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Metastatic cancers of the testis are rare. Metastatic disease in the testis from urothelial carcinoma is extremely rare. Usually, metastatic testicular cancers are from primitive prostate, lung, and gastrointestinal tumors.Testicular metastases from urothelial carcinoma should be suspected in patients with hematuria and testicular swelling.

Polycystic kidney disease (PKD) is a genetic disorder characterized by the formation of multiple cysts in the kidneys. We present a case of a 47-year-old male with PKD on dialysis who underwent bilateral renal artery embolization followed by bilateral nephrectomy via a median incision. The specimen weight was 5 kg for the left kidney and 8 kg for the right one. Renal artery embolization can be a useful tool in managing polycystic kidney disease in cases where nephrectomy is indicated. This case highlights the importance of timely intervention and the role of minimally invasive techniques in managing this rare condition.

Renal trauma is a serious condition that can result in significant morbidity and mortality, particularly in the case of Grade V injuries with complete avulsion of the renal artery and vein. We report a case of a 22-year-old male who sustained a Grade V renal injury in a motor vehicle accident resulting in total avulsion of the renal artery and vein. The patient underwent immediate surgical exploration with successful nephrectomy and ligation of the renal pedicle. This case reports aims to discuss the management strategies for severe renal injuries and the outcomes associated with this approach.

Inguinal bladder hernia is a very rare clinical form, representing 1–4% of inguinal hernias. More than 90% of cases are discovered intraoperatively, with iatrogenic bladder injury occurring in 16% of cases. We report the case of a 67-year-old patient with a history of left inguinal hernia, who presented with a strangulated inguinoscrotal hernia with a tense bursa, painful spontaneously and irreducible to palpation. The abdominopelvic CT scan revealed a giant inguinoscrotal bladder hernia. The bladder resection for a necrosis portion was indicated. This case presents interesting considerations and potential pitfalls when evaluating a patient with an inguinal hernia.

Undescended testis is a common situation in pediatric age groups, often asymptomatic. Torsion of an undescended testis remains an exceptional condition. Delayed diagnosis in many cases involves the prognosis of the testis, hence the importance of a correct clinical assessment including the examination of the external genitalia. Immediate surgical exploration should be performed without delay for testicular salvage. This paper aims to report the first case of torsion of an undescended testis in a 16 years old patient with bilateral testicular ectopy.

Solitary extramedullary plasmacytoma (EMP) involving the adrenal gland is an extremely rare malignancy. We report a case of a solitary adrenal plasmacytoma in an HIV-positive 50-year-old woman on antiretroviral therapy who presented with a rapidly progressing lumbar left masse. A CT scan objectified a locally advanced left adrenal mass measuring 135mm long axis. A biopsy was taken, and the histopathology with the immunohistochemical study objectified an adrenal gland plasmacytoma. The skeletal survey and the sternal suction biopsy did not show any abnormalities. The diagnosis of a solitary EMP of the adrenal gland was made. There are only 10 cases of solitary adrenal plasmacytoma with only one case associated with an HIV-positive patient reported in the literature. Therefore, this paper is aimed at presenting the second case of an HIV-positive patient diagnosed with solitary adrenal plasmacytoma.

We report the first case of a 52-year-old nondiabetic male admitted for management of uremic syndrome associated with emphysematous pyelonephritis (EPN), renal and perinephric abscess, and emphysematous cystitis (EC) on a single functional kidney with a large abundance of spontaneous pneumomediastinum (SP) complicating a SARS-CoV-2 pneumonia. The patient has benefited from several dialysis sessions, intravenous antibiotics, and percutaneous drainage. His clinical course was complicated by acute respiratory distress syndrome, and unfortunately, he died nine days following admission.

Most cases of bladder rupture are traumatic. Spontaneous rupture is much more rare, especially the one due to emphysematous cystitis (EC) which has been reported in only ninth cases in the literature. In our case, we report a 45 years old paraplegic patient with emphysematous cystitis and bladder rupture due to a urinary retention which causes him a urinary peritonitis treated with emergency laparotomy for repairing the wall of the bladder and antibiotics.

Usual location of metastasis are in renal cell carcinoma (RCC) the lung, liver, bone, adrenal and brain. Here we report on an unusual case of a 76-year-old male with a solitary sternal metastasis as an initial presentation of clear-cell RCC.The management of metastatic kidney cancer has been disrupted over the last decade by the emergence of new treatments and the progress of surgery and ablative techniques.the Carmena study suggests that sunitinib alone is not inferior to the NCR followed by sunitinib, the patient has therefore been transferred to oncology for medical treatment (targeted therapy).

Bladder cancers are not very common in young people under 20 years, especially with an atypical presentation such as faecaluria due to enterovesical fistula.This report describes the case of a 20 years old man who was diagnosed with a mass involving the small intestine and bladder during the course of investigations for faecaluria and abdominal pain. Histopathological examination of the biopsies during cystoscopy revealed: muscle invasive transitional cell carcinoma, while the computerized tomography scan had confirmed the enterovesical fistula.The patient was traited by Radical cystectomy with extended pelvic lymph node dissection and ileocecal resection as ultimate curative treatment. Keywords: Entero-vesical fistula, Bladder cancer, Muscle invasive, Young adult, Crohn disease

La tumeur de Buschke-Löwenstein appartient au groupe des carcinomes verruqueux. Plus fréquente chez les hommes et les immunodéprimés, elle se développe au niveau génital ou péri-anal, réalisant une volumineuse lésion bourgeonnante parfois ulcérée ou fistulisée aux organes voisins. L´histologie est proche de celle d´un condylome acuminé, avec cependant une prolifération plus marquée et une pénétration profonde dans les tissus adjacents mais sans rupture de la membrane basale. Une infection par Human papillomavirus (HPV) 6 et 11 est volontiers associée à ces tumeurs. La recherche d´autres infections sexuellement transmissibles associées est nécessaire. Un examen clinique rigoureux et une imagerie complémentaire permettent d´établir un bilan lésionnel précis. Le traitement est avant tout chirurgical, et doit être large du fait du haut potentiel récidivant de la tumeur. Des traitements néoadjuvants à type de chimiothérapie ou immunothérapie mériteraient d´être mieux évalués pour limiter le caractère délabrant de la chirurgie.

Nutcracker syndrome (NCS) results most commonly from the compression of the left renal vein by the aorta and vertebral column. Although NCS had been described in many studies, her prevalence is still not known, usual clinical signs are gross hematuria and flank pain. Diagnosis requires a high index of suspicion and treatment consists of a wide range of vascular surgical options with a more recent focus using an endovascular approach. We present a case of a 23-year-old male with intermittent hematuria and flank pain.

Adrenal myelolipoma (MLS) is a rare, benign and non-functional neoplasm, composed of adipose tissueand myeloid. We report a rare case of adrenal myelolipoma ofa 20-year-old female revealed with chronicabdominal pain. Computed tomography (CT) scan of the abdomen guided diagnosis and surgical resection was performed given symptomatic and bulky mass. Histological examination confirmed the diagnosis. At 18 months after the surgery, the patient had no evidence of recurrence. The diagnosis of MLS is radiological. Therapeutic abstention is the rule for a small, asymptomatic tumors. The surgical removal is indicated when it is bulky (exceeds 7cm), symptomatic or hormonalactivity.