Obstructive jaundice: a unique presentation of primary obstructive megaureter.
Hemal AK. Dorairajan LN. Aron M. Wadhwa SN.
Department of Urology, All India Institute of Medical Sciences, New Delhi, India.
A case of giant hydronephrosis leading to obstructive jaundice due to primary obstructive megaureter in an adult is the subject of this presentation. Giant hydronephrosis due to primary obstructive megaureter in adults is uncommon. This is also the first case of obstructive jaundice due to primary obstructive megaureter reported in the literature. The patient was initially treated with a percutaneous nephrostomy till the jaundice resolved. This was followed by definitive surgery in the form of ureteral tailoring and reimplantation along with nephroplication and nephropexy, with a successful outcome.
Percutaneous endoscopic marsupialization of a pyelocaliceal diverticulum with milk of calcium stones.
Kikuchi E. Sumitomo M. Hatakeyama N. Baba S. Murai M.
Department of Urology, Keio University School of Medicine, Tokyo, Japan.
Numerous reports have described the management of pyelocaliceal diverticula associated with milk of calcium renal stones. Traditionally, open surgical techniques to manage such diverticula have included marsupialization and fulguration of the diverticulum, or partial/total nephrectomy. Recently, however, these invasive procedures have been replaced by percutaneous techniques. We report a patient with spontaneous rupture of a pyelocaliceal diverticulum with milk of calcium renal stones, who was successfully treated with endourological procedures.
Epididymal metastasis of a prostatic carcinoma.
Anastasiadis AG. Ebert T. Gerharz CD. Ackermann R.
Department of Urology, Heinrich Heine University, Dusseldorf, Germany.
We report the case of a 73-year-old patient who presented with a local recurrence of a prostatic carcinoma which had metastasized to the right epididymis. The histopathological examination of the resected tissue after transurethral resection of the prostate 8 years before revealed a pluriformal adenocarcinoma of the prostate, but the patient refused any kind of therapy at that time.