11/179. Clinics in diagnostic imaging (50). leiomyosarcoma of bladder.A 39-year-old man presented with intermittent painless macroscopic haematuria. He was subsequently diagnosed to have a high grade leiomyosarcoma of the bladder. He underwent total cystoprostatectomy and radiotherapy but died of metastatic disease five months after the initial diagnosis. Aspects of the imaging and diagnostic pathway of painless haematuria are discussed. The management of leiomyosarcomas in the urinary system is highlighted.- - - - - - - - - - ranking = 1keywords = pain (Clic here for more details about this article) |
12/179. A case of bladder pheochromocytoma.The clinical picture of bladder pheochromocytoma is usually typical; however, the diagnosis is occasionally delayed because of the rarity of this neoplasm. We report a case of unsuspected bladder pheochromocytoma in which the patient had a hypertensive episode during transurethral resection. A 67-year-old male presented with the chief complaint of painless macrohematuria. cystoscopy revealed a submucosal tumor on the right lateral wall of the bladder. The tumor was operated on transurethrally, followed by partial cystectomy. The pathological diagnosis was pheochromocytoma, primarily occurring in the bladder. Treatment of this lesion requires a high degree of clinical suspicion based on the patient's symptom complex in order to enable adequate preparation prior to surgical manipulation.- - - - - - - - - - ranking = 0.5keywords = pain (Clic here for more details about this article) |
13/179. mucocele of the appendix with hematuria.mucocele of the appendix, a nonspecific and descriptive term for an abnormal mucous accumulation within the appendiceal lumen, regardless of the underlying cause, is a rare clinical disease that is not usual as a consideration in the differential diagnosis of right lower quadrant lesions. The reported prevalence of mucocele of the appendix in appendectomy specimens is 0.2-0.3 percent. hematuria due to mucocele of the appendix is extremely rare. Up to now, only few cases of such condition have been recorded in the literature. We describe a woman who experienced intermittent episodes of right lower quadrant pain and hematuria. Abdominal exploration incidentally displayed mucocele of the appendix. No evidence of other lesions was found. The patient was still in good health after operation. This case highlights mucocele of the appendix as a consideration in the differential diagnosis of right lower quadrant pain with hematuria.- - - - - - - - - - ranking = 1keywords = pain (Clic here for more details about this article) |
14/179. Insertion of a slim fit tampon into the urethra. A case report.BACKGROUND: A 14-year-old accidentally inserted a slim fit tampon into her urethra. Such a case could occur again in young teenagers who otherwise have never inserted a tampon and especially have yet to see a gynecologist for their first gynecologic examination. CASE: Accidental insertion of a slim fit tampon into the urethra by a 14-year-old necessitated cystoscopic resection of the engorged tampon. CONCLUSION: Although this is the only case reported of urethral tampon placement, one must include it as part of the differential diagnosis in assessing acute onset of pain or hematuria after the placement of a slim fit tampon.- - - - - - - - - - ranking = 0.5keywords = pain (Clic here for more details about this article) |
15/179. Eosinophilic cystitis.We describe four cases of eosinophilic cystitis in whom no specific cause could be found, and review the literature. Complaints at presentation included urgency, frequency, abdominal pain, and haematuria. In three patients the symptoms and ultrasound pictures suggested a bladder tumour. One patient was treated with anticholinergics and corticosteroids without relief of symptoms; a localised eosinophilic tumour was excised in one patient who remained symptom free; and two patients were managed conservatively with spontaneous resolution of bladder pathology and symptoms. One case was identified by random bladder biopsy in 150 consecutive patients with unexplained irritable micturition complaints. Eosinophilic cystitis is rare in children. After biopsy, we consider a wait and see policy is justified as symptoms tend to disappear spontaneously. Routine bladder biopsies in children with unexplained bladder symptoms is not justifiable.- - - - - - - - - - ranking = 0.899355809501keywords = pain, abdominal pain (Clic here for more details about this article) |
