Postmenopausal vesical endometriosis

Vesical endometriosis in a postmenopausal patient is reported. An abdominal hysterectomy had been performed twenty-four years previously, and exogenous estrogens had not been administered. The patient was treated surgically with a partial cystectomy

Disseminated Mucormycosis with Renal Involvement

A case of fatal disseminated mucormycosis causing bilateral renal artery thrombosis, parenchymal and collecting system invasion and destruction, and extrinsic perirenal and proximal ureteral compression is presented. In addition to acute renal failure meningoencephalitis, cerebral hemorrhagic infarction and septic enterocolitis were contributing causes of death

Ruptured mycotic aortic aneurysm

A right flank mass, in a patient with fever of unknown origin, pain, and superiorly displaced right kidney on excretory urogram, was explored through a subcostal incision. Finding of a retroperitoneal abscess was anticipated; instead a ruptured mycotic aortic aneurysm was encountered. An awareness that entities such as this may exist is imperative in the differential diagnosis of flank masses. Treatment through a flank incision presents an elusive if not impossible feat. Because of the gravity of the underlying disease, misdiagnosis almost always results in death

Use of exteriorized stents in vasovasostomy

Ten patients, three to fifteen years postvasectomy, underwent vasovasostomy. Using 2-0 nylon, stents were brought to the scrotal surface. Vas anastomosis was accomplished with a single transmural layer of 6-0 or 7-0 proline or chromic sutures under loupe magnification. Stents were removed in seven to ten days. After two years, a pregnancy rate of 70 per cent was achieved, comparing favorably with other more difficult operative techniques

Parastomal hernia causing anuria: Unusual complication of ileal conduit diversion

Parastomal hernia is a well-recognized complication of ileal conduit diversion. A case is reported in which a parastomal hernia became strangulated and, in turn, mechanically obstructed the ileal conduit causing total anuria. To our knowledge this unusual complication has not been previously reported

Salmonella typhosa infection of kidney

A case of Salmonella typhosa infection with calculous pyelonephritis is presented. The incidence and pathology of S. typhosa urinary tract infections are reviewed. It is suggested that a predisposing anatomic abnormality must usually be present for urinary salmonella infection to occur. Further damage, including calculous formation, may occur or calculi may be a major predisposing factor. Therapy for a case without gross anatomic changes should consist of ampicillin 100 mg. per kilogram body weight per day for four to six weeks. When the infection persists in spite of ampicillin therapy, surgical intervention, including nephrectomy, may be necessary. Trimethoprimsulfamethoxazole may effectively suppress the infection