Renal salvage from a giant multiloculated primary echinococcal cyst.

This case report illustrates the importance of performing conservative renal surgery, rather than nephrectomy, in patients with giant echinococcal lesions, even if preliminary peroperative assessment suggests a need to sacrifice the kidney.

Penile agenesis: an unusual variant.

An unusual variant of penile agenesis with a high rectal termination of the urethra is reported. The difficulties faced in the management of this case and the possible aetiology of this rare anomaly are discussed.

Acute abdomen: an unusual presentation of a blind-ending bifid ureter.

This case report features the unusual presentation of a blind-ending ureteric duplication (BEUD) as acute abdomen. The partially obstructed BEUD had mimicked acute appendicitis, leading to previous errors in the diagnosis and management of the case. A high index of suspicion is necessary to diagnose such a rare congenital anomaly when it presents as acute abdomen.

Penile nodule in a young adult.

A 20 year old male presented with a nodule, 1.25 cm x 1 cm, on the ventral aspect of the foreskin of his penis. The nodule was excised by circumcision. On histology it was found to be a multiloculated cyst located in the dermis of the prepuce. It contained eosinophilic material and was lined by pseudostratified columnar epithelium. There was no evidence of inflammation or malignancy in any of the sections of this median raphe cyst. The aetiology of such cysts is discussed in addition to a review of the literature.

Congenital glanular sinus: possible variant of blind accessory urethral channel.

We report a case of congenital sinus opening at an unusual position on the glans penis of an asymptomatic subject. The differential diagnosis and embryological implications of this rare anomaly are discussed. We believe that our case represents an uncommon location for a blind accessory urethral channel.