Giant urethral stone with diverticulum; a case report

Urethral calculi are rare and represent 1-2% of all urinary stone diseases. Rarely, calculus grows to large size and are labeled as a "giant urethral calculus". A 75-year-old male came to the OPD of Madinah Teaching Hospital Faisalabad with a chief complaint of suprapubic pain, penile pain, and hard mass on the left side of the scrotum and anterior perineum. The patient had a significant history of undergoing debridement for Meleney's and Fournier's gangrene, along with suprapubic cystostomy done about 1.5 years back. Physical examination revealed a solid mass with dimensions 6x7 cm on the left side of the scrotum and anterior perineum (left periurethral area). Open surgery was performed. A huge stone, 6x6cm, was removed. Diverticulae were excised, and urethroplasty was performed. A catheter was removed on the 21st postoperative with a satisfactory urinary stream.

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A Rare Case of Complex Hernia Causing Urethral Obstruction

The Surgery Journal ◽

10.1055/s-0041-1736671 ◽

2021 ◽

Vol 07 (04) ◽

pp. e319-e321

Author(s):

Vivek Agrawal ◽

Chinmay Bagla

Keyword(s):

Inguinal Hernia ◽

Urinary Tract ◽

Incisional Hernia ◽

Urethral Stricture ◽

Rare Case ◽

Early Stage ◽

Pressure Effects ◽

Suprapubic Cystostomy ◽

Urinary Stream ◽

History Of

AbstractAbdominal wall hernias rarely cause obstruction of the urinary tract. We present the case of a patient undergoing regular smooth dilatations for urethral stricture since 8 years who developed right inguinoscrotal swelling and narrowing of urinary stream since 2 years of age. There was a growing difficulty in dilatation due to path distortion of urethra by the hernia. He had a history of open suprapubic cystostomy (SPC) 8 years ago. The patient refused surgery till he landed with an inability to pass dilators and difficulty in passing urine. He was taken up for right inguinal exploration with internal optic urethrotomy (IOU). Intraoperatively, he was found to have right inguinal hernia with incisional hernia at the site of SPC which was repaired and a cystoscopy revealed urethral deviation with anterior urethral stricture for which IOU was done. Postoperatively, the patient's urethral tract straightened and his urinary complaints resolved. A complex hernia can cause urethral deviation and obstruction due to pressure effects of its contents and should be repaired at an early stage.

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Presentation of Psychosis Subsequent to Penile Injection of MDMA in a 60-year-old Patient-A Case Report

10.21203/rs.3.rs-268881/v1 ◽

2021 ◽

Author(s):

Ana Lilian Reyes ◽

Brittany Michael ◽

Tessy Korah

Keyword(s):

Case Report ◽

Chief Complaint ◽

The Body ◽

Psychotic Symptoms ◽

Routes Of Administration ◽

Dorsal Vein ◽

Penile Pain ◽

Polysubstance Use ◽

History Of ◽

Iv Drug Use

Abstract The street drug Molly, the crystal or powder form of MDMA (3,4-methylenedioxymethylamphetamine) is commonly ingested via oral or pulmonary routes. Intravenous administration of MDMA is rare and here we report a case of penile dorsal vein injection of Molly, development of penile abscess, and subsequent psychotic symptoms in a patient with a history of polysubstance use. A 60-year-old Caucasian male was presented to the psychiatric hospital with a chief complaint of hallucinations and homicidal and suicidal ideation following reported use of MDMA. Three days into his hospitalization, he began to experience sever penile pain and upon interviewing disclosed penile injection of MDMA prior to admission. Examination revealed a 1.5 X 0.7 cm abscess with minimal drainage and surrounding erythema on the body of the penis. The treatment course consisted of three days of intramuscular ceftriaxone and six days of oral Minocycline. In this case report, we discuss the challenges and importance of obtaining a thorough history for patients presenting with IV drug use as well as considering uncommon routes of administration.

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Spontaneous haemorrhage of an adrenal angiomyolipoma: case report

African Journal of Urology ◽

10.1186/s12301-019-0006-1 ◽

2019 ◽

Vol 25 (1) ◽

Author(s):

Danielle Whiting ◽

Ian Rudd ◽

Amit Goel ◽

Seshadri Sriprasad ◽

Sanjeev Madaan

Keyword(s):

Case Reports ◽

Case Presentation ◽

Open Adrenalectomy ◽

Large Size ◽

History Of ◽

Loin Pain ◽

Benign Tumours ◽

Spontaneous Haemorrhage ◽

Mesenchymal Tumours

Abstract Background Angiomyolipomas are rare mesenchymal tumours arising from the perivascular epithelioid cells consisting of variable amounts of adipose, thick-walled blood vessels and smooth muscle cells. These benign tumours commonly occur in the kidney with only a few case reports of adrenal angiomyolipomas which have the potential to reach a large size and haemorrhage. Case presentation A 45-year-old lady presented with a 3-week history of right loin pain, nausea and vomiting. A CT scan revealed a right adrenal angiomyolipoma measuring 6.3 × 6.8 cm with associated haemorrhage. The lesion was successfully treated with right open adrenalectomy, and histology confirmed the diagnosis of adrenal angiomyolipoma. The patient remained well with no evidence of recurrence at the 36-month follow-up. Conclusion Adrenal angiomyolipomas are rare benign tumours that have the ability to reach a large size and potential to bleed. Here, we report the second case of spontaneous haemorrhage in an adrenal angiomyolipoma, which was successfully treated with open adrenalectomy.

