ABSTRACT
A case of seminal vesicle-rectal fistula is reported. A 74-year-old Japanese man was admitted to our hospital due to repeated right scrotal swelling and high fever with pneumaturia. A diagnosis of the right acute epididymitis was made. Bilateral vesiculography showed contrast medium leakage to the rectum, and colonoscopy revealed ostium of the fistula in the anterior wall of the rectum. Symptoms were improved by extirpation of the right scrotal contents.
Subject(s)
Epididymitis/complications , Genital Diseases, Male/diagnostic imaging , Rectal Diseases/diagnostic imaging , Acute Disease , Aged , Colonoscopy , Digestive System Fistula/etiology , Genital Diseases, Male/etiology , Genital Diseases, Male/surgery , Humans , Male , Radiography , Rectal Diseases/etiology , Rectum/diagnostic imaging , Seminal Vesicles/diagnostic imaging , UltrasonographyABSTRACT
A 53-year-old man was admitted to our hospital for the extensive examination and treatment of suspicioun of right renal pelvic tumor. Retrograde pyelography (RP), computed tomography (CT) and magnetic resonance imaging (MRI) showed a space-occupying lesion, about 2 cm in diameter, spread from the renal parenchyma to the renal pelvis. Right nephroureterectomy was performed because transitional cell carcinoma was suspected from the histopothology of the frozen section. The gross examination revealed a white tumor in the upper pole, protruding into the renal pelvis with hemorrhagic necrosis. Histological examination showed Bellini duct carcinoma of the papillary type. He received adjuvant combination chemotherapy with M-VAC (Methotrexate, vinblastine, doxorubicin, cisplatin). He has been alive without evidence of recurrence since the surgery.
Subject(s)
Carcinoma, Renal Cell/diagnosis , Kidney Neoplasms/diagnosis , Kidney Tubules, Collecting , Carcinoma, Renal Cell/surgery , Humans , Kidney Neoplasms/surgery , Magnetic Resonance Imaging , Male , Middle Aged , Tomography, X-Ray ComputedABSTRACT
We report a case of scrotal emphysema following the placement of a chest tube and an endotrachial catheter for traumatic pneumothorax. Scrotal emphysema is a rare condition and is considered as a type of pneumoscrotum, for which 4 possible mechanisms have been discussed. It is important to promptly determine the origin of air because this condition may be caused by a life-threatening disease.
