Scrotal cavernous hemangioma presented with pruritus in a teenager: A case report

Key Clinical Message Ulcerated scrotal cavernous hemangioma is uncommon and rarely presents with pruritus. The surgeon should perform a complete scrotal examination, choose the best treatment option, and the diagnosis should be confirmed histopathologically. Abstract Ulcerated scrotal hemangiomas are a rare disease that can pose a diagnostic challenge, particularly if there is simultaneous hemorrhage. We report the case of a 12‐year‐old child with an unusual presentation of scrotal cavernous hemangioma characterized by itching and bleeding. The mass was surgically removed, and the diagnosis was confirmed histopathologically

Predictive factors of delayed bleeding after percutaneous nephrolithotomy requiring angioembolization

Abstract Objectives To investigate the predictive factors of delayed post‐percutaneous nephrolithotomy (PCNL) haemorrhage because of arteriovenous fistula (AVF) or pseudoaneurysm (PA) and compare the factors between AVF and PA. Patients and methods This is a case–control study with a case‐to‐control ratio of 1:3. Out of 5077 patients who underwent PCNL from April 2015 to April 2018 in three different teaching hospitals, 113 had post‐PCNL haemorrhages because of AVF and/or PA. Seventy‐two patients met the inclusion criteria and entered the study as cases, while 216 patients without any postoperative complications were selected as controls. Results Of all 72 studied patients with complications after PCNL, 35 (48.6%) had AVF, and the rest had PA. The regression model revealed that a history of diabetes (odds ratio [OR]: 2.799, 95% confidence interval [CI]: 1.392–5.630, p‐value = 0.004) and renal anomalies (OR: 2.929, 95% CI: 1.108–7.744, p‐value = 0.03) were associated with developing delayed post‐PCNL haemorrhage. However, no differences were seen between AVF and PA regarding selected variables (p‐value > 0.05). Conclusion History of diabetes and renal anomalies were predictive factors for delayed post‐PCNL haemorrhage, but no predictive factors were found to differentiate PA and AVF from one another