scholarly journals Fungal ball in urinary tract, a rare entity, which needs a specific approach

2014 ◽  
Vol 8 (1-2) ◽  
pp. 118 ◽  
Author(s):  
Valentin Praz ◽  
Rodolfo Burruni ◽  
Florian Meid ◽  
Marc Wisard ◽  
Patrice Jichlinski ◽  
...  
Keyword(s):  
Urinary Tract ◽  
Antifungal Agent ◽  
Open Surgery ◽  
Fungus Ball ◽  
Rare Entity ◽  
Ureteral Reimplantation ◽  
Ureteral Stenosis ◽  
Specific Approach ◽  
Fungal Ball ◽  
Compromised Patients

A fungal mass in the urinary tract (fungus ball), mainly occurring in compromised patients, is a rare and dangerous complication of candiduria. We report 2 cases of fungus ball associated with hydronephrosis and sepsis. As reported in the literature, we treated the first patient by prompt relief of obstruction by nephrostomy and local and systemic antifungal agent. The second patient failed to respond to this treatment due to a distal ureteral stenosis and required open surgery with fungus ball removal and ureteral reimplantation. Despite a large success in urinary tract drainage with antifungal treatments, some cases need a modified approach due to anatomical modification.

scholarly journals Atypical, polyarticular lipoma arborescens in a child

2016 ◽  
Vol 144 (11-12) ◽  
pp. 650-653
Author(s):  
Robert Semnic ◽  
Radoje Simic ◽  
Slavisa Djuricic ◽  
Oto Adjic ◽  
Filip Vanhoenacker
Keyword(s):  
Magnetic Resonance ◽  
Mr Imaging ◽  
Open Surgery ◽  
Literature Search ◽  
Histological Analysis ◽  
Rare Tumor ◽  
Rare Entity ◽  
Lipoma Arborescens ◽  
Diagnostic Protocol ◽  
The Right

Introduction. Lipoma arborescens is a rare, tumor-like lesion commonly involving synovial joints and less commonly bursae and synovial tendon sheaths. Case Outline. We report a case of a 12-year-old boy with symmetric involvement of the bicipitoradial bursae, synovial sheaths of extensor compartments of both hands and medial ankles. The diagnosis of polyarticular lipoma arborescens was proposed on magnetic resonance (MR) imaging and this diagnosis was histologically proven after biopsy of the bursae and later by open surgery of the synovial sheath of the right ankle tendons. Literature search was performed and twelve cases with polyarticular involvement were analyzed. Lipoma arborescens commonly involves suprapatellar recess of the knee and very rarely other joints or bursae. Histological analysis revealed an accompanying non-necrotizing granulomatous synovial inflammation. Conclusion. Polyarticular lipoma arborescens is a rare entity and symmetrical involvement of the joints other than the knees is exceedingly rare. MR imaging plays a significant role in the diagnostic protocol, and the characteristic fatty signal on MR imaging is highly suggestive of lipoma arborescens.

scholarly journals A Rare Case of Urinary Tract Fungal Ball Leading to Fungemia and Bilateral Chorioretinitis

2020 ◽  
Vol 2020 ◽  
pp. 1-4
Author(s):  
Christopher Ferari ◽  
Chad Crigger ◽  
Chad Morley ◽  
David Duchene
Keyword(s):  
Urinary Tract ◽  
Type Ii Diabetes ◽  
Rare Complication ◽  
Obstructive Uropathy ◽  
Treatment Options ◽  
Type Ii ◽  
Invasive Treatment ◽  
Case Presentation ◽  
Fungal Ball

Background. Fungemia due to obstructive urinary tract fungal ball is exceedingly rare. These patients often have multiple predisposing conditions, including diabetes or antimicrobial exposure. While candiduria can be relatively common in this population, urinary tract fungal balls are a rare entity. Hospitalists should be aware of this rare complication in patients presenting with funguria. Case Presentation. We present a case of a 44-year-old male with type II diabetes, chronic hepatitis C secondary to injection drug use, and chronic kidney disease who developed a urinary tract fungal ball leading to fungemia and subsequent bilateral chorioretinitis, additionally complicated by emphysematous cystitis and pyelonephritis. Additional invasive treatment options beyond typical antifungals are often required in the case of urinary tract fungal ball, and in this case, bilateral nephrostomy tubes and micafungin were employed. Hospital course was complicated by C. tropicalis fungemia with subsequent bilateral fungal chorioretinitis on dilated fundus exam. This was effectively treated with cyclogyl and prednisolone drops along with bilateral voriconazole injections. Follow-up imaging and cultures showed resolution of fungemia, urinary tract masses, and chorioretinal infiltrates; however, recurrent polymicrobial UTIs continue to be an issue for this patient. Conclusions. Special multidisciplinary management is required in the treatment of urinary tract fungal balls with subsequent fungemia, including nephrostomy tubes, antifungal irrigation, ureterorenoscopy, and more powerful antifungals such as amphotericin B and 5-flucytosine. This management draws from a myriad of specialties, including urology, infectious disease, and interventional radiology. Additionally, the literature has demonstrated that only approximately half of patients with fungemia receive an ophthalmologic evaluation. Ophthalmologic and urologic cooperation is essential in the case of obstructive uropathy leading to fungemia as the obstructive uropathy must be relieved and these patients should receive a dilated fundus exam.

