , Prostatic Neoplasms/pathology , Radiography , UltrasonographyABSTRACT
Systemic lupus erythematosus patients sometimes present with pathologically confirmed lupus interstitial cystitis. Treatment with prednisone has not been observed to be successful. Two patients are presented who were successfully treated with intravesical dimethyl sulfoxide (DMSO).
Subject(s)
Cystitis/drug therapy , Dimethyl Sulfoxide/therapeutic use , Lupus Erythematosus, Systemic/drug therapy , Adult , Cystitis/complications , Female , Humans , Lupus Erythematosus, Systemic/complications , Middle AgedSubject(s)
Prostate/pathology , Aged , Biopsy, Needle/methods , Humans , Male , Palpation , Perineum/surgery , Prostatic Neoplasms/diagnosis , Rectum/surgery , Ultrasonography , UrographySubject(s)
Neoplasm Regression, Spontaneous , Urogenital Neoplasms/pathology , Adenocarcinoma/pathology , Adult , Aged , Female , Fever , Humans , Immunity , Infections , Kidney Neoplasms/pathology , Male , Middle Aged , Neoplasms, Hormone-Dependent/pathology , Prostatic Neoplasms/pathology , Testicular Neoplasms/pathology , Urinary Bladder Neoplasms/pathologySubject(s)
Fibroma/pathology , Kidney Neoplasms/pathology , Adult , Female , Fibroma/surgery , Humans , Kidney Neoplasms/surgery , Kidney PelvisSubject(s)
Kidney Pelvis/diagnostic imaging , Renal Artery/diagnostic imaging , Ureter/diagnostic imaging , Adult , Female , Humans , RadiographyABSTRACT
The rapid increase in the number of vascular surgical procedures done has led to a new class of iatrogenic ureteral injuries. Vena caval ligation, bilateral lumbar sympathectomy, bypass procedures and abdominal aortic aneurysmectomy produce the majority of these injuries. Established principles useful in the repair of iatrogenic injuries following a gynecologic or colonic operation often are inapplicable.
Subject(s)
Ureter/injuries , Vascular Surgical Procedures/adverse effects , Aged , Aorta/surgery , Aortic Aneurysm/surgery , Female , Femoral Artery/surgery , Humans , Hydronephrosis/etiology , Iatrogenic Disease , Ligation , Male , Middle Aged , Vena Cava, Inferior/surgeryABSTRACT
The cobra-shaped distal ureter is not pathognomonic of a ureterocele. It may be seen with incomplete distal ureteral obstruction owing to tumor or calculus. The appearance of the wall surrounding the dilated distal ureteral segment is a more important finding to differentiate a ureterocele and a pseudoureterocele. The wall of a ureterocele is thin, while the lucency surrounding a pseudoureterocele is thicker and poorly defined.