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Risk of Postpartum Urinary Stone Disease in Women with History of Urinary Stone Disease During Pregnancy

Journal of Endourology ◽

10.1089/end.2021.0223 ◽

2021 ◽

Author(s):

Kyle Spradling ◽

Chiyuan A Zhang ◽

Alan C Pao ◽

Joseph C Liao ◽

John T Leppert ◽

...

Keyword(s):

Urinary Stone ◽

Stone Disease ◽

Urinary Stone Disease ◽

History Of

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Impacted urethral stone presenting as urinary retention in a child

BMJ Case Reports ◽

10.1136/bcr-2020-235022 ◽

2021 ◽

Vol 14 (1) ◽

pp. e235022

Author(s):

Kelly Storm Hoffmann ◽

Alok Godse

Keyword(s):

Urinary Retention ◽

Urethral Catheter ◽

Calcium Oxalate Stone ◽

Accident And Emergency ◽

Urethral Catheterisation ◽

History Of ◽

Accident And Emergency Department ◽

Urethral Stone ◽

Definitive Management

A seven-year-old boy was referred to our Accident and Emergency department with a history of urinary retention secondary to urinary tract infection and an inability to pass a urethral catheter. He had been treated a month before for suspected pyelonephritis by the referring hospital. Attempts at urethral catheterisation failed, and he was taken to theatre for cystourethroscopy and catheter placement. At this time, an impacted urethral stone was discovered. Because it could not be dislodged, a suprapubic catheter was placed, and the child was brought back at a later date for definitive management. Investigations revealed a pure calcium oxalate stone that was secondary in origin. There has been no recurrence during a follow-up period of 6 months.This illustrates that while rare, urethral stones do occur in children and should be considered in children presenting with urinary retention, haematuria and/or abdominal pain.

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Unusual Foreign Body in Urinary Bladder: A Case Report

Journal of Enam Medical College ◽

10.3329/jemc.v1i1.11139 ◽

2012 ◽

Vol 1 (1) ◽

pp. 41-42

Author(s):

Deb Prosad Paul ◽

Debasish Das ◽

Kazi Sohel Iqbal

Keyword(s):

Case Report ◽

Urinary Tract ◽

Foreign Body ◽

Urinary Bladder ◽

Foreign Bodies ◽

Suprapubic Cystostomy ◽

Unusual Foreign Body ◽

Medical College ◽

History Of ◽

Mobile Charger

In the urinary tract, foreign body is most commonly found in the urinary bladder. It is commonly self-inflicted but can rarely be introduced by other person. Various types of foreign bodies have been reported, which includes infusion set, aluminum rod, gold chain, pearl, fish, pencil etc. Here we report a case of a 28-year young man who gave the history of forceful introduction of a long wire of mobile charger into the bladder by another person. It could not be removed by himself and by the local doctors. Then he was referred to Enam Medical College & Hospital and subsequently was removed by suprapubic cystostomy. DOI: http://dx.doi.org/10.3329/jemc.v1i1.11139J Enam Med Col 2011; 1(1): 41-42

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Life on the edge: the ecology and life history of the tropidurine iguanid lizard Uranoscodon superciliosum

Canadian Journal of Zoology ◽

10.1139/z90-204 ◽

1990 ◽

Vol 68 (7) ◽

pp. 1366-1373 ◽

Cited By ~ 28

Author(s):

Jeffrey M. Howland ◽

Laurie J. Vitt ◽

Pamela T. Lopez

Keyword(s):

Life History ◽

Social Interaction ◽

Sexual Dimorphism ◽

Small Diameter ◽

Habitat Specialization ◽

Large Size ◽

Tropical Wet Forest ◽

History Of ◽

Forest Streams ◽

Small Forest

An Amazonian population of the iguanid lizard Uranoscodon superciliosum was studied in lowland tropical wet forest in central Pará, Brazil. These nonheliothermic lizards are restricted to densely vegetated habitats near (often over) water, particularly riverbanks and small forest streams, where they utilize small-diameter perches and feed on a wide variety of invertebrates, apparently at the water's edge. They mature at moderate to large size at an age of about 1.5 years. Production of moderate-sized clutches of eggs is seasonal, and reproduction and fat storage both cycle in association with rainfall and flooding. Although they occur in fairly high densities, social interaction is uncommon and sexual dimorphism is not pronounced. The ecology and life history of this lizard seem to be strongly influenced by the unusual habitat specialization.

