Hydrocele stone: a rare case report.

Hydrocele, characterized by fluid accumulation in the tunica vaginalis, is a common benign scrotal condition. While unusual, hydrocele can lead to rare complications such as infection or lithiasis. A 60-year-old man presented with a 2-month history of left-sided scrotal swelling and discomfort. Physical examination and ultrasound revealed a large, nontransilluminant swelling with hyperechoic images. A provisional diagnosis of scrotal hydrocele with secondary lithiasis was made, and surgical exploration was performed. Intraoperatively, a fluid collection with small, hard stones was found. Cholesterol crystals were identified in the stone. Scrotal lithiasis in hydrocele is rare and is believed to result from stagnant fluid creating an ideal environment for cholesterol crystal formation. Ultrasound is crucial for diagnosis, revealing hyperechoic stones within the fluid collection. Surgical exploration, aspiration of fluid, and stone removal are standard treatments, usually conducted through a small scrotal incision, with a high success rate.

Post-resection emphysematous prostatitis due to multi-resistant Enterobacter cloacae complex: A case of successful conservative management.

Emphysematous prostatitis is a rare complication of bacterial prostatitis with a high mortality rate. Due to limited publications on this entity, its management is not standardized. In the reported cases, the treatment consisted of rapid and complete drainage of the abscess, with early antibiotic therapy. We report a case of emphysematous prostatitis in a 76-year-old patient at D17 of a prostatic resection who presented to the emergency room with asthenia and fever. Clinically, he was in sepsis. The isolated germ is an Enterococcus Enterobacter cloacae complex, sensitive to Piperacillin + Tazobactam. The ultimate evolution was favorable.

Case report: Epididymal tuberculosis abscess in patient immunocompetent.

Tuberculous epididymitis is caused by Mycobacterium tuberculosis. A 30-year-old patient, with a comorbidity of atrial fibrillation, presented with pain in the left testicular for 1 year. On physical examination revealed a patient febrile at 39 °C with a pain, Scrotal swelling. Laboratory tests, a hyperleukocytosis at 25000/mm3, CRP at 160 mg/l. Scrotal ultrasound showed a Collection of fluid. Surgical exploration found an abscessed cyst at the expense of the epididymis. Due to the risk of epididymis neoplasia, surgery therapy ended up in the course of pharmacotherapy and not after 6 weeks as recommended by the studies.

Case report: Giant pyonephrosis due to urolithiasis and diabetes.

Pyonephrosis is a rare pathology causing destruction of the renal parenchyma.The diagnosis of pyonephrosis was made on the basis of radiological images and cytobacteriological examination of the urine.A patient of 49 years old, followed for 10 years under insulintherapy was admitted for a massive pyonephrosis of the left kidney.The clinical examination found a conscious patient, febrile at 38 °C,an abdominal distension with a tenderness at the level left hypochondrium. the pus was drained by percutaneous nephrostomy that has brought up 5L pus.A left nephrectomy was performed in front of a non-functioning kidney.