ABSTRACT

Congenital scrotal disorders, including penoscrotal transposition, bifid scrotum, ectopic scrotum, and accessory scrotum are unusual anomalies. We present a case of ectopic scrotum with renal agenesis.

Atul Khandelwal, Mahendra Singh, Rajesh Tiwari, Vijoy Kumar, Sanjay Kumar Gupta, Rohit Upadhyay

Submitted October 11, 2012 - Accepted for Publication November 8, 2012

KEYWORDS: Ectopic, scrotum, suprainguinal

CORRESPONDENCE: Atul Khandelwal, MBBS, MS, Indira Gandhi Institute of Medical Sciences, Patna, Bihar, India (atulkhandelwal288@gmail.com)

CITATION: UroToday Int J. 2012 December;5(6):art 68. http://dx.doi.org/10.3834/uij.1944-5784.2012.12.13

ABSTRACT

Background: Ganglioneuromas are rare benign tumors arising from the autonomic nervous system, and they are composed of well-differentiated Schwann and ganglion cells.

Case Report: An 11-year-old girl presented with colicky right loin pain that had occurred on and off for the past 1 year. On evaluation, she was found to have a retroperitoneal mass of 6 cm x 4 cm just below the right renal hilum. Her laboratory parameters were normal. The mass was hormonally silent. Surgery was performed and the mass was resected completely. The mass was closely opposed to the inferior vena cava with tributaries to it. Fibrous attachments were also noted on the spine, which were freed. Her histopathology and immunohistochemistry confirmed the mass to be a ganglioneuroma. Her neuron-specific enolase marker was positive. She was symptom free at 3 months post surgery, and her imaging was normal.

Conclusion: Ganglioneuromas have an excellent prognosis. This case is presented for its rarity and unique presentation as right colicky pain.

Paul Vincent, Udaya Kumar

Submitted October 2, 2012 - Accepted for Publication November 8, 2012

KEYWORDS: Ganglioneuroma, retroperitoneal mass, retroperitoneal ganglioneuroma, ureteric colic

CORRESPONDENCE: Paul Vincent, MBBS, DNB (General Surgery), DNB (Urology), MIMS Hospital, Kottakkal, Kottakkal, Kerala, India

CITATION: UroToday Int J. 2012 December;5(6):art 71. http://dx.doi.org/10.3834/uij.1944-5784.2012.12.16

 

ABSTRACT

The widespread use of imaging diagnostic tools has led to the detection of a greatly increased number of incidental renal tumors. Many of these tumors are benign and can be treated with nephron sparing surgery or radical nephrectomy. However, the clinical and even imagiological aspects of these histopathologically benign tumors are too scarce and nonpathognomonic, making their diagnosis rather difficult. Metanephric adenoma (MA) of the kidney, a rare and benign neoplasm, is an example of an entity usually difficult to distinguish from malignant neoplasms. We report one clinical case and review of this clinical entity emphasizing the need for better and more accurate diagnostic means for benign renal masses.

R. R. Leão, B. J. Pereira, R. Borges, V. Grenha, H. Coelho

Submitted August 13, 2012 - Accepted for Publication October 25, 2012

KEYWORDS: Echinococcus, cystic hydatid disease, retroperitoneum, secondary hypertension

CORRESPONDENCE: Ricardo Romão Nazário Leão, Department of Urology and Renal Transplantation, University Hospital Center EPE General Hospital, Quinta dos Vales, Sao Martinho do Bispo, 3041 Coimbra, Portugal (romaoleao@gmail.com)

CITATION:UroToday Int J. 2012 December;5(6):art 67. http://dx.doi.org/10.3834/uij.1944-5784.2012.12.12

ABSTRACT

Spontaneous migration of foreign bodies into the bladder is rare. Patients present late with urinary symptoms. Here we report two such cases of delayed tranvesical migration: a large bullet and an intrauterine device (Copper-T), with their successful retrieval by endoscope and a minimally invasive procedure.

Tapas Kumar Majhi, Supriya Basu, Anowar Ali Mallick, Dilip Kumar Pal

Submitted October 11, 2012 - Accepted for Publication November 8, 2012

KEYWORDS: Foreign bodies, intravesical, migration, IUD

CORRESPONDENCE: Dilip Kumar Pal, Vinayak Garden, Flat No. A/3D 41B, Simla Road, Kolkata, 700006, India (drdkpal@yahoo.co.in)

CITATION: UroToday Int J. 2012 December;5(6):art 69. http://dx.doi.org/10.3834/uij.1944-5784.2012.12.14

ABSTRACT

The guide wire is a very useful medical device that helps make the cannulation of blood vessels or hollow structures safer. However, guide wires themselves can be a source of complication, such as with perforation and bleeding. Kinking of the guide wire is another complication that is less described. We postulate the sequence of events that precede kinking and discuss the ways to avoid them.

 A 60-year-old man underwent optical urethrotomy for a bulbar urethral stricture. A guide wire was passed into an existing suprapubic catheter (SPC) track to facilitate the passage of a flexible cystoscope. This was performed to examine the proximal extent of the urethral stricture. At the end of the procedure, there was unexpected resistance when withdrawing the guide wire from the bladder. Cystoscopic examination via the SPC track eased the guide wire out eventually. It was found that a kink in the guide wire had prevented its smooth retrieval. The cause of this complication was likely due to looping of the guide wire within the bladder. The loop then resulted in the guide wire getting kinked. In order to prevent kinking, one must avoid looping. Looping occurs when an excessive length of guide wire is forced into a confined space. Therefore, it is important to stop advancing the guide wire when resistance is felt. Another method to avert this problem is to first estimate the length of guide wire that would pass into the space without it curling back. Then pass the guide wire only up to the point where it is deemed adequate. By practicing such precautions, the chances of running into a complication, such as guide wire kinking, can be reduced significantly.

Guan Hee Tan, Hemanth Kumar Ramasamy, Kah Ann Git

Submitted July 26, 2012 - Accepted for Publication August 10, 2012

KEYWORDS: guide wire, complications, endourology

CORRESPONDENCE: Guan Hee Tan, MBBS, MRCS, MS, Universiti Kebangsaan Malaysia, Cheras, Kuala Lumpur, Malaysia (guanhee3479@yahoo.com)

CITATION: UroToday Int J. 2012 December;5(6):art 65. http://dx.doi.org/10.3834/uij.1944-5784.2012.12.10