Painless Left Scrotal Mass: A Rare Case of Paratesticular Angiofibroma.

Angiofibromas, also known as angiomyofibroblastoma-like tumors or AMF-like tumors, refer to a collection of rare, benign yet highly cellular tumors of the vulva, scrotum, perineum, or inguinal region. In this paper, we present a 34-year-old Saudi man who presented with findings of a testicular tumor on physical examination and imaging and tested negative for all the markers associated with testicular tumors.

A rare case of emphysematous pyelonephritis associated with pneumatosis intestinalis and bowel ischemia.

Emphysematous pyelonephritis (EPN) is a rare life-threatening gas producing kidney infection, commonly affects uncontrolled diabetic patients with underlying urinary tract obstruction. Presence of pneumoperitoneum and involvement of the bowels are uncommon presentation of EPN. In the present report, we present a 59-year-old African male who had extensive EPN with pneumoperitoneum, pneumatosis intestinalis and extension to the bowel causing ischemia. Successful surgical exploration was done, with resection anastomosis of the ischemic bowel segment and drainage of the kidney.

Urofacial syndrome: Uncommon and unforeseen cause of lower urinary tract dysfunction in children.

Dr. Ochoa proposed a condition known as Urofacial syndrome (UFS) which is characterized by the abnormal facial expression while smiling along with dysfunctional lower urinary tract in 1987. This study investigated 7 years old boy who presented with recurrent urine retention, dysuria, and inversion facial expression. Radiological and genetic work-up diagnosed him with UFS.

Unilocular huge renal hydatid cyst mimicking simple cyst: A rare case report.

Hydatid cyst is commonly involve the liver and lung, but involvement of the kidney is very rare. We present a case of a young female presented to our institute with right abdominal mass, diagnosed as query liver hydated cyst with right renal simple cyst. Unfortunately, during deroofing of the simple renal cyst, there was a spillage inside the abdomen, hydated cyst was suspected and underwent removal of liver and kidney cysts. We are reporting this case due to its rarity and to highlight the importance of detailed history and further investigations in such cases presenting with simple renal cyst.

Bilateral ureteric re-implant for an 18 months old boy with a huge bilateral hutch diverticulum presented with recurrent urinary retention.

Huge bladder diverticulum is uncommon but serious cause of obstructive uropathy in children. This study investigated an 18 months old boy with a huge bilateral Hutch diverticulum presented with recurrent urinary retention, underwent bilateral bladder diverticulectomy. The operative management entailed meticulous reconstruction of the lower urinary tract. Post operatively the patient restored normal voiding dynamics, and he is on regular follow up. We are reporting this case due to its rarity and to share our experience with the management and outcome in such cases.

Management of iatrogenic ureteral injury: Ureteral reimplantation with a bilateral Boari flap.

Reconstruction of the ureter is still regarded as a sophisticated approach demanding absolute dedication of the urologists. Similarly, iatrogenic ureteral injuries, as well as strictures, are quite common complexities of the pelvic and gynecological surgeries which if left untreated could lead to short as well as long-term issues. Presently, a case of a post-caesarian section along with hysterectomy of 40 years old woman has been presented that has resulted in distal left ureteral injury. A bilateral Boari flap was performed for the mobilization of the bladder.

Robot-assisted hysterectomy in a 41-year-old male: A rare case report.

Persistent Müllerian Duct Syndrome (PMDS) is regarded as a rare genetic disorder influencing internal sexual male development. PMDS is commonly diagnosed incidentally either during any pelvic surgery or examination of undescended testis. Currently, we have presented a case focusing on the phenotype individual who was presented to our institute with primary infertility as well as bilateral undescended testis, who underwent Robotic-assisted hysterectomy, left orchidectomy, and right orchiopexy.

Acute scrotum in elderly; is it torsion !

Testicular torsion occurs most frequently in a preadulthood age. In geriatric people, it is very rare and should not be an exclusion criterion for the diagnosis. Lack of awareness about testicular torsion in elderly people may end up with delayed or misdiagnosis. In this article, we report a case of testicular torsion in 62 years old Saudi man.