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Entries by admin Z.9

Microwave ablation of a small cortical renal tumour – an unexpected adverse outcome

Percutaneous ablation therapies have become an increasingly important treatment option for smaller volume renal tumours. Microwave ablation (MWA) appears to have significant advantages over radiofrequency ablation (RFA) in terms of treatment times and achievable ablation zone volumes. We report the case of a fit 71 year old gentleman with a 17mm slow-growing cortical lower pole […]

CRYPTORCHIDISM WITH BILATERAL MALIGNANT TRANSFORMATION

Introduction: The incidence of bilateral testicular germ-cell tumour (BGCT) ranges between 1 and 5% [1]. Synchronous bilateral germ cell tumour (BGCT) of the testis is rare and its association with bilateral cryptorchidism is even rarer. Case report: 26year old male patient presented with lump in left iliac fossa since 3 months. USG guided FNAC of […]

Seizure with left hemiparesis complicating a percutaneous transthoracic needle biopsy

Air embolism is a rare unpredictable complication after CT guided tranthoracic needle biopsy of lung masses but potentially fatal if not managed correctly and urgently. We present a case of cerebral air embolism following lung nodule biopsy manifested by seizure and left hemiparesis. The patient had a full recovery following 100% oxygenotherapy. Authors: Maalouly, Rina […]

Eosinophilic Variant of Chromophobe Renal Cell Carcinoma with Tubulocystic Features: A Case Report

Cells with eosinophilic granular or oncocytic cytoplasm are a hallmark of benign renal oncocytoma, but they can be seen in other renal tumors. We report an unusual case of a large renal tumor with medium-sized oncocytic cells that were arranged in sheets and tubulocystic growth patterns. With histological, immunohistochemical and ultrastructural studies, a diagnosis of […]

Missed Double Urethral Obstruction

A 14 days old infant who presented to a regional hospital with inability to pass urine and severe bilateral hydronephrosis. He underwent a suprapubic cystostomy which was complicated by bladder rupture. He presented to us pyrexial with abdominal distention and deteriorating renal functions. Child underwent a laparotomy. Extra and intra-peritoneal bladder rents were indentified, repaired […]

Spontaneous Bilateral Cavernosal Abscess

Cavernosal abscesses are rarely reported with the majority of reported cases having an identifiable underlying causative factor. We present the case of a 50-year-old male with poorly controlled diabetes mellitus and large abscesses of the bilateral cavernosal bodies. He was successfully treated with surgical debridement and healing of the wound by secondary intention. Authors: Bradley, […]

The Position and Suction Power of the Pelvic Drain: A key point after Surgical Repair for Urinary Tract Injury Complicating Gynaecological Surgery

We report two cases with persistent urinary ascites in the bulbs of pelvic drains post surgical repair for urological complications, which subsided after adjusting the position and suction power of pelvic drains. Authors: Chen, Kuo-Hu; Chen, Li-Ru; Yang, Bing-Shiang Corresponding Author: Chen, Kuo-Hu Kuo-Hu Chen1,2,, MD, PhD, Li-Ru Chen3,4, MD, MSc, Bing-Shiang Yang4, PhD, PE. […]

Delayed renocolic fistula formation following percutaneous radiofreqency ablation of renal mass: case report and review of the published cases

We report a case of a 71-year-old man who developed a renocolic fistula 10 months after radiofrequency ablation. At the time of fistula formation there was no evidence of tumor recurrence. Authors: Douglas, Sean; Ogles, Mitchell; Vick, Kenneth; Pound, Charles R. Corresponding Author: Douglas, Sean   Introduction Image-guided radiofrequency ablation (RFA) is an established minimally […]

The role of surgery in high-risk localised prostate cancer

CPD Review and Questions Keywords: high-risk prostate cancer, radical prostatectomy, radical radiotherapy Authors: Vincent J. Gnanapragasam, Malcolm D. Mason, Greg L. Shaw, David E. Neal Corresponding Author: Vincent J. Gnanapragasam Learning Objectives Read the Paper Listen to the Podcast CPD Questions Profile Learning Objectives After reading this paper you will be able to: To understand […]

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