RESUMEN
Gross hematuria is a common occurrence in adults. The differential diagnosis is extensive, including: malignancy, trauma, inflammation of the urinary tract, and stones. While, urinary tract amyloidosis represents only a small percentage of causative gross hematuria, it is concerning because of its superficial resemblance to malignant processes. We report the case of an 82-year-old male with concurrent primary amyloidosis of the kidney, ureter and bladder in the setting of acute hemorrhage. Histopathological examination of several biopsied samples confirmed our diagnosis. A nephroureterectomy with bladder cuff was successfully performed without complication along with watchful waiting for the bladder amyloidosis.
Asunto(s)
Amiloidosis/complicaciones , Hemorragia/etiología , Enfermedades Renales/complicaciones , Enfermedades Ureterales/complicaciones , Enfermedades de la Vejiga Urinaria/complicaciones , Enfermedad Aguda , Anciano de 80 o más Años , Humanos , MasculinoRESUMEN
Patients present with foreign bodies in the genitourinary tract of a surprising array of shapes and sizes. We present a case of a woman with a metallic pipe lodged in the bladder and a novel technique for removing it. The patient underwent cystoscopy and a prolene snare was fashioned intraoperatively which facilitated safe and rapid extraction of the metallic pipe. Foreign bodies in the genitourinary tract present the urologist with a unique challenge and we present a simple, cheap, and effective way of managing these objects using an easily constructed cystoscopic snare.