16/179. A case report on vesico-uterine fistula: a very rare complication of the lower caesarean section.Vesico-uterine fistula is a very rare complication of lower caesarean section. There has only been two cases seen at the Department of urology in the past 2 decades. patients usually present in the early post operative period with the problem of continuous urinary incontinence. On the rare occasion, recurrent urinary tract infection, recurrent gross painless haematuria, or secondary infertility associated with secondary amenorrhoea would be the presenting complaint.- - - - - - - - - - ranking = 0.5keywords = pain (Clic here for more details about this article) |
17/179. Urinary ascariasis in a man with hematuria.We present a case believed to be the first reported North American presentation of ascaris lumbricoides within the urogenital tract. A young man came to the emergency department because of painless hematuria and having observed a 6-inch worm exit his urethra while urinating. The most common site for A lumbricoides infection is the gastrointestinal tract, specifically the area of the hepatopancreatic ducts. Worldwide, A lumbricoides infections are ubiquitous, but infections outside the alimentary tract are extremely rare.- - - - - - - - - - ranking = 0.5keywords = pain (Clic here for more details about this article) |
18/179. Toxemic shock, hematuria, hypokalemia, and hypoproteinemia in a case of cutaneous anthrax.A 20-year-old woman who had daily contact with domestic herbivores presented with a painless and pruritic lesion in her neck; the lesion ulcerated to a black necrotic eschar from which bacillus anthracis grew. Rapidly expanding edema at the site of the ulcer was followed by shock, hematuria, hypokalemia, and hypoproteinemia. The latter symptoms - unusual for cutaneous anthrax - responded to intravenous penicillin therapy.- - - - - - - - - - ranking = 0.5keywords = pain (Clic here for more details about this article) |
19/179. Thrombotic thrombocytopenic purpura presenting as bilateral flank pain and hematuria: a case report.Thrombotic thrombocytopenic purpura (TTP) is a rare disease whose incidence is now increasing. We present a case of a 37-year-old man who presented with bilateral flank pain and hematuria, subsequently diagnosed with TTP. Thrombotic thrombocytopenic purpura has classically been characterized by the pentad of fever, microangiopathic hemolytic anemia, neurologic symptoms, renal dysfunction, and thrombocytopenia. The pathogenesis of the disease has been a mystery until recently. We review the current literature regarding the pathophysiology and management of this disorder. Our discussion focuses on the importance of understanding this disease while considering the differential diagnosis of a patient presenting with anemia and thrombocytopenia because the common pitfall of rapidly administering platelets to a patient with TTP may lead to a disastrous outcome.- - - - - - - - - - ranking = 2.5keywords = pain (Clic here for more details about this article) |
20/179. Recurrent abdominal and flank pain in children with idiopathic hypercalciuria.OBJECTIVE: To evaluate the role of idiopathic hypercalciuria (IH) as a cause of recurrent abdominal pain (RAP) in children. patients AND methods: We retrospectively reviewed the medical records of 124 children referred for various complaints who had 24-h urine calcium excretion greater than 2 mg/kg/d or random urine calcium-creatinine ratio greater than 0.18 mg/mg. RESULTS: Fifty-two children with various clinical complaints had RAP or flank pain. These comprised of 22 males and 30 females, 9 mo to 15.9 y of age, mean 6.7 /- 3.5 y. A family history of urolithiasis was present in 50% of all the children. Only 6 of the 52 children with abdominal pain had renal stones. In addition to abdominal pain, 27 children had hematuria and 10 had urinary incontinence. Mild metabolic acidosis was present in three children, parathyroid hormone activity elevated in two and serum vitamin d activity was increased in nine. All children were treated with increased fluid intake and a reduction in dietary sodium and oxalate and some required treatment with thiazide and antispasmodics. Forty-five cases responded to treatment, 5 failed to improve from therapy, and 2, which were not followed up as patients, were not available. CONCLUSION: We describe 52 children with RAP or back pain due to IH and recommend that IH be considered in the differential diagnosis of RAP in childhood.- - - - - - - - - - ranking = 5.698067428503keywords = pain, abdominal pain (Clic here for more details about this article) |
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