Many complications due to double j (DJ) stent placement have been reported. DJ stent knotting is a rare complication, with only a few cases reported in the literature. We presented a case of DJ stent knotting and reviewed the literature regarding this complication. We reported a 20-year-old man with a history of cystinuria and ureteral stone managed with retrograde ureteroscopy and holmium laser three months ago. The patient comes for DJ stent removal. Firstly, we tried to remove the DJ stent via the cystoscopic procedure, which failed. A fluoroscopic image revealed a knotted DJ stent lodged at the ureteropelvic junction and was removed via holmium laser ureteroscopic procedure without complications. In conclusion, when cystoscopic procedure with simple traction fails to remove DJ stents, multimodality urological procedures such as holmium laser should be tried, especially in patients with urolithiasis predisposing factors.
The applicability of the recommendations of the European Association of Urology (EAU) concerning the diagnostic evaluation of upper urinary tract urothelial carcinoma (UTUC) can sometimes come up against complex clinical features such as the association of upper urinary tract (UUT) stones with UTUC where it is masked by stones thus making its diagnosis difficult. Hence its incidental discovery during the treatment of the stones, thus reflecting a non-recommended diagnostic approach to UTUC. We report a case of UTUC revealed incidentally by an attempt at right percutaneous nephrolithotomy (PCNL) for kidney stones in a 72-year-old Moroccan with history of chronic smoking, extra corporal shock wave lithotripsy (ESWL) for right kidney stone, who consulted at the Military Hospital in Rabat for chronic right low back pain associated with intermittent macroscopic hematuria. In whom the reference diagnostic assessment of UTUC and retrograde pyelography (RP) could not establish the diagnosis. The interest of this case is to insist on the possibility of a coexistence of stones with UTUC in the event of macroscopic hematuria associated with UUT stones. In addition, this case makes it possible to report the limitations of the accuracy of the reference diagnostic assessment of UTUC.
The Buschke-Lowenstein tumor (TBL) or giant condyloma acuminata (GAG) is a tumor of viral origin with predominantly sexual transmission. A rare nosological entity 0.1%. Affecting men in 80% of cases and developing on the sexual organs perineum in women, the manifestation is in about 90% on the vulva. The contributing factors are the multiplicity of sexual partners, repeated infections, and decline in humanity. The condition phase is characterized by a cauliflower or rooster's crest tumor. Treatment is primarily surgical, followed by clinical and histological monitoring. We report a clinical case of giant condyloma acuminata at the Military Hospital of Instruction Mohamed V Rabat from 01/15/2021 TO 01/22/2021, the patient is operated with favorable outcome: seen on D 30 post-op.
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