A rare cause of acute urinary retention in a young man: A median raphe penile cyst

Background: A penile median raphe cyst is an uncommon congenital lesion that is formed due to failure of the median raphe to close completely during embryo development. The majority of the cysts are asymptomatic and often go unnoticed. Here, we report acute urinary retention as a very rare complication of a penile median raphe cyst. Case presentation: A 21-year-old single man presented with a sudden onset of acute urinary retention of one days’ duration. Urethral catheterization was done at the Emergency Department and this drained 800 ml of urine. On further questioning, he claimed that he had had a painless nodule at the glans penis since childhood. The swelling increased in size in the past week causing discomfort. He denied any history of genitalia trauma or recent sexual intercourse. On examination, there was a bluish lesion over the ventral aspect of the glans penis measuring about 3 x 2 cm. The lesion was later excised and histopathology revealed a median raphe cyst of the penis. Conclusion: A penile median raphe cyst is a rare lesion. Acute urinary retention caused by this lesion is very rare.

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Natural history of benign prostatic hypertrophy and acute urinary retention

Urology ◽

10.1016/0090-4295(76)90560-4 ◽

1976 ◽

Vol 7 (1) ◽

pp. 48-52 ◽

Cited By ~ 99

Author(s):

John D. Birkhoff ◽

A. Roger Wiederhorn ◽

Mary L. Hamilton ◽

Hans H. Zinsser

Keyword(s):

Natural History ◽

Urinary Retention ◽

Acute Urinary Retention ◽

Benign Prostatic Hypertrophy ◽

Prostatic Hypertrophy ◽

History Of

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Reversible Cerebral Vasoconstriction Syndrome Associated with Infundibular Dilation

European Journal of Case Reports in Internal Medicine ◽

10.12890/2020_001839 ◽

2020 ◽

Author(s):

Héctor Montenegro-Rosales ◽

Blanca Karina González-Alonso ◽

Omar Cárdenas-Sáenz ◽

Alonso Gutierrez-Romero

Keyword(s):

Cerebral Arteries ◽

Imaging Study ◽

Sudden Onset ◽

Severe Headache ◽

Reversible Cerebral Vasoconstriction Syndrome ◽

Initial Image ◽

Case Presentation ◽

Cerebral Vasoconstriction ◽

History Of ◽

Visual Disturbances

Background: Reversible cerebral vasoconstriction syndrome (RCVS) is defined as a clinical and radiological syndrome that comprises a group of disorders characterized by sudden-onset severe headache and segmental vasoconstriction of the cerebral arteries with resolution within 3 months. Case presentation: A 51-year-old female patient with a 2-week history of sudden-onset severe headache, visual disturbances and cerebellum; no relevant imaging findings, except for an infundibular dilation at the origin of the posterior communicating artery, and so, angiography was performed. When symptoms persisted, a new imaging study was carried out with findings of RCVS as the cause of the symptoms from the beginning. Conclusions: Findings of RCVS can be obtained in various vasculopathies of the nervous system and vasculitis, being misdiagnosed, and so, clinical suspicion is essential; if vasoconstriction is not demonstrated on the initial image and other diagnoses have been excluded, the patient should be managed as having possible or probable RCVS.

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Leptomeningeal Cyst in the Adult: Case Report and Review of the Literature

Surgical Case Reports ◽

10.31487/j.scr.2021.02.05 ◽

2021 ◽

pp. 1-3

Author(s):

Paula Pilar Morales Cejas ◽

Yanire Sánchez Medina ◽

Marta García Berrocal ◽

Luis Francisco Gómez Perals

Keyword(s):

Case Report ◽

Rare Complication ◽

Review Of The Literature ◽

Adult Case ◽

Leptomeningeal Cyst ◽

Case Presentation ◽

Affected Area ◽

Previous Trauma ◽

History Of ◽

Childhood Fractures

Background: Leptomeningeal cysts are a rare complication of childhood fractures, being very rare in adulthood and usually related to previous trauma generated in children. Case Presentation: We present a case of “growing fracture” in a 70-year-old woman with a history of head injury in childhood, who clinically debuted with paresthesia-dysesthesia in the left hemicranium and hypersensitivity and pain in the affected area, and who was treated with surgical treatment. Conclusion: We review the pathogenesis, diagnosis and treatment of this injury today.

