معرفی یک بیمار،تظاهرانکوسیتوم آدرنال به فرم سندروم کوشینگ
Case report and literature review
Urological Science (December 2011), 22 (4), pg. 166-168
Yung-Shu Lee; Wun-Rong Lin; Chi-Kuan Chen; Yi-Wei Pai; Marcelo Chen
Abstract Adrenocortical oncocytomas are very rare, with only 47 cases reported in the English literature. They are usually benign and nonfunctional. Herein, we report on a 30-year-old female patient presenting with extreme weight gain (17 kg in a year), moon face, buffalo hump, ...
Adrenocortical oncocytomas are very rare, with only 47 cases reported in the English literature. They are usually benign and nonfunctional.
Herein, we report on a 30-year-old female patient presenting with extreme weight gain (17 kg in a year), moon face, buffalo hump, central obesity and edema in both legs. Computed tomography revealed a 3.2 cm solid left adrenal tumor. A clipless laparoscopic adrenalectomy was performed. Pathology revealed an adrenocortical oncocytoma.
بروزسیستیت آمفیزماتو بعد ازجراحی سنگ مجرای صفراوی
Urological Science (December 2011), 22 (4), pg. 163-165
Sheng-Hsuan Chen; Hui-Ming Chung; Tser-Min Wu
Abstract Emphysematous cystitis (EC) is a potentially fatal disease if treatment is delayed. A high index of suspicion is crucial for an early diagnosis of the disorder, which typically occurs in patients with poorly controlled diabetes. Although gas in the bladder is suggestive of EC, other differential... [view more]
Emphysematous cystitis (EC) is a potentially fatal disease if treatment is delayed. A high index of suspicion is crucial for an early diagnosis of the disorder, which typically occurs in patients with poorly controlled diabetes. Although gas in the bladder is suggestive of EC, other differential diagnoses include a postoperative state, an enterovesical fistula and urological instrumentation.
We report on a 73-year-old female diabetic patient who had undergone major surgery for an obstructive common bile duct stone 3 weeks prior to the onset of EC. She presented with an initial picture of severe sepsis, possibly due to a postoperative infection of the urinary and/or biliary tract.
She responded well to prompt therapy with antibiotics, adequate drainage of the urinary and biliary tracts, and good glycemic control. She was discharged on hospital day 7 and remained stable during the 3-month follow-up period.
بروزهرنی اینگوئینال بعد ازپروستاتکتومی رادیکال
Urological Science (March 2012), 23 (1), pg. 1-4
Jungle Chi-Hsiang Wu; Yen-Chuan Ou
Abstract Since prostate-specific antigen (PSA) screening began in the 1980s in Taiwan, there has been a significant increase in the detection of prostate cancers (PCs) at an earlier stage. For clinically localized PC, a radical prostatectomy (RP) remains the gold standard treatment. However, ... [view more]
Since prostate-specific antigen (PSA) screening began in the 1980s in Taiwan, there has been a significant increase in the detection of prostate cancers (PCs) at an earlier stage. For clinically localized PC, a radical prostatectomy (RP) remains the gold standard treatment. However, patients undergoing a RP for PC are at risk of onset or worsening of inguinal hernias (IHs). We reviewed the current status of IHs after a RP. We reviewed literature published from PubMed using the key words of “inguinal hernia”, “prostatectomy”, and “prostate cancer”. The postprostatectomy mechanism was illustrated. The incidences of various prostatectomies were recorded. The prediction and prevention of postprostatectomy IHs were analyzed.
Disruption of the transversalis fascia caused by surgical procedures was proposed as contributing to postprostatectomy-related IH formation because it assaults the anatomic-physiological balance in the abdominal wall. The myopectineal orifice is traversed by the spermatic cord and femoral vessels, and its inner surface is sealed by the transversalis fascia.
A body mass index of <23 kg/m2 and a history of previous IH repair were significant risk factors for postoperative IH. The incidence of IHs after surgery was reported to range from 12.4% to 23.9%, and most IHs occur within 6–24 months postprostatectomy. The incidence of IHs is greater with the extraperitoneal approach than with the transperitoneal approach. A preoperative abdominal computed tomography (CT)-scan might identify asymptomatic IHs, but the test lacks sensitivity and is inferior to a simple physical examination (PE). A PE of the groin should be performed before a RP, and careful surgical manipulation is essential to prevent postoperative IHs. The concurrent repair of any detectable IHs at the time of a prostatectomy could significantly reduce the incidence of postoperative IHs.
همزمانی هرنی اینگوئینال با عفونت انگلی
A case report and literature review
Urological Science (March 2012), 23 (1), pg. 26-27
Cheng-Che Wu; Wen-Shan Liao; Min-Shin Kao; Shih-Chieh Huang; Biing-Yir Shen
Abstract Inguinal hernia repair is a common and straightforward surgical procedure. Case reports of postsurgical incidental parasitic infections are very rare. A 72-year-old male presented at our hospital with a swollen mass in the right groin area and underwent right inguinal hernia repair. Unexpectedly, parasitic ova... [view more]
Abstract
Inguinal hernia repair is a common and straightforward surgical procedure. Case reports of postsurgical incidental parasitic infections are very rare. A 72-year-old male presented at our hospital with a swollen mass in the right groin area and underwent right inguinal hernia repair. Unexpectedly, parasitic ova were discovered in the hernial sac. This report describes this rare case, in addition to a review of the literature.
بروز همزمان سرطان اولیه معده وکارسینوم کلیه
A case report and literatures review
Urological Science (March 2012), 23 (1), pg. 28-30
Kung-Ning Hu; Wei-Hong Lai; Po-Tsang Tseng; Wen-Ching Wang; Kun-Hung Shen
Abstract A 73-year-old woman was admitted and treated because of epigastric fullness, palpitation, and tarry stool for 2 days. Gastric cancer was found via panendoscopy. A preoperative abdominal computed tomographic scan revealed a hypervascular mass in the left kidney; renal cell carcinoma (RCC) was ...
A 73-year-old woman was admitted and treated because of epigastric fullness, palpitation, and tarry stool for 2 days. Gastric cancer was found via panendoscopy.
A preoperative abdominal computed tomographic scan revealed a hypervascular mass in the left kidney; renal cell carcinoma (RCC) was the initial impression. A concomitant surgery for subtotal gastrectomy and radical left nephrectomy was performed. The pathological examination confirmed gastric adenocarcinoma (T2a) and RCC (T2b). Convalescence was uneventful and she was discharged in stable condition. There was no evidence of tumor recurrence at a 20-month follow-up examination.
Elderly people with early gastric cancers have a relative higher probability of developing a synchronous tumor than younger people. The incidence of synchronous gastric cancer and RCC is quite low, and concomitant surgery is rare. Surgeons need to be aware of the possibility of a synchronous second primary cancer when the initial gastric cancer is diagnosed.
A concomitant surgery for gastrectomy and radical nephrectomy can be safely performed in selected patients, which can achieve feasible oncological control.
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