Urinary bladder metastasis from primary lung cancer, a rare and challenging diagnosis: a case report.

Bladder metastases are rare, representing only 2% of all bladder tumors, secondary bladder localization from a primary lung is exceptional. Case presentation: The authors describe the case followed for lung adenocarcinoma with an exceptional metastatic site, which is the bladder. A computed tomography scan showed a left suprahilar bronchial tumor with pleurisy (Fig. 1A), which biopsies concluded to a moderately differentiated adenocarcinoma. The patient is treated with palliative cisplatin-based chemotherapy. And died 11 months after diagnosis. Clinical discussion: Bladder metastases are rare, representing only 2% of all malignant bladder tumors. Metastatic lesions of the bladder are generally revealed by hematuria. Confirmation of bladder invasion is immunohistochemical, facilitated by knowledge of the primitive. Conclusion: In the presence of any adenocarcinoma of the bladder, a thoracic-abdominal-pelvic computed tomography scan must be requested in search of a primary extra-vesical cancer who can facilitate the diagnosis.

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.

A case of grade V renal trauma with total avulsion of renal artery and vein: Management strategies and outcomes.

Renal trauma is a serious condition that can result in significant morbidity and mortality, particularly in the case of Grade V injuries with complete avulsion of the renal artery and vein. We report a case of a 22-year-old male who sustained a Grade V renal injury in a motor vehicle accident resulting in total avulsion of the renal artery and vein. The patient underwent immediate surgical exploration with successful nephrectomy and ligation of the renal pedicle. This case reports aims to discuss the management strategies for severe renal injuries and the outcomes associated with this approach.

Massive bilateral polycystic kidneys, successful treatment with embolization and nephrectomy: A case report.

Polycystic kidney disease (PKD) is a genetic disorder characterized by the formation of multiple cysts in the kidneys. We present a case of a 47-year-old male with PKD on dialysis who underwent bilateral renal artery embolization followed by bilateral nephrectomy via a median incision. The specimen weight was 5 kg for the left kidney and 8 kg for the right one. Renal artery embolization can be a useful tool in managing polycystic kidney disease in cases where nephrectomy is indicated. This case highlights the importance of timely intervention and the role of minimally invasive techniques in managing this rare condition.

Acute abdomen revealing giant inguinoscrotal bladder hernia.

Inguinal bladder hernia is a very rare clinical form, representing 1-4% of inguinal hernias. More than 90% of cases are discovered intraoperatively, with iatrogenic bladder injury occurring in 16% of cases. We report the case of a 67-year-old patient with a history of left inguinal hernia, who presented with a strangulated inguinoscrotal hernia with a tense bursa, painful spontaneously and irreducible to palpation. The abdominopelvic CT scan revealed a giant inguinoscrotal bladder hernia. The bladder resection for a necrosis portion was indicated. This case presents interesting considerations and potential pitfalls when evaluating a patient with an inguinal hernia.

Ureteral Endometriosis Presenting As Left Ureteral Obstruction: A Case Report.

Ureteral endometriosis is a very rare but serious form of infiltrating endometriosis since the risk of urinary tract obstruction and secondary loss of renal function exists. Although not always possible, the clinical and radiologic assessment may help in obtaining a preoperative diagnosis. We report the case of a 42-year-old woman with left ureteral endometriosis, revealed by left flank pain. Imaging revealed left obstructive uropathy with an endometriotic cyst of the left ovary and a spiculated lesion of the left parametrium. She underwent laparotomy, resection of the diseased ureter with primary re-anastomosis, resection of a left parametrial lesion and an endometriotic left ovarian cystectomy. The pathological assessment confirmed the diagnosis of ureteral endometriosis. Follow-up of the patient showed complete resolution with a stable, normal kidney function. In conclusion, ureteral endometriosis involvement is infrequent but should be included in the differential diagnosis in a premenopausal woman with ureteral obstruction of unknown cause. An early diagnosis and obstruction relief are critical to a successful outcome.

Acute abdomen revealing a testicular torsion of an undescended testis "case report".

Undescended testis is a common situation in pediatric age groups, often asymptomatic. Torsion of an undescended testis remains an exceptional condition. Delayed diagnosis in many cases involves the prognosis of the testis, hence the importance of a correct clinical assessment including the examination of the external genitalia. Immediate surgical exploration should be performed without delay for testicular salvage. This paper aims to report the first case of torsion of an undescended testis in a 16 years old patient with bilateral testicular ectopy.

Coexistence of Emphysematous Pyelonephritis and Cystitis in a Patient with COVID-19 Complicated with Spontaneous Pneumomediastinum.

