A case of Carney complex presenting as acute testicular pain.

We describe the case of a 7-year-old boy who presented with testicular pain but was found to have bilateral testicular lesions later confirmed as Sertoli cell tumors. Genetic testing confirmed a PRKAR1A gene mutation consistent with Carney complex, a rare genetic disorder characterized by skin lesions, myxomas, and multiple endocrine neoplasms. A review of the condition is made highlighting the association with testicular tumors, particularly of Sertoli cell origin.

Point of technique: reducing wrong-side errors for endourology procedures.

Objective: To describe a simple novel technique for reducing the likelihood of wrong-side surgery in endourology.

Method: A radiopaque adhesive SKINTACT ECG electrode is placed in the corresponding groin on the side of the intended procedure and provides a visual aid to the surgeon on the fluoroscopy image to ensure the correct side is being performed.

Results: The electrode is placed in the groin at the end of the surgical checklist in view of and in collaboration with the whole surgical team before commencing the procedure.

Raised white cell count in renal colic: Is there a role for antibiotics?

Aims: To determine the use of antibiotics in patients with renal colic and an elevated white cell count (WCC) in the absence of other features of infection.

Materials And Methods: A retrospective audit of patients presenting to an emergency department with renal colic caused by a solitary ureteric stone over a 6 month period.

Statistical Analysis Used: Student's t-test.