Bladder Sparing Extirpation of Pelvic Mass With Ureteral Reimplantation: A Case Report on Pelvic Lipomatosis Treatment.

Pelvic lipomatosis is a proliferative disease characterised by excessive fat growth in retroperitoneal space leading to inadequate bladder drainage and ureteral compression. Cystitis glandularis, cystitis cystica, or cystitis follicularis can be found in the majority of patients with the disease. We report a case of a 63-year-old man diagnosed outside our hospital with pelvic lipomatosis after finding a pelvic mass behind the bladder causing severe bilateral hydronephrosis. A bladder-sparing excision of the pelvic lipomatosis mass with bilateral ureteric reimplantation was performed, thereby avoiding the need for urinary diversion. Our case supports the hypothesis that pelvic fat mass extirpation and ureteral reimplantation is an effective surgical treatment strategy for pelvic lipomatosis.

Persistent Mullerian duct syndrome (PMDS): Case report and review of literature.

Persistent Mullerian duct syndrome (PMDS) is a rare form of male pseudohermaphroditism (MPH) which characterized by the presence of uterus, fallopian tubes and upper part of vagina in an otherwise normally differentiated 46, XY male. The syndrome is caused by either an insufficient amount of antimüllerian hormone AMH or by insensitivity of the target organ to this factor, It is usually discovered in patient who assessed for infertility, cryptorchidism or during intra-abdominal surgery. Herein We report a rare presentation case of PMDS with intra-abdominal mass which came to be seminoma.

Fish bone perforation into a patent urachus mimicking urachal carcinoma: Case report.

Ingestion of foreign body may induce complications such as perforation, impaction, or penetration. Diagnosis rarely made preoperatively due to clinical symptoms are usually nonspecific and can mimic other surgical conditions. A 69-year-old male presented to emergency department with vague abdominal pain for few days. Following a clinical evaluation and computed tomography scan of the abdomen, provisional diagnosis of urachal carcinoma was made. As the result of urachal excision with partial cystectomy including fishbone were resected, pathology revealed benign urothelium.

Renal cystic oncocytoma, malignant presentation for a benign disease.

Renal cysts can be identified using standard medical imaging and, a histological diagnosis is not required. However, lesions that are more complex require a detailed characterization to allow for determination of differential diagnosis and subsequent management approach. Oncocytoma is a benign epithelial tumor of the kidney, which usually presents as a solid tumor with a central stellate scar. But rarely, it can have central cystic degeneration or can present as a multilocular cyst. We are presenting a case of incidental renal complex renal cyst managed by laparascopic partial nephrectomy which came to be rare cystic presentation of this benign tumor.