scholarly journals Urachal Mucinous Cystadenocarcinoma

2019 ◽  
Vol 12 (1) ◽  
pp. e228089
Author(s):  
Ryan Pereira ◽  
Stephen McGeorge ◽  
Marlon Perera ◽  
Ian Vela
Keyword(s):  
Bladder Wall ◽  
Pelvic Mass ◽  
Pubic Symphysis ◽  
Cystic Mass ◽  
Pelvic Lymphadenectomy ◽  
Urachal Remnant ◽  
Urinary Tract Symptoms ◽  
History Of ◽  
Open Excision ◽  
Lower Urinary

A 57-year-old man presented with a 6-month history of pelvic fullness. He had no lower urinary tract symptoms or altered bowel habits. On examination, there was a non-tender pelvic mass which extended from the pubic symphysis to the level of the umbilicus. CT scan of the abdomen demonstrated a 22×11×11 cm cystic mass arising from the pelvis extending into the midline and superiorly to the umbilicus. Other than raised carcinoembryonic antigen of 7.6 ng/mL (<5.0), the remainder of his blood test were unremarkable. Flexible cystoscopy demonstrated a convex deformity of the bladder wall in keeping with the compression and displacement as seen on the CT. The patient underwent an open excision of the cystic structure (urachal remnant), partial cystectomy, partial excision of anterior abdominal wall and pelvic lymphadenectomy. A check cystogram performed 12 days following the initial operation was unremarkable.

scholarly journals Laparoscopic removal of a pelvic cyst associated with obstructedmegaureter and dysplastic renal remnant

2013 ◽  
Vol 3 (2) ◽  
pp. 159 ◽  
Author(s):  
Michael L. Pianezza ◽  
Eric P. Estey
Keyword(s):  
Lower Urinary Tract ◽  
Bladder Wall ◽  
Renal Tissue ◽  
Urinary Tract Symptoms ◽  
History Of ◽  
The Right ◽  
Laparoscopic Removal ◽  
Pelvic Cyst ◽  
Surgical Option ◽  
Lower Urinary

We report a case of a 41-year-old man with a solitary functioningleft kidney and history of chronic pelvic discomfort associatedwith lower urinary tract symptoms. Imaging revealed a largecystic structure in the pelvis attached to a dilated tortuous ureteron the right with congenital absence of the right kidney. The patientunderwent laparoscopic removal of the pelvic cyst and dilatedright ureter. Pathological assessment revealed mesonephric remnantsrepresenting dysplastic renal tissue attached to a dilated andobstructed megaureter, extending into the bladder wall and forminga large pelvic cyst. The patient’s symptoms resolved. A laparoscopicapproach represents an excellent surgical option for pelvicpathology.Nous décrivons le cas d’un homme de 41 ans porteur d’un seulrein fonctionnel (gauche) et ayant des antécédents de douleurspelviennes chroniques liées à des symptômes affectant les voiesurinaires inférieures. Les épreuves d’imagerie ont révélé une massekystique volumineuse au niveau du pelvis, une dilatation et unesinuosité urétérales du côté droit et l’absence congénitale derein droit. Le patient a subi une ablation par laparoscopie du kystepelvien et de la section dilatée de l’uretère droit. L’évaluationpathologique a révélé des vestiges mésonéphriques constituésde tissu rénal dysplasique lié à un méga-uretère obstrué avec dilatationkystique se prolongeant dans la paroi vésicale et formant ainsiun kyste pelvien volumineux. Les symptômes du patient ont disparu.Une approche laparoscopique représente une excellenteoption chirurgicale en présence de pathologie pelvienne.

scholarly journals Cystoscopy to remove an intrauterine contraceptive device embedded in the urinary bladder wall: a case report and literature review

2021 ◽  
Vol 49 (5) ◽  
pp. 030006052110150
Author(s):  
Rui Qu ◽  
Luo Yang ◽  
Yi Dai
Keyword(s):  
Urinary Bladder ◽  
Lower Urinary Tract ◽  
Bladder Wall ◽  
Intrauterine Contraceptive Device ◽  
Contraceptive Device ◽  
Urinary Tract Symptoms ◽  
Intrauterine Contraceptive ◽  
Urinary Bladder Wall ◽  
History Of ◽  
Lower Urinary

Migration and embedding of an intrauterine contraceptive device (IUCD) in the urinary bladder wall is rare. We present such a case of a 30-year-old woman with complaints of persistent lower urinary tract symptoms and a history of IUCD placement 8 years earlier. The IUCD was successfully removed with cystoscopy alone. The patient recovered well and had her second baby after the surgery without complaints of new urinary symptoms.

Primary diffuse large B cell lymphoma (DLBCL) of the prostate presenting with lower urinary tract symptoms (LUTS)

2020 ◽  
Vol 13 (12) ◽  
pp. e236280
Author(s):  
Ayesha Nusrat ◽  
Syed Muhammad Nazim
Keyword(s):  
Urinary Tract ◽  
B Cell ◽  
Lower Urinary Tract ◽  
Cell Lymphoma ◽  
B Cell Lymphoma ◽  
Large B Cell Lymphoma ◽  
Urinary Tract Symptoms ◽  
History Of ◽  
Large B Cell ◽  
Lower Urinary