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Acute Esotropia During an Adenoviral Keratoconjunctivitis

10.21203/rs.3.rs-430530/v1 ◽

2021 ◽

Author(s):

Jaime Moya Roca ◽

Mariola Lledó-Riquelme ◽

Ezequiel Campos-Mollo ◽

Carmela Porcar-Plana ◽

Elena Navarro-Hernández ◽

...

Keyword(s):

Viral Infection ◽

Young Patient ◽

Sudden Onset ◽

Case Presentation ◽

History Of

Abstract Background Acute acquired comitant esotropia (AACE) is a very infrequent subtype of esotropia that has been used to describe a sudden onset of concomitant esotropia with diplopia in adults. Despite the multiple reports carried out its cause is still controversial. Case presentation: We describe a case of a young patient who presented an AACE during the course of an adenoviral keratoconjunctivitis. The patient had no history of previous strabismus. As a result of surgery the patient recovered orthotropy. Conclusion AACE is a very infrequent strabismus that has been related with many etiologies and that it occurs during a viral infection is extremely rare. We report a case of an acute acquired comitant esotropia during an adenoviral keratoconjunctivitis that has not been published before.

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Rapidly Evolving Deep Dissecting Hematoma With Sudden Onset, Developed One Month After A Minimal Trauma.

10.21203/rs.3.rs-889457/v1 ◽

2021 ◽

Author(s):

Rémy Hamdan ◽

Narcisse Zwetyenga ◽

Yvan Macheboeuf ◽

Patrick Ray

Keyword(s):

Ultrasound Examination ◽

Sudden Onset ◽

Blood Collection ◽

Case Presentation ◽

Minimal Trauma ◽

Muscle Fascia ◽

History Of ◽

Operative Report ◽

The Right ◽

A Minor

Abstract Background: Deep dissecting hematoma is a rapidly extending blood collection that splits the hypodermis from muscle fascia, constituting a medical surgical emergency. The natural history of this condition includes trauma (even minor physical injury) shortly before onset of the lesion, occurring in a patient with advanced dermatoporosis. Case presentation: We report the admission of a 70-year-old woman to the emergency department of our hospital for the onset of a deep dissecting hematoma one month after a negligible trauma in the right leg, complicating secondary iatrogenic dermatoporosis. Bedside ultrasound examination was used to eliminate differential or additional diagnoses and to assess the main features of the hematoma (dimensions, existence of blood supply). Surgical debridement and hematoma drainage were performed due to rapid horizontal extension of the hematoma and unresolved pain, with the operative report confirming the diagnosis. Conclusion: This observation emphasises that in patients with severe dermatoporosis, several weeks can elapse between a minor impact and the sudden development of a limb-threatening deep dissecting hematoma.

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Pneumomediastinum complicating COVID-19: a case series

European Journal of Medical Research ◽

10.1186/s40001-021-00585-9 ◽

2021 ◽

Vol 26 (1) ◽

Author(s):

Sérgio Henrique Bastos Damous ◽

Jones Pessoa dos Santos Junior ◽

Álvaro Vicente Alvarez Pezzano ◽

Mohamad Abdul Majid Chams ◽

Nathaly Haritov ◽

...

Keyword(s):

Rare Complication ◽

Ventilatory Support ◽

Case Series ◽

Pulmonary Involvement ◽

Orotracheal Intubation ◽

Case Presentation ◽

History Of ◽

Parenchymal Disease ◽

Relationship Of ◽

The Relationship

Abstract Background Pneumomediastinum is a rare complication of COVID-19 pneumonia, which may or may not be associated with invasive ventilatory support. Therefore, the report and findings associated with its evolution can be of great contribution in the management of this unknown disease. Case presentation Here, we present a series of four patients with severe pneumomediastinum requiring intensive care unit. These patients developed pneumomediastinum before or during orotracheal intubation (OTI) or without OTI. The four patients were three men and one woman with a mean age of 60.5 years (48–74 years). No patients had a known history of lung disease or traumatic events, except for one patient who had a history of smoking, but who was without parenchymal disease. All intubations were performed without complications. No cases of pneumomediastinum occurred after tracheostomy, and none of the patients had tomographic or bronchoscopic evidence of tracheal injury. Although the pneumomediastinum observed in our cases was apparently not related to a violation of the aerodigestive track, this complication was associated with a worse prognosis. Conclusion Pneumomediastinum is a rare complication of COVID-19 pneumonia, and the most likely etiopathogenesis is severe pulmonary involvement, which may or may not be associated with invasive ventilatory support. Future studies with a greater number of cases should elucidate the relationship of pneumomediastinum to a probable prognostic factor.

