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A rare case of female urinary retention caused by urethral leiomyoma: A case report.

Int J Surg Case Rep

January 2025

Faculty of Medicine, Universitas Padjadjaran, Bandung, West Java, Indonesia; Urology Department, Hasan Sadikin General Hospital, Bandung, West Java, Indonesia.

Introduction And Importance: Female urethral leiomyoma is a rare benign tumor that originates from the smooth muscle cells in the urethra's wall. Surgical resection is often the primary treatment option. However, the tumor's location and size can present challenges for complete removal while preserving urethral function.

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A young, intact, female, American Bulldog was presented for hemorrhagic vaginal discharge. Anemia, thrombocytopenia, leukocytosis with neutrophilia, azotemia, and electrolyte disturbances were detected in the bloodwork. A urachal diverticulum with concurrent uterine distention was identified by ultrasonography and CT.

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Introduction: Nevoid basal cell carcinoma syndrome (NBCCS) is a rare autosomal dominant disorder classically associated with multiple basal cell carcinomas, odontogenic keratocysts and skeletal anomalies. However, its significant phenotypic heterogeneity often delays the diagnosis. Here, we undertake the first comprehensive characterisation of NBCCS and congenital urinary tract anomalies.

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Article Synopsis
  • Bladder injuries during laparoscopic surgery are uncommon but can be serious, especially in patients with urachal remnants, which increase the risk during suprapubic port insertion.
  • A case of a 46-year-old man with cecal cancer experienced a bladder injury due to a urachal remnant during laparoscopic surgery, leading to a successful repair and uncomplicated recovery.
  • The case highlights the challenges in diagnosing asymptomatic urachal remnants preoperatively and suggests that sagittal CT scans can help identify them, recommending careful port placement to prevent bladder injuries.
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Vaginal Bulge is not Always Prolapse.

J Minim Invasive Gynecol

November 2024

Johns Hopkins-Dibley Memorial (Drs. Murdock and Gruber), Washington, DC, USA.

Objective: The objective of this video is to review a case of a patient that presented to urogynecology clinic for prolapse but was noted to have anterior vaginal cyst. In this video, we review differential diagnosis, embryologic origin of vaginal cyst, excision procedure, imaging, and pathology of the vaginal cyst.

Setting: Urogynecology clinic/operating room PARTICIPANT: Patient who presented with anterior vaginal cyst INTERVENTION: Thirty-four-year-old G0 referred to Urogynecology for a vaginal bulge.

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