Acute pancreatitis revealed by right orchi - Epididymitis: A case report and review of the literature.

Orchiepididymitis is a rare complication of acute pancreatitis and leads to misdiagnosis and unnecessary surgery. Abdominal pelvic CT and testicular Doppler ultrasound are the two key examinations in this situation. This is about a 38-year-old patient, seen in the emergency room in an initial picture of right orchiepididymitis secondary to a migration of pancreatic fluid collection treated with antibiotic therapy with monitoring. No consensus as to management has not been established so far. - According to the 2012 Atlanta Consensus: basic antibiotic therapy is recommended in case of suspected infection of these collections.

Bladder papilloma: A rare benign tumor - Case report and literature review.

INTRODUCTION AND IMPORTANCE: Bladder papilloma, a rare benign tumor of the urinary tract, accounts for 1-4 % of bladder tumors. Its distinct features, diagnosed through light microscopy, include architectural and cytological characteristics. Despite its rarity, bladder papilloma is clinically significant due to its distinct traits, low recurrence risk, and potential progression to other urothelial neoplasms. Understanding this condition is crucial for early diagnosis and optimal patient care. CASE PRESENTATION: A 66-year-old male with benign prostatic hyperplasia presented with one month of intermittent hematuria. Physical examination and laboratory tests were unremarkable. Imaging revealed an 11 × 10 × 7 mm echogenic nodular lesion with calcifications on the right bladder wall. Cystoscopy identified a polypoid lesion, leading to transurethral resection. Histopathological examination confirmed bladder papilloma without malignant features. CLINICAL DISCUSSION: Bladder papilloma typically presents with hematuria, mainly in younger patients, with low recurrence and rare progression to aggressive cancers. Diagnosis involves endoscopy and resection, followed by cystoscopic surveillance. Understanding its classification, characteristics, and risk factors aids in accurate management. CONCLUSION: Bladder papilloma diagnosis relies on light microscopy, with hematuria as a primary symptom, often in younger patients. Recurrence risk is low, and progression to aggressive cancers is rare. Diagnosis involves endoscopy, resection, and cystoscopic follow-up. This case enhances our understanding of bladder papilloma, contributing to improved care.

Acute pyelonephritis revealing an exceptional form of horseshoe kidney: A case report.

INTRODUCTION: The horseshoe kidney is a malformation of the upper urinary tract where the kidney is U-shaped. This condition results the fusion of the lower poles of the right and left kidneys on the midline. CASE PRESENTATION: We report a case of pyelonephritis revealing a rare form of horseshoe kidney with fusion of the lower pole of the right kidney with the upper pole of the left kidney, initially treated with urine drainage. DISCUSSION: Multiple etiological conditions may contribute to the development of a horseshoe kidney, in particular: the genetic/chromosomal predisposition, intrauterine environment and structural factors affecting kidney development and migration. CONCLUSION: Horseshoe kidneys reveal a veritable range of anatomical and embryological peculiarities, always suspect pyelonephritis on a horseshoe kidney in the presence of febrile abdominal pain in a patient with malformations.

Gangrene of the anterior abdominal wall secondary to urinary bladder rupture due to emphysematous cystitis: A case report.

INTRODUCTION AND IMPORTANCE: Emphysematous cystitis is a rare form of urinary tract infection that can cause the bladder wall to rupture. It is more prevalent in patients with diabetes. CASE PRESENTATION: We report the case of an 86-year-old man who developed gangrene of the anterior abdominal wall secondary to urinary bladder rupture. We performed a radical cystectomy preceded by an antibiotic treatment. CLINICAL DISCUSSION: Computed tomography is the key to positive and etiological diagnosis. This is particularly observed among diabetic or immunocompromised patients. Empirical antibiotic therapy and surgical treatment are the major components of management. CONCLUSION: Management of this rare condition is not standardized but involves surgery in most cases.

Penile necrosis by calciphylaxis leading to gangrene in a patient with chronic renal failure on dialysis: A case report.

INTRODUCTION: Penile calciphylaxis is a rare disease whose diagnosis is not easy. It is associated with chronic renal failure. It is a result of media calcification and blood vessels' fibrosis such as penile arteries that eventually lead to gangrene formation in extremities and penis. Calcific uremic arteriolopathy is commonly associated with secondary hyperparathyroidism and high level of calcium and phosphate. PRESENTATION OF CASE: In this paper, we report a case of penile necrosis induced by calciphylaxis associated with chronic renal failure and diabetic macroangiopathy. We performed a partial and total amputation in two stages because of the wound infection. The patient died one week after a total penectomy. DISCUSSION: The skin biopsy is the gold standard for the diagnosis despite being a risky process. In most cases, appropriate medical management is advocated. The treatment of this pathology is still controversial. CONCLUSION: The management of this rare situation is controversial, and its diagnosis is still difficult due to the scarcity of reported cases.