191/404. Symptomatic urogenital manifestations of polyarteritis nodosa and Churg-Strauss angiitis: analysis of 8 of 165 patients. To establish the clinical features and evolution of ureteral and testicular manifestations of polyarteritis nodosa, 8 cases among a group of 165 patients were reviewed. Urogenital manifestations are rare and were related to hepatitis b virus markers in 5 of the 8 patients. Malignant hypertension was present in 6 of 8 patients and renal insufficiency related to renal infarctions was noted in 5. prognosis is good and regression generally is obtained with steroid therapy or with plasma exchange and vidarabine when polyarteritis is related to hepatitis B virus. In some cases ureteral stenosis may require an operation in association with steroids and/or immunosuppressive treatments. ( info) |
192/404. Sonography of testicular microlithiasis. The sonographic appearance of testicular microlithiasis detected in a patient presenting with torsion is described. A "speckled" pattern of multiple, tiny bright echoes is produced by calcific concretions in the seminiferous tubules and seems to be characteristic of microlithiasis. Although this condition is not treatable, it should be recognized because it is often associated with extratesticular abnormalities and can obscure superimposed testicular disease. ( info) |
193/404. cysts of the testicular parenchyma and tunica albuginea. Five cases of cysts of the tunica albuginea and two cases of cysts of the testicular parenchyma are described. The cysts of the albuginea were located in the anterior, lateral, and inferior faces of the testis (distant from the epididymis) and covered by a thin albuginea. They extended toward the testicular parenchyma or toward the tunica vaginalis. Their epithelial lining varied from low cuboidal to columnar and consisted of ciliated or nonciliated cells. These cysts were probably of mesothelial origin. The cysts of the testicular parenchyma were also located distant from the mediastinum testis and were not in contact with the albuginea. Their epithelial lining consisted of flattened, cuboidal, nonciliated cells. The origin of the cysts of the testicular parenchyma is not clear. In one case the occurrence of spermatozoa in the cyst lumen and connections with seminiferous tubules suggests an origin in the rete testis. ( info) |
194/404. Simple cyst of the testis. We report 5 cases of simple cyst of the testis, the largest series to date, and review the literature. Included are 2 autopsy cases, a case of a multilocular simple cyst and 1 case treated nonoperatively. Based on our experience, simple cyst of the testis should be suspected particularly in an enlarged but otherwise palpably normal testis. High resolution real-time scrotal sonography revealing an anechoic mass in the testis with well defined walls, and enhanced posterior through transmission and edge shadowing is diagnostic for a simple cyst. An asymptomatic simple cyst of the testis may be treated with observation alone. The symptomatic simple cyst should be treated ideally with local parenchyma-sparing excision. ( info) |
195/404. Unusual lesions imaged with scrotal sonography. Pictorial essay. This pictorial essay consists of 12 cases of unusual disease or an uncommon presentation of a common disorder imaged with scrotal sonography. ( info) |
| Simple cysts of the testis are rare benign lesions of uncertain etiology. We report 2 spermatozoa-containing cysts of the rete testis found incidentally in the left testicle of a 56-year-old man evaluated by ultrasound for hydrocele. The presence of spermatozoa in the cyst fluid has not been observed previously and confirms the connection of the cysts with the seminiferous tubular system. ( info) |
197/404. Primary testicular manifestation of systemic lupus erythematosus. The case of a patient with a hitherto unknown primary testicular manifestation of systemic lupus erythematosus (SLE) is reported. Findings on scrotal palpation and sonography suggested the presence of a testicular tumor. Histological examination of the testicular biopsy and immune status did not confirm the clinical diagnosis but demonstrated SLE. ( info) |
198/404. Bilateral prepubertal carcinoma in situ of the testis and ambiguous external genitalia. A 10-year-old boy with bilateral carcinoma in situ in maldescended testes and concomitant ambiguous genitalia is presented. ( info) |
| We report the case of a 74-year-old man who presented to our emergency department with complaints suggestive of a urinary tract disease. After examination failed to reveal another etiology for his symptoms, antibiotic therapy was initiated and the patient was discharged. He returned the next day with worsening pain; he was reevaluated and given an injection to control his pain. Thirty seconds later, the patient was unresponsive and pulseless and died despite resuscitative efforts. autopsy revealed a ruptured abdominal aortic aneurysm. Our case highlights the varied presentations of abdominal aortic aneurysm, which often go unrecognized, and the need to diligently search for this life-threatening affliction. ( info) |
200/404. Testicular infarction with incarcerated inguinal hernia in infants. Three male babies presenting with incarcerated inguinal hernias in the first year of life were found to have infarction of the ipselateral testis at operation. This is a well recognised complication of indirect inguinal hernia and a common complication of incarceration. ( info) |