scholarly journals Pulmonary nocardiosis presenting as fungal ball--a rare entity

2008 ◽  
Vol 2 (2) ◽  
pp. 143 ◽  
Author(s):  
Ragini Tilak ◽  
D. Agarwal ◽  
T.K. Lahiri ◽  
Vijai Tilak
Keyword(s):  
Rare Entity ◽  
Fungal Ball ◽  
Pulmonary Nocardiosis

Well Differentiated Neuroendocrine Tumors of Lower Urinary Tract: Biologic Behavior of a Rare Entity

2020 ◽  
Author(s):  
Maria Del Carmen Rodriguez Pena ◽  
Daniela C. Salles ◽  
Jonathan I. Epstein ◽  
Sofia Canete-Portillo ◽  
Aline C. Tregnago ◽  
...  
Keyword(s):  
Urinary Tract ◽  
Neuroendocrine Tumors ◽  
Lower Urinary Tract ◽  
Rare Entity ◽  
Well Differentiated ◽  
Lower Urinary

O10 GIANT ESOPHAGEAL POLYP PROTRUDING THROUGH THE MOUTH: A RARE CASE

2019 ◽  
Vol 32 (Supplement_2) ◽  
Author(s):  
I Tsomidis ◽  
G Kalopitas ◽  
K Dinaki ◽  
G Germanidis ◽  
J Constantinidis
Keyword(s):  
Respiratory Distress ◽  
Endoscopic Resection ◽  
Current Literature ◽  
Surgical Approach ◽  
Open Surgery ◽  
Rare Case ◽  
Upper Esophageal Sphincter ◽  
Benign Tumors ◽  
Rare Entity ◽  
Esophageal Sphincter

Abstract Aim Giant esophageal polyps are a relative rare and benign entity, which can lead to major complications. Our knowledge about their pathology and management originates from scattered case reports. Our aim is to report the clinical presentation and management of this rare case in order to enrich the current literature. Background & Methods Large pedunculated esophageal polyps are a rare entity encountered in clinical practice. The majority of these polyps are located near the upper esophageal sphincter or upper esophagus. They are slowly growing and asymptomatic. Most common clinical symptoms, associated with polyp size, include dysphagia, chest pain, regurgitation and, rarely, acute respiratory distress. Histology reveals benign submucosal tumors with fibrous and vascular components, covered by normal squamous cells, in most cases. Malignant transformation of these polyps has been infrequently described. Surgical approach, either with endoscopic resection or with open surgery, is the treatment of choice and recurrence is extremely uncommon. A review of current literature was conducted, followed by presentation of our rare case. Results A 50 year-old woman with clear medical history presented with a 3-month history of dysphagia and endoscopy revealed a large esophageal polyp extending from the upper esophageal sphincter to the lower esophageal sphincter. The initial attempt of endoscopic resection of the polyp led to regurgitation and intraoral prolapse of the polyp, causing respiratory distress. The patient was transferred to the ENT operation room and an orotracheal intubation was performed. The tumor was successfully removed transorally after ligation of its stem. Histopathology showed an inflammatory fibroid polyp (IFP) and postsurgical follow-up revealed no recurrence of the mass. Conclusion Giant IFPs are an extremely rare entity among upper esophageal polyps and the pathogenesis of these tumors remains poorly understood. Life threatening regurgitation of the polyp causing respiratory distress is an uncommon complication demanding urgent surgical approach. Once diagnosed, these benign tumors can be removed either with open surgery or endoscopic resection depending on the location and the size of the tumor. The impressive size of these polyps renders them a challenge for surgeons and endoscopists, whose cooperation is often in need.

Fungus ball within a mucocele of the sphenoid sinus: A rare entity

2020 ◽  
Vol 71 (5) ◽  
pp. 326-327
Author(s):  
Ângela Reis-Rego ◽  
Ana Pinto ◽  
Cecília Almeida e Sousa
Keyword(s):  
Sphenoid Sinus ◽  
Fungus Ball ◽  
Rare Entity

scholarly journals Intravesical gossypiboma: our experience and the need for stringent checklist and training!

2019 ◽  
Vol 12 (2) ◽  
pp. e227278
Author(s):  
Ronal Kori ◽  
Lovenish Bains ◽  
Sudhir Kumar Jain
Keyword(s):  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Male Patient ◽  
Open Surgery ◽  
Recurrent Uti ◽  
First Case ◽  
Double J Stent ◽  
History Of ◽  
And Training

We present our experience of two cases: one of a 28-year-old male patient who presented with recurrent episodes of urinary tract infection (UTI) with passage of pus flakes in urine and a history of open cystolithotomy about 10 months ago. The second patient was a 26-year-old woman who underwent bladder exploration for a retained Double-J stent about 10 months ago and presented with recurrent UTI. The first case was treated with open surgery and in the second case, the gauze piece was retrieved endoscopically.

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