Wilms' tumor in crossed fused renal ectopia.
The occurrence of a nephroblastoma in a crossed ectopic kidney has been reported only one previous time. A second patient with these findings is the subject of this report.
Biomedical subjects
Publications and source records attributed to J F Redman.
The occurrence of a nephroblastoma in a crossed ectopic kidney has been reported only one previous time. A second patient with these findings is the subject of this report.
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A case of left renal cell carcinoma which presented as vaