Publications by authors named "Joshua Winston"

Horseshoe kidney is a rare anatomical variant with low clinical morbidity. However, the characteristic shape of horseshoe kidney causes significant anomalies within the vascular and collecting systems. This complicates the diagnosis and management of coexisting pathologies within the kidneys.

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A 23-year-old otherwise well male, with right ureteric stent placed electively for a 9-mm symptomatic pelviureteric junction stone underwent a right ureteropyeloscopy, retrograde pyelogram laser lithotripsy and stent exchange for stone clearance. The procedure was uncomplicated. Following stent removal on day 2, the patient developed acute right lower quadrant pain, which was investigated with non-contrast CT abdomen.

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This article presents the case of a 77-year old male who was found to have a prostate-symphyseal fistula with associated pubic symphysis osteomyelitis. He had a history of previous radiation for prostate cancer and two transurethral resections of the prostate. He was managed conservatively with long-term antibiotics and urinary diversion as he was a suboptimal surgical candidate.

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Article Synopsis
  • Penile Mondor's disease is a rare condition where superficial veins in the penis become inflamed and is typically self-limiting, with unknown causes in many cases.
  • A reported case involves a man developing this condition after receiving the AstraZeneca ChAdOx1-S vaccine, which is known to cause a hypercoagulable state.
  • This marks the first documented instance of penile thrombophlebitis linked to the ChAdOx1-S vaccination, emphasizing the importance for healthcare providers to be aware of potential clotting risks from the vaccine.
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Purpose: The objective of this study is to report a case of a primary aortoenteric fistula successfully treated with endovascular repair without aortic explant.

Case Report: A 48-year-old man presented with a 24-hour history of hematemesis and malena. A computed tomography (CT) abdomen and pelvis demonstrated a 6 cm infrarenal aortic aneurysm with periaortic stranding and contrast enhancement within the lumen of the third part of the duodenum.

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Inguinal hernias involving the ureter or are a rare and infrequently described finding with both clinical and surgical consequence. While the majority are asymptomatic and rarely cause obstructive uropathy our case aptly highlights the risk to a general surgeon prior to an elective hernia repair. A review of the literature outlines a systematic approach of investigation if clinical suspicion of an inguino-scrotal ureter is raised, with careful operative planning and a multidiscipline approach for repair recommended.

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