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Biochemically silent phaeochromocytoma presenting with non-specific loin pain

BMJ Case Reports ◽

10.1136/bcr-2021-244258 ◽

2021 ◽

Vol 14 (8) ◽

pp. e244258

Author(s):

Annalisa Montebello ◽

Etienne Ceci Bonello ◽

Miriam Giordano Imbroll ◽

Mark Gruppetta

Keyword(s):

Adrenal Adenoma ◽

Dexamethasone Suppression Test ◽

Adrenal Lesion ◽

Genetic Mutations ◽

Large Size ◽

History Of ◽

Loin Pain ◽

Suppression Test ◽

Aldosterone To Renin Ratio ◽

Dexamethasone Suppression

A 55-year-old woman presented with a 4-month history of right-sided non-specific loin pain and 6 kg weight loss. A CT scan of the abdomen and pelvis showed an incidental 4.5 cm right-sided adrenal lesion which was not typical of an adrenal adenoma. This was further confirmed on MRI of the adrenals. Biochemical investigations to investigate for a functional adrenal lesion included serum catecholamines and metanephrines, an aldosterone to renin ratio and an overnight dexamethasone suppression test. These were all negative. A laparoscopic adrenalectomy was performed in view of the large size of the lesion. Histology was consistent with a phaeochromocytoma, which confirmed the diagnosis of a non-secreting phaeochromocytoma. Non-secreting phaeochromocytomas are rare and usually found in patients with known genetic mutations. Adrenal lesions not related to any mutations similar to our case are even rarer and reported even less in the literature.

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CONCEALED DIVERTICULUM OF THE MALE URETHRA AS A CAUSE OF URINARY OBSTRUCTION

PEDIATRICS ◽

10.1542/peds.1.1.44 ◽

1948 ◽

Vol 1 (1) ◽

pp. 44-51

Author(s):

ROBERT E. GROSS ◽

ALEXANDER H. BILL

Keyword(s):

External Surface ◽

Case Reports ◽

Ventral Surface ◽

Posterior Urethral Valves ◽

Urinary Obstruction ◽

Intermittent Fever ◽

Infancy And Childhood ◽

Urinary Stream ◽

History Of ◽

Urinary Dribbling

In infancy and childhood there are many causes for obstruction to the flow of urine through the urethra. These include preputial adhesions,meatal narrowing, urethral stricture, posterior urethral valves, and contracted bladder neck. It has been known also that congenital diverticula of the urethra can give rise to urinary obstruction. These have been studied by Watts1 in 1906, by Lowsley and Gutierrez2 in 1928, by Kretschmer3 in 1936, and by Campbell4 in 1937. Such diverticula have been detected heretofore by the presence of a swelling on the ventral surface of the penis, in the peno-scrotal angle, or in the perineum. It is the purpose of this paper to present three cases of concealed diverticula of the urethra in each of which there was urinary obstruction; in none of these was there any swelling on the external surface of the penis. In two of these children the cause of obstruction was not recognized during life;death ensued as a result of urinary tract infection and the urethral abnormalities were found at autopsy. In the third child the cause of obstruction was found by roentgenologic visualization of the urethra, and surgical relief of the obstruction was prompdy instituted. CASE REPORTS Case 1 Children's Hospital #153,603. This 5-year-old boy was admitted to the Surgical Service on October 3, 1931, with a history of urinary dribbling,intermittent fever, and pyuria. The mother stated that until 1½ years of age, the child had had no urinary stream, the urine coming away only in a slow

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The largest known cowrie and the iterative evolution of giant cypraeid gastropods

Scientific Reports ◽

10.1038/s41598-020-78940-9 ◽

2020 ◽

Vol 10 (1) ◽

Author(s):

Stefano Dominici ◽

Mariagabriella Fornasiero ◽

Luca Giusberti

Keyword(s):

Species Richness ◽

Evolutionary History ◽

Western Europe ◽

Negative Relationship ◽

Species Selection ◽

Biogeographic Patterns ◽

Large Size ◽

Northeastern Italy ◽

History Of ◽

Iterative Evolution

AbstractBased on the fossil record, we explore the macroevolutionary relationship between species richness and gigantism in cowries (Cypraeidae), the best-studied family of gastropods, with a global diversity distribution that parallels that of tropical corals, mangroves and seagrasses. We introduce Vicetia bizzottoi sp. nov. based on a Priabonian fossil found in northeastern Italy, the largest documented cowrie found so far and the youngest of a lineage of Eocene Gisortiinae species. The Gisortiinae stratigraphic record in western Europe indicates that species selection favoured large size and armouring of the shell. Palaeoecology and per-stage species richness suggest that gigantism occurred in peripheral habitats with respect to diversity hotspots, where smaller species were favoured. The Eocene–Oligocene boundary was marked by a turnover and the Chattian global warming favoured small-sized species of derived clades. Species selection leading to gigantism is further documented in Miocene lineages of Zoila and Umbilia, in the southern hemisphere, two extant genera distributed at the periphery of modern diversity hotspots, suggesting that the negative relationship between size and diversity is a recurring pattern in the evolutionary history of cowries. This palaeontological evidence is projected onto the existing hypotheses that explain analogous biogeographic patterns in various other taxa. Likewise, body size-species richness negative relationship was possibly driven in cowries by physiological, ecological and life history constraints.

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