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Acute Urinary Retention Secondary to Severe Gonococcal Balanoblennorrhea

PEDIATRICS ◽

10.1542/peds.67.5.734 ◽

1981 ◽

Vol 67 (5) ◽

pp. 734-736

Author(s):

Fred M. Henretig

Keyword(s):

Young Children ◽

Urinary Retention ◽

Acute Urinary Retention ◽

Personal Communication ◽

Glans Penis ◽

Local Inflammation ◽

Urethral Discharge ◽

Disseminated Disease ◽

Genitourinary Infection

Gonococcal genitourinary infection in males is usually manifested by urethritis with dysuria and purulent urethral discharge. Balanoblennorrhea (gonorrheal inflammation of the glans penis) may rarely accompany urethritis, and prostatitis and epididymitis are infrequent complications.1 However, as the current pandemic of gonorrhea involves increasingly larger numbers of young children (reference 2 and personal communication from J. H. Blount, 1980), it is probable that more unusual manifestations of both local and disseminated disease will be faced by the pediatrician. The child reported here developed severe genitourinary gonorrhea with such extreme local inflammation as to necessitate hospitalization and surgical relief of acute urinary retention.

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The importance of a thorough clinical examination in adolescent girls presenting with acute urinary retention

BMJ Case Reports ◽

10.1136/bcr-2020-240378 ◽

2021 ◽

Vol 14 (2) ◽

pp. e240378

Author(s):

Oman Rai ◽

Sanju Lama ◽

Sanjay Wazir Pandita

Keyword(s):

Urinary Retention ◽

Adolescent Girls ◽

Acute Urinary Retention ◽

Lower Abdominal Pain ◽

Paediatric Ward ◽

Common Causes ◽

History Of ◽

The Common ◽

Time Of Presentation ◽

New Onset

We present an adolescent girl with a 1-day history of acute urinary retention and lower abdominal pain. She was admitted to the paediatric ward for ongoing treatment and investigations. Due to a myriad of factors including pain and anxiety, challenges posed included an incomplete initial abdominal and external genital examination. This case report highlights the importance of a focused history and performing an appropriate sensitive examination at the time of presentation. Furthermore, we explore the common causes of new onset urinary retention and unravel the case as it unfolds. We also highlight differential diagnoses (however, uncommon), which must be considered and not overlooked to avoid unnecessary investigations and to ensure timely management.

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Perianal Median Raphe Cyst: A Rare Lesion with Unusual Histology and Localization

Case Reports in Dermatological Medicine ◽

10.1155/2015/487814 ◽

2015 ◽

Vol 2015 ◽

pp. 1-3

Author(s):

Betül Ünal ◽

Cumhur İbrahim Başsorgun ◽

Meryem İlkay Eren Karanis ◽

Gülsüm Özlem Elpek

Keyword(s):

Squamous Epithelium ◽

Final Diagnosis ◽

Median Raphe ◽

Ciliated Cells ◽

Perianal Region ◽

Penile Shaft ◽

Rare Location ◽

Stratified Squamous Epithelium ◽

Rare Lesion ◽

Median Raphé

Median raphe cysts present anywhere between the external urethral meatus and the anus. The cysts can occur at parameatus, glans penis, penile shaft, scrotum, or perineum. Perianal region is an extremely rare location for these lesions. Here we present a 50-year-old male patient who presented with a cystic, fluctuant lesion, located at 12 o’clock in perianal region. Microscopic examination revealed a cystic lesion with keratinized and nonkeratinized stratified squamous epithelium, pseudostratified ciliated epithelium, and scattered goblet cells. The final diagnosis of the lesion was median raphe cyst. Ciliated cells and perianal localization in median raphe cysts are extremely rare characteristics.

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