Volume 11, Number 4Case ReviewConcurrent Bilateral Renal Angiomyolipoma and Renal Cell Carcinoma in a Patient With Tuberous Sclerosis ComplexMbarek DoublaliSoufiane MellasMohamed Fadl TaziMohamed Jamal El FassiYounes AhallalAbdelhak KhalloukRenal angiomyolipomas (AMLs) are often associated with tuberous sclerosis. These tumors are predominantly benign, although malignant forms do exist and are known to be associated with renal cell carcinoma. This case report describes a patient with tuberous sclerosis and massive bilateral AML. Total right nephrectomy was performed; histopathologic examination revealed the coexistence of AML and clear cell renal carcinoma in the same kidney. Because differentiation between renal cell carcinoma and AML with minimal or no fat component can be difficult, an accurate diagnosis is critical in the management of renal AML.[Rev Urol. 2009;11(4):216-218 doi: 10.3909/riu0436]© 2009 MedReviews®, LLCRenal cell carcinomaAngiomyolipomaTuberous sclerosis
Volume 12, Number 3Case ReviewRisk Factor Analysis and Management of Ureteral Double-J Stent ComplicationsCase ReviewMohamed Jamal El FassiMoulay Hassan FarihYounes AhallalAbdelhak KhalloukDouble-J ureteral stents are commonly used to manage urinary obstructions. Pain, bladder irritative symptoms, and fever are usually signs of early complications related to double-J stents; late complications are more troublesome. We review 4 cases that highlight a variety of late complications with double- J stents (encrustation, migration, and fragmentation). Following a review of the literature, guidelines are established for monitoring potential risk factors as well as management strategies for prevention of possible complications when using double-J stents. [Rev Urol. 2010;12(2/3):e147-e151 doi:10.3909/riu0447]Double-J stentExtracorporeal shock wave lithotripsyStent migrationFragmentationEncrustation
Volume 13, Number 4Case ReviewBenign Paratesticular Fibrous Pseudotumor With Malignant Clinical FeaturesElmehdi TaziMohamed Fadl TaziMoulay Hassan FarihMohamed Jamal El FassiYounes AhallalAbdelhak KhalloukParatesticular tumors are rare intrascrotal masses that grow mainly in structures containing connective tissue around the testis, epididymis, or spermatic cord. We report here on a case of a 55-year-old man with a mass in the hemiscrotum that was found to be a paratesticular fibrous pseudotumor in the orchiectomy specimen pathologic examination. From this case report and literature review, a diagnostic and therapeutic strategy is demonstrated for the management of this uncommon lesion. [Rev Urol. 2011;13(4):e203-e205 doi: 10.3909/riu0509] © 2011 MedReviews®, LLCParatesticular fibrous pseudotumorEpididymisSpermatic cord
Volume 13, Number 3Case ReviewConcomitant Sertoli and Leydig Cell Tumor of the Testis: A Case ReportMohcine BendahouHinde ElfatemiElmehdi TaziMohamed Fadl TaziMoulay Hassan FarihMohamed Jamal El FassiYounes AhallalAbdelhak KhalloukA rare intratubular gonadal stromal tumor was present in the testis of a 45-year-old man who was admitted to our hospital with the chief complaint of gradual enlargement of the left testis. Tumoral markers were negative and no extension was observed. The tumor comprised an intratubular mixture of two types of tumor cells with intercellular junctions: the predominant tumor cells were consistent with a Sertoli cell origin and cells comprising the minor population consistent with a Leydig cell origin. The patient is disease free after 6-month follow-up. The case is considered to be a testicular mixed tubular Sertoli-Leydig cell tumor. It highlights a rare type of primary tumor of the testis that features a good prognosis. [Rev Urol. 2011;13(3):173-175 doi:10.3909/riu0495] © 2011 MedReviews®, LLC
Volume 13, Number 1Case ReviewAppendiceal Abscess Revealed by Right Renal Colic and HydronephrosisCase ReviewMoulay Hassan FarihMustapha AhsainiMohamed Jamal El FassiYounes AhallalAbdelhak KhalloukReported is the case of a patient who had an appendiceal abscess revealed by right renal colic with fever and general fatigue. The abdominal computed tomography scan showed hydronephrosis and an appendiceal abscess surrounding and compressing the ureter. The appendix contained a stercolith and was perforated. [Rev Urol. 2011;13(1):53-55 doi: 10.3909/riu0479]HydronephrosisRenal colicAppendicitisAbscess