Rushkidd2156

Urinary bladder stone usually is a manifestation of other pathological process, including foreign object or micturition dysfunction. Urinary bladder diverticula can cause urinary stasis that leads to urinary bladder stone. We present a very rare case which is bladder neck diverticula stone in 36-year-old male with multiple congenital anomaly (Jarcho-Levin syndrome) with stone in urinary bladder neck diverticula and the management in our treatment facility.We present a case of a 69 year old man with phimosis associated with immunotherapy with durvalumab for metastatic non-small-cell lung cancer. The patient developed vitiligo like dermatosis after the induction dose of durvalumab, subsequent administration of the immunotherapy the patient developed a fibrous ring of the foreskin. Immune-mediated adverse reactions have been described after the use of durvalumab, but, to our knowledge, there are no reports of phimosis and vitiligo like reactions.Empty scrotum is a relatively rare entity, with few cases reported in the literature, so far; if it coexists with bilateral ectopic femoral testes, it then constitutes an extremely rare congenital abnormality. We report a case of empty scrotum revealed at the first physical examination of a neonate. The scrotum appeared empty and no testes could be palpated in the scrotum or the inguinal canal. check details Two solitary, oval masses were palpable laterally of each hemiscrotum, close to femoral canal and the diagnosis of bilateral femoral ectopic testes was confirmed by the consultant pediatric surgeon.Idiopathic scrotal calcinosis is a benign rare diseases that is characterized by single or multiple scrotal skin calcified nodules without evidence of systemic disease. We report the first case in Saudi Arabia of Idiopathic scrotal calcinosis in a patient whose a 42 years old male, medically and surgically free who presented to our clinic with multiple scrotal nodular lesions in which excision was done and histology showed calcium deposition in basophilic globules which is consistent with Idiopathic scrotal calcinosis. Although pathogenesis and etiology of Idiopathic scrotal calcinosis is controversial, surgical excision is the treatment of choice.Distant urethral metastasis of the castration-resistant prostate cancer (CRPC) is very rare. In this case report, we present a 69-year-old man who was first diagnosed prostate cancer from the sessile papillary tumor in the prostatic urethra which recurred after surgery and androgen deprivation therapy and finally treated with CyberKnife radiosurgery. There has been no recurrence for 50 months. To the best of our knowledge, there is no case of urethral metastasis of the CRPC successfully controlled with CyberKnife radiosurgery in the literature.Fournier's gangrene is a life-threatening type of necrotizing fasciitis associated with a high rate of morbidity and mortality. The patient is a 29-year-old incarcerated male who presented to the ED with left-sided scrotal crepitus extending into the axilla and testicular swelling. The patient endorsed a pimple on his left scrotum accompanied with groin pain. He had a prior history of foreign body removal and self-mutilating behaviors. The patient was taken for surgical exploration out of concern due to a subcutaneous emphysema secondary to a necrotizing soft tissue infection.Pyoderma gangrenosum can be a challenging diagnosis for even the most experienced clinician. Misdiagnosis can lead to delays in appropriate treatment and unwarranted debridement that can increase the severity of the disease. Penile pyoderma gangrenosum (PG) is a rare presentation of this pathologic process. We describe the diagnostic workup and successful treatment of advanced penile PG in a 42-year-old male with a history of penile fracture who presented with delayed wound healing and multiple unsuccessful urologic surgeries. This case demonstrates the importance of keeping a broad differential, including PG, in order to avoid delays to appropriate care.Polydimethylsiloxane (Macroplastique®) endoscopic subureteric implantation is considered to be safe and effective for vesicoureteral reflux (VUR) treatment. The Macroplastique® implantation is popular for its high success rate and minimal complications. A 22-years-old male who underwent prior subureteric endoscopic therapy with Macroplastique for VUR 14-years ago was investigated for microscopic hematuria. Renal ultrasound confirmed the presence stone that was retrieved by cystolitholapaxy. Although endoscopic subureteric implantation with Macroplastique has a high success rate for VUR resolution, caution during the follow-up period in order to prevent potential long-term complications is required.Persistent Mullerian duct syndrome (PMDS) is a rare form of male pseudohermaphroditism; it is defined by the presence of the Mullerian duct derivatives (the uterus, the fallopian tubes, and the upper vagina) in genotypically and phenotypically males. Seminoma is the most common type of testicular tumor in the third and fourth decade of life. We report a case of intra-abdominal seminoma in a patient with bilateral undescended testes and persistent Mullerian duct syndrome.Severe renal trauma is a particular entity, although rare, but most often involves the risk of short-term death from hemorrhagic shock and long-term death from infectious complications or secondary renal dysfunction, exceptionally post-renal vascular hypertension. Which is generally a late complication, we will report the case of a patient suffering from grade v renal trauma with early post-traumatic renal vascular hypertension, suppressed by medical treatment, then the surgical indication was kept in the second phase in front of a mute kidney.Extravasation of urine following rupture of the renal fornix is a rare complication mostly caused by obstruction secondary to distal ureteric stones. We report the case of a rupture of FORNIX secondary to a bladder tumor.Immune-related cutaneous events can develop after immunotherapy. To our knowledge, we present the first reported case of isolated focal penile inflammatory ulceration in a patient being treated with Nivolumab for stage IV non-small cell lung carcinoma. He presented with a painless penile ulceration two months after initiating therapy. He had near-complete resolution of his ulcer after two weeks of topical treatment. Histologic evaluation revealed a drug eruption. While cutaneous events are a well-known side effect of immunotherapy, this is the first report of an isolated penile lesion from such therapy.