Background
The uniqueness of this case is in its rarity and divergent presentation.
Case presentation
Here, we report a case of 56-year-old male patient with pain in the left flank for 1 year. On evaluation, patient was diagnosed with multiple left renal calculi and emphysematous pyelonephritis with non-functioning kidney. Intraoperatively, dense perinephric adhesions, necrotic kidney and renocolic fistula were encountered. The patient underwent left nephrectomy with resection anastomosis of descending colon segment with loop ileostomy. Histopathological examination showed a poorly differentiated high-grade clear cell carcinoma with squamous metaplasia.
Conclusion
Renal cell carcinoma can present in unusual ways. Sometimes, it can mimic emphysematous pyelonephritis because of fistulous communication with gut. It is rare but challenging for urologists to diagnose and manage such cases.
The uniqueness of this case is in its rarity and divergent presentation. Here, we report a case of 61 years old diabetic male who presented with painless swelling on the glans penis for the past 6 months along with bleeding from the mass and difficulty to pass urine for 1 month. Examination revealed solid, mass arising from the tip of glans with non-retractile, indurated prepuce. No clinically palpable lymphadenopathy was present. Dorsal slit was performed and mass excised. Histopathology examination revealed cavernous hemangioma. Primary cavernous hemangioma of glans penis is very rare but challenging for urologists to diagnose and manage such cases.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.