Hinyokika kiyo. Acta urologica Japonica
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Review Case Reports
[A case of renal cell carcinoma in a horseshoe kidney: a case report].
A case of renal call carcinoma associated with horseshoe kidney is reported. The patient was a 59-year-old woman complaining of right flank mass. ⋯ Only 17 cases of horseshoe kidney with renal cell carcinoma have been reported in Japan. We report the 18th case with a review of the literature.
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A case report of a traumatic dislocation of the testis is described. The patient was a 19-year-old man whose perineum received a high speed impact against the smooth wedge shape of the gasoline tank in a motor cycle accident. Immediate surgical replacement of the testis was successfully performed. ⋯ According to the classification of Alyea, 4 testes (7.3%) were in the pubic, 1 (1.8%) in the penile, 0 in the crural, 24 (43.6%) in the inguinal, 1 (1.8%) in the perineal, 4 (7.3%) in the inguinal canal, 4 (7.3%) in the abdomen, and 0 in the femoral canal. Seventeen (30.9%) testes had compound dislocation. Recent reports reveal an increased number of motor cycle accidents, and age distribution has its peak incidence at the ages of 20-29 (34%).
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A case of Mondor's disease of the penis in a 40-year-old man is reported. The patient complained of a small subcutaneous induration (0.5 x 1.0 cm) with slight tenderness in the dorsal region of the penile shaft. On examination, the linear cord was palpated running both distally and proximally from the induration. ⋯ S. L. P.) is discussed.
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The clinical course of a case of vesicosigmoidal fistula is presented. The patient, a 76-year-old woman, became aware of terminal micturition pain and pollakisuria in February, 1985. She was first treated under the diagnosis of cystitis to be relieved of her subjective symptoms, although there was no improvement of pyuria. ⋯ Because of considerably extensive inflammatory changes over the mucosal membrane of the bladder, the hole of fistula on the vesical wall was simply closed from outside of the bladder without performing partial cystectomy. Histological examination only demonstrated non-specific inflammatory changes without evidence of malignancy. She had a favorable progress postoperatively.
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Review Case Reports
[Emphysematous pyelonephritis complicated by liver cirrhosis and diabetes mellitus: a case report and a review of the literature].
A case of emphysematous pyelonephritis is presented and a review of literatures is made. A 67-years-old woman with diabetes mellitus, complained of severe left flank pain and high fever and was referred from the department of gastroenterology. A computed tomography film demonstrated gas in the left renal parenchyma and a diagnosis of emphysematous pyelonephritis was made. ⋯ Emphysematous pyelonephritis is a rare, life-threatening disorder and 85 cases in the world have been reported to date. Our case is the 18th one in Japan. Its etiology, symptomatology, treatment and prognosis are discussed.