We report the first case of a 52-year-old nondiabetic male admitted for management of uremic syndrome associated with emphysematous pyelonephritis (EPN), renal and perinephric abscess, and emphysematous cystitis (EC) on a single functional kidney with a large abundance of spontaneous pneumomediastinum (SP) complicating a SARS-CoV-2 pneumonia. The patient has benefited from several dialysis sessions, intravenous antibiotics, and percutaneous drainage. His clinical course was complicated by acute respiratory distress syndrome, and unfortunately, he died nine days following admission.

A Giant Solitary Adrenal Plasmacytoma in a Patient with HIV: A Rare Case Report and Review of the Literature.

Solitary extramedullary plasmacytoma (EMP) involving the adrenal gland is an extremely rare malignancy. We report a case of a solitary adrenal plasmacytoma in an HIV-positive 50-year-old woman on antiretroviral therapy who presented with a rapidly progressing lumbar left masse. A CT scan objectified a locally advanced left adrenal mass measuring 135mm long axis. A biopsy was taken, and the histopathology with the immunohistochemical study objectified an adrenal gland plasmacytoma. The skeletal survey and the sternal suction biopsy did not show any abnormalities. The diagnosis of a solitary EMP of the adrenal gland was made. There are only 10 cases of solitary adrenal plasmacytoma with only one case associated with an HIV-positive patient reported in the literature. Therefore, this paper is aimed at presenting the second case of an HIV-positive patient diagnosed with solitary adrenal plasmacytoma.

Penile necrosis by calciphylaxis leading to gangrene in a patient with chronic renal failure on dialysis: A case report.

INTRODUCTION: Penile calciphylaxis is a rare disease whose diagnosis is not easy. It is associated with chronic renal failure. It is a result of media calcification and blood vessels' fibrosis such as penile arteries that eventually lead to gangrene formation in extremities and penis. Calcific uremic arteriolopathy is commonly associated with secondary hyperparathyroidism and high level of calcium and phosphate. PRESENTATION OF CASE: In this paper, we report a case of penile necrosis induced by calciphylaxis associated with chronic renal failure and diabetic macroangiopathy. We performed a partial and total amputation in two stages because of the wound infection. The patient died one week after a total penectomy. DISCUSSION: The skin biopsy is the gold standard for the diagnosis despite being a risky process. In most cases, appropriate medical management is advocated. The treatment of this pathology is still controversial. CONCLUSION: The management of this rare situation is controversial, and its diagnosis is still difficult due to the scarcity of reported cases.

Renal cell carcinoma revealed by sternal tumefaction: A rare case report and literature review.

Usual location of metastasis are in renal cell carcinoma (RCC) the lung, liver, bone, adrenal and brain. Here we report on an unusual case of a 76-year-old male with a solitary sternal metastasis as an initial presentation of clear-cell RCC. The management of metastatic kidney cancer has been disrupted over the last decade by the emergence of new treatments and the progress of surgery and ablative techniques. the Carmena study suggests that sunitinib alone is not inferior to the NCR followed by sunitinib, the patient has therefore been transferred to oncology for medical treatment (targeted therapy).

Enterovesical fistula secondary to transitional cell carcinoma of the bladder in a 20 years old patient: A rare entity.

Bladder cancers are not very common in young people under 20 years, especially with an atypical presentation such as faecaluria due to enterovesical fistula. This report describes the case of a 20 years old man who was diagnosed with a mass involving the small intestine and bladder during the course of investigations for faecaluria and abdominal pain. Histopathological examination of the biopsies during cystoscopy revealed: muscle invasive transitional cell carcinoma, while the computerized tomography scan had confirmed the enterovesical fistula. The patient was traited by Radical cystectomy with extended pelvic lymph node dissection and ileocecal resection as ultimate curative treatment.

Adrenal myelolipoma: from tumorigenesis to management.

Adrenal myelolipoma (MLS) is a rare, benign and non-functional neoplasm, composed of adipose tissue and myeloid. We report a rare case of adrenal myelolipoma of a 20-year-old female revealed with chronic abdominal pain. Computed tomography (CT) scan of the abdomen guided diagnosis and surgical resection was performed given symptomatic and bulky mass. Histological examination confirmed the diagnosis. At 18 months after the surgery, the patient had no evidence of recurrence. The diagnosis of MLS is radiological. Therapeutic abstention is the rule for a small, asymptomatic tumor. The surgical removal is indicated when it is bulky (exceeds 7cm), symptomatic or hormonal activity.