Malignant lymphomas of the prostate are very rare tumours and are generally not considered in the clinical or pathological diagnosis of prostatic enlargement. We report a case of a 56-year-old man who presented with long-standing history of low back pain and a 2-month history of voiding lower urinary tract symptoms. He denied any history of urinary retention, trauma, catheterisation or any constitutional symptoms. Examination revealed no lymphadenopathy and hepatosplenomegaly. Digital rectal examination showed an irregular, moderately enlarged nodular prostate. His prostate-specific antigen was 1.54 ng/mL. MRI of the pelvis did not show any focal lesion apart from abnormal signal intensity in the central zone. Bone scan was negative. Transrectal ultrasound-guided prostate biopsy revealed diffuse large B cell lymphoma. Bone marrow biopsy and whole body positron emission tomography/CT were unremarkable. The patient achieved complete remission after receiving six cycles of R-CHOP chemotherapy.

scholarly journals Low grade transitional cell carcinoma of the urethra successfully treated with only intraurethral instillation of Mitomycin-C

2018 ◽  
Vol 1 (2) ◽  
Author(s):  
Sharfuddeen A. Mashi ◽  
Sani A. Aji ◽  
Muzzammil Abdullahi ◽  
Bashir Yunusa ◽  
Sani U. Alhassan
Keyword(s):  
Mitomycin C ◽  
Urothelial Cancer ◽  
Transitional Cell ◽  
Significant Risk ◽  
Low Grade ◽  
Short Segment ◽  
Urinary Tract Symptoms ◽  
History Of ◽  
Posterior Urethra ◽  
Lower Urinary

Urethral cancer is very rare disease, accounting for less than 0.5% of incidences of malignancies. Data on its management are scarce due to the rare nature of the cases. We present a 34-year-old man, who presented to our hospital with a month history of hematuria. He had no lower urinary tract symptoms and no significant risk factors for urothelial cancer. He was evaluated and found to have lesions in the posterior urethra on urethrocytoscopy, biopsy of which revealed a low-grade urothelial cancer. He was counselled and had 6 courses of intraurethral instillation of 40mg of Mitomycin-C diluited in 50mL of saline held in the urethra with penile clamp for 30 minutes. The hematuria stopped after the second course, a repeat urethrocystoscopy 6 months after the completion of the chemotherapy, showed resolution of the lesion and repeat biopsy showed no evidence of malignancy. However, the patient developed short segment partial penile urethral stricture that was treated with dilatation. In conclusion, low-grade urothelial cancer of the urethra can be successfully cured with Intraurethral instillation of Mitomycin-C, without prior transurethral resection.

scholarly journals Intravesical Migration of Missed Intrauterine Device Associated with Stone Formation: A Case Report and Review of the Literature

2015 ◽  
Vol 2015 ◽  
pp. 1-4 ◽  
Author(s):  
Mücahit Kart ◽  
Turgay Gülecen ◽  
Murat Üstüner ◽  
Seyfettin Çiftçi ◽  
Ufuk Yavuz ◽  
...  
Keyword(s):  
Lower Urinary Tract ◽  
Stone Formation ◽  
Intrauterine Device ◽  
Laboratory Finding ◽  
Bladder Wall ◽  
Abdominal Ultrasound ◽  
Review Of The Literature ◽  
Urinary Tract Symptoms ◽  
Periodic Evaluation ◽  
Lower Urinary

Intrauterine device is the most widely used method of reversible contraception. It may cause various complications including perforation of uterus. In this case, 44-year-old woman was presented with lower urinary tract symptoms after six years of insertion. Patient has no remarkable physical or laboratory finding but abdominal ultrasound revealed a 27 mm hyperechogenicity, suggestive of foreign body or calculus on the posterior bladder wall which was removed endoscopically. This case highlights the need of immediate and periodic evaluation of women with intrauterine device to avoid missing serious complications.

scholarly journals Foreign body in urinary bladder: our experience and review of literature

2019 ◽  
Vol 6 (12) ◽  
pp. 4327 ◽  
Author(s):  
Mohd Hamid Shafique Ahmed ◽  
Prakash W. Pawar ◽  
Ajit S. Sawant ◽  
Jitendra Sakharani ◽  
Amandeep Arora ◽  
...  
Keyword(s):  
Foreign Body ◽  
Urinary Bladder ◽  
Foreign Bodies ◽  
Clinical Presentation ◽  
Presentation Mode ◽  
Medical College ◽  
Urinary Tract Symptoms ◽  
History Of ◽  
Lower Urinary

Background: The objective of the study was to study clinical presentation, mode of insertion, and management of intravesical foreign bodies in patients treated at our hospital.Methods: This was a retrospective study conducted between January 2018 to June 2019. Six patients underwent treatment for urinary bladder foreign body at Lokmanya Tilak Municipal Medical College and Sion Hospital, Mumbai, Maharashtra, India. Medical records were analyzed retrospectively with regard to nature of foreign body, each patient’s clinical presentation, the mode of insertion and how the foreign was managed.Results: A total of six foreign bodies were retrieved from patients’ urinary bladders. The patients range in age from 28 to 65 years (mean age was 45 years). The Clinical presentation includes Lower urinary tract symptoms. Four patients were male and two were female. Circumstance of insertion was iatrogenic in 5 patients and self-insertion in 1 patient. Five patients were treated endoscopically (cystoscopy retrieval with or without cystolithotrity) and one patient with supra pubic cystostomy. Post-operative hospital stay was of 1 to 2 days. Mean follow up period was 3 months. Psychiatric referral and counseling were done in patients with history of self-insertion of foreign body in urinary bladder.Conclusions: Foreign body in the urinary bladder remain a challenge to the urologist. Removal of the foreign body without injury to the urinary bladder or the urethra gives good outcome.

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