Unusual presentation of a seminomatous tumor of the testis by acute pyelonephritis: An exceptional case report.

Cancer of the testis is the most common malignant tumor in men aged 14-44 years. Genetic and environmental factors contribute to the development of testicular cancer, for which cryptorchidism is the most common risk factor. It is potentially curable and has a long life expectancy, requiring long-term observation of survivors. Radical orchiectomy is the procedure for the diagnosis and treatment of these tumors. We report the case of a young man whose testicular tumor was discovered fortuitously by pyelonephritis because he did not consult us for the large bursa.

An etiological assessment of a deep vein thrombosis led to the discovery of a renal tumor collision: Case report.

INTRODUCTION AND IMPORTANCE: The thromboembolic complication of kidney's tumor is rare, and they can be the reason for the discovery of those tumor. Also the collision kidney tumor, such as a simultaneous occurrence of different histological types of adjacent neoplasms in the same organ is rare. CASE PRESENTATION: We report a patient diagnosed with a kidney tumor discovered in the context of an etiological assessment of thrombosis, presenting with pulmonary embolism and deep vein thrombosis of the lower limb. This tumor treated by a cytoreductive nephrectomy. The histologic diagnosis of PRCC (Papillary Renal Cell Carcinoma) associated with a chromophobe cell carcinoma and sarcomatoid component was rendered. CLINICAL DISCUSSION: The development of the tumor process and its progression to the metastatic stage is largely favored by the hypercoagulable state, and the cancer itself promotes the appearance of thrombo-enmbolic phenomena due to this phenomenon. Two major studies recommend that immediate cytoreductive nephrectomy should be offered to metastatic patients with a good general condition. CONCLUSION: A renal tumor collision is rare, whereas the risk factors for a renal tumor collision are the same as a renal tumor without collision, just as the management of a metastatic renal tumor is the same. Understanding the thromboembolic physiopathology in the case of kidney cancer has made it possible to optimize management.

Klippel-Trenaunay Syndrome Associated With Urinary Tract Hemangiomas: A Case Report.

The association between Klippel-Trenauney syndrome (KTS) and bladder hemangiomas is rare. The most common clinical manifestation is hematuria. The diagnosis is made from the characteristic cystoscopic appearance of the tumor. We report the case of a patient presenting recurrent macroscopic hematuria in the context of KTS. A cystoscopic evaluation revealed bladder hemangiomas. A conservative approach consisting of bladder irrigation and close follow-up was chosen as therapy. Conservative treatment of bladder irrigation and close follow-up is the recommended initial treatment of moderate and infrequent episodes of hematuria in this context. The more invasive therapeutic options have to be considered especially for frequent or life-threatening episodes of hematuria. This case suggests that conservative treatment may be effective in treating moderate and infrequent episodes of hematuria due to bladder hemangioma in the context of KTS. Further studies are required to adequately establish the effectiveness, limitations, and complications of each approach.

Acute pyelonephritis revealing an exceptional form of horseshoe kidney: A case report.

INTRODUCTION: The horseshoe kidney is a malformation of the upper urinary tract where the kidney is U-shaped. This condition results the fusion of the lower poles of the right and left kidneys on the midline. CASE PRESENTATION: We report a case of pyelonephritis revealing a rare form of horseshoe kidney with fusion of the lower pole of the right kidney with the upper pole of the left kidney, initially treated with urine drainage. DISCUSSION: Multiple etiological conditions may contribute to the development of a horseshoe kidney, in particular: the genetic/chromosomal predisposition, intrauterine environment and structural factors affecting kidney development and migration. CONCLUSION: Horseshoe kidneys reveal a veritable range of anatomical and embryological peculiarities, always suspect pyelonephritis on a horseshoe kidney in the presence of febrile abdominal pain in a patient with malformations.

Infertility revealing intratubular germinal cell neoplasia of the testis: Case report and review of the literature.

INTRODUCTION: Testicular cancer is the most frequent solid tumor in young people. Most germ cell tumors of the testis, with the exception of vitelline tumors and teratomas in children, and spermatocytic seminoma in the elderly, derive from a common precursor. This precursor, initially described as carcinoma in situ (CIS), is now referred to as intratubular Germinal Cell Neoplasia (ITGCN). CASE PRESENTATION: We report the case of a 37-year-old man with intratubular Germinal Cell Neoplasia (ITGCN) on a testis already treated for cryptorchidism in a context of infertility. We proposed active surveillance, but the patient preferred radiotherapy. DISCUSSION: The origin of ITGCN is still not fully understood. The detection of ITGN is often incidental since it typically does not present with noticeable symptoms, and clinical examination may appear normal. The standard treatment for ITGCN is scrotal radiotherapy. CONCLUSION: The standard treatment for ITGCN is scrotal radiotherapy. However, for patients who desire to preserve fertility, regular observation may be considered as an alternative.

Management of a localized prostatic adenocarcinoma despite the very high rate of PSA and the large tumor mass: Does PSA level indicate the stage of prostate cancer?

Prostate-specific antigen (PSA) is a marker specific to the prostate gland, and it is, therefore, possible to observe an increase in PSA above 4 ng/mL in cases of benign prostatic hypertrophy and cancer. But according to studies, a very high PSA level is most likely synonymous with metastatic prostate cancer. Our rare case concerns the management of a localized prostatic adenocarcinoma despite a very high PSA level of over 3000 ng/mL, with an enormous volume of prostate without invasion or distant metastasis. A very high PSA level can probably be a sign of metastatic prostatic adenocarcinoma, but not necessarily.

Fournier's gangrene revealing an aggressive squamous cell carcinoma of the penis: An exceptional case report.

Fournier's gangrene is a fast progressive necrotizing fasciitis of the perineum and external genitals, It is secondary to polymicrobial infection by aerobic and anaerobic bacteria with synergistic action. The origin of the infection is either cutaneous, urogenital or colorectal. There are age, diabetes and immunosuppression, are frequently present in affected patients. Fluid and electrolyte management, combined with broad-spectrum antibiotic therapy followed rapidly by surgical debridement, is the standard of treatment. we report in this article a very rare case of cancer of the penis manifested by fournier's gangrene.

A rare case report of bile duct compression by a polycystic kidney treated by total nephrectomy after embolization.

INTRODUCTION AND IMPORTANCE: Polycystic kidney disease is a cillopathy characterized by the formation of numerous cysts in the kidneys, sometimes associated with extra-renal forms. Diagnosis is often by chance, or by other complications such as hematuria, urinary tract infections or, rarely, compression of neighboring organs. CASE PRESENTATION: We report the case of a patient consulted for a symptomatology similar to that of acute pancreatitis, whose investigation objectified compression of the main bile duct by a voluminous right kidney polycystic in a CT scan. CLINICAL DISCUSSION: For this compressive complication of the polycystic kidney, a nephrectomy was performed after embolization of the renal artery, given the haemorrhage risk. CONCLUSION: A polycystic kidney should be removed in the event of a compressive complication and, given the risk of haemorrhage, should preferably be preceded by embolization.

Acute hepatic colic led to the discovery of an adrenal myolipoma without a hemorrhagic component: About a rare symptomatologic presentation - Case report.

The discovery of an adrenal myolipoma is often fortuitous, or due to the effects of hypersecretion of the adrenal gland. A large tumor can exert a mass effect on neighbouring organs, as in our case where the myolipoma leads to compression of the main bile duct and causes hepatic colic, which is rare to explain the discovery of an adrenal myolipoma on CT.

Acute epididymitis revealing isolated testicular tuberculosis: A rare case report.

Genitourinary tuberculosis is a rare form of extrapulmonary tuberculosis that affects the kidneys, ureters, prostate, vas deferens, seminal vesicles, testes, and epididymis. Testicular tuberculosis is a very unusual form, We report a rare case of unilateral testicular tuberculosis that manifested as orchi-epididymitis. The main treatment for urogenital tuberculosis is antituberculosis therapy, possibly combined with surgery.

Testicular metastasis of urothelial carcinoma simulating testicular cancer: A rare case report.

Metastatic cancers of the testis are rare. Metastatic disease in the testis from urothelial carcinoma is extremely rare. Usually, metastatic testicular cancers are from primitive prostate, lung, and gastrointestinal tumors. Testicular metastases from urothelial carcinoma should be suspected in patients with hematuria and testicular swelling.

Subcapsular hematoma of the kidney after extracorporeal shock wave lithotripsy: A rare complication.

extracorporeal shock wave (ESLW) is a common and relatively safe procedure, with a high success rate and low side effects. its complications are limited to the kidneys and always disappear spontaneously. Acute pain is the only manifestation of kidney hematoma and should be explored. Conservative treatment is generally the treatment of choice. We reported the case of a 60-year-old man who underwent extracorporeal lithotripsy, 4 h after the procedure, he was presented to the emergency with severe abdominal pain, and a CT scan showed a hematoma of the left kidney. Conservative treatment was performed, and the patient was discharged at home in 48h.

Giant hydatid cyst of the right kidney discovered in a subicterus table.

Hydatidosis is a rare parasitic disease that is endemic in many countries of the Mediterranean basin. Among unusual localizations, renal involvement is rarer (2-3% of visceral forms) than splenic and soft tissue localizations but more frequent than cardiac, bony or cerebral localizations.