Intra uterine device migrating into the bladder with stone formation.

An intrauterine device (IUD) perforating the uterus and bladder and creating a nidus for stone formation is rarely described in the international literature. A 50-year-old woman was referred to our department for 6 months history of suprapubic pain and pollakiuria without fever. Ultrasound, X-ray examination and abdominopelvic scanner confirmed an IUD perforating the uterus and the bladder. The stone on the perforating ectopic IUD was successfully removed with YAG Holmium Laser and the IUD was extracted without complications with the aid of a transurethral resectoscope.

Malignant pheochromocytoma: A diagnostic and therapeutic dilemma.

INTRODUCTION: Malignant pheochromocytomas are rare endocrine tumors that develop within chromaffin tissue. The diagnosis of malignancy is based on neoplastic recurrence or the presence of metastasis in organs that lack chromaffin tissue. We report a series of four cases because of their diagnostic and therapeutic particularities. PRESENTATION OF CASE: we describe four clinical cases of patients with malignant pheochromocytoma whose Menard triad "headache-palpitations-sweating" was present in three out of four patients, the methoxylated derivatives were measured in 4 patients, 3 of which had high values, all of our patients carried out a CT scan which objectified signs of malignancy, MRI was performed on a single patient; presenting with a neoplastic recurrence; looking for a locoregional invasion. DISCUSSION: Pheochromocytoma (PC) is a rare neuroendocrine tumor derived from the chromaffin cells of the adrenal medulla. Its annual incidence is 2 to 8 per million adults. A peak frequency is observed between 30 and 40 years of age. Approximately 10% of pheochromocytomas are malignant and in 10% of cases, bilateral localization is observed. Criteria for malignancy include the invasion of neighboring organs, a large tumor, the presence of lymphadenopathy on imaging, or fixation on scintigraphy. Surgery for MAP is not always curative. In the case of multiple liver metastases, treatment is based on adrenalectomy, which can be effectively combined with chemoembolization, cryoablation, or radiofrequency techniques. CONCLUSION: The main prognostic factors of the malignant pheochromocytomas are a large tumor volume, the existence or number of visceral metastases, and the presence of a mutation in the SDHB (Succinate dehydrogenase B) gene.

Foreskin necrosis - Complication following self-circumcision.

Male circumcision (MC) seems to be practiced since ancient times by Muslims and Jewish, and it is considered as commandment. Attempts at self-circumcision for any reason are very rare in our country. This article aims to highlight another case of self-circumcision in a 30 year-old male, using a sharp vegetable knife. The reasons behind this act are various and the most common complications, especially in the use of sharp tools, in addition to bleeding or laceration of the penis, are infection, penile curvature, urethral injury or necrosis of the foreskin and penile tissues. To our knowledge, this is the first case report with necrotic foreskin as complication.

Giant hydronephrosis secondary to ureteral calculi in adults: Case report and literature review.

Giant hydronephrosis is rare to be seen in adults and is often the cause of misdiagnosis, It is usually caused by ureteropelvic junction syndrome. We here report the unusual case of a patient hospitalized with giant hydronephrosis secondary to ureteral calculi, associated with impaired general condition. Diagnosis was based on CT scan. The patient underwent deferred nephrectomy after percutaneous drainage.

A rare entity of bilateral hutch diverticulum asymptomatic in adult revealed during the assessment of hematuria.

Hutch diverticulum is a rare congenital entity that develops in the ureteral hiatus or in its proximity and is accompanied by reflux in most cases. There are very few reported cases and most of them are in children and predominately at solitary side. Adult cases are rare. We review the literature and present a case of a 65-year-old man with bilateral hutch diverticulum asymptomatic revealed during assessment of hematuria.

Geant adrenal myelolipoma: A case report with literature review.

Adrenal myelolipoma is a rare, benign, non-functioning tumor, composed of mature adipose tissue and hematopoietic cells. We present the case of a 26-year-old woman who presented with abdominal distention and right back pain radiating to the right hypochondrium. Computed tomography of the abdomen revealed a large retroperitoneal mass, which was suspected to be a retroperitoneal liposarcoma. All hormonal studies related to adrenal gland were within normal limits. Open surgery resection was performed. Histopathology showed an adrenal myelolipoma with 39 × 21.5 × 8.5 cm and weighting 4930 g h. The patient evolved with an uneventful postoperative period.

The ectopic vesical pheochromocytoma a diagnostic and therapeutic challenge case report and literature review.

INTRODUCTION: Extra-adrenal localization of pheochromocytoma is rare. Its clinical revelation is paroxysmal but maybe in the form of permanent hypertension resistant to treatment. The main problem with these tumors is to affirm their benignity or malignancy, ectopic pheochromocytomas have a malignant development once in two. CASE PRESENTATION: We report the observation of a 39-year-old woman hypertensive on Amlodipine. She presents for sweating, headache, and palpation. The dosage of urinary metabolites revealed a marked increase in metanephrine and normetanephrine. Imagery had shown, at the expense of the left lateral wall of the bladder, a budding tissue formation with irregular contours which was significantly enhanced after injection of PDC. The diagnosis of an ectopic pheochromocytoma was accepted. The patient underwent a partial cystectomy, the postoperative consequences of which were unremarkable. DISCUSSION: Threatening secretory syndromes are rare medical situations that require urgent management. Pheochromocytoma can be seen at any age from childhood to old age. The treatment of pheochromocytoma is surgical, once the stages of positive and topographic diagnosis have been carried out, the patient must be immediately entrusted to a team of trained surgeons and anesthetists. The prognosis remains unpredictable, hence the interest in prolonged monitoring. CONCLUSION: Pheochromocytoma is a tumor developed at the expense of chromaffin tissues, extra-adrenal localizations exist, but remain rare. It is a pathology that presents a diagnostic and therapeutic dilemma in which patients require regular and prolonged postoperative monitoring to detect a possible metastasis or recurrence.

[Paratesticular rhabdomyosarcoma: a case report]. / Rhabdomyosarcome paratesticulaire: à propos d'un cas.

Paratesticular rhabdomyosarcoma is a rare tumor. Treatment is based on multimodal therapy as well as on surgery, chemotherapy and radiotherapy. This study and literature review highlight the diagnostic and therapeutic approaches to treat paratesticular rhabdomyosarcoma.

[Role of laparoscopy in the management of the abnormalities of sex differentiation: about 12 cases]. / Place de la laparoscopie dans la prise en charge des anomalies de différenciation sexuelle: à propos de 4 cas.

Disorders of sex differentiation cause a discrepancy between sex itself (phenotype) and genetic sex (genotype) which poses a problem in sex determination. In lower socioeconomic level countries where prenatal diagnosis is often absent and technical equipments are inadequate, medical and surgical management is difficult. The aim of this study is to clarify the role of laparoscopy in the management of sexual ambiguity through observation of 4 cases and review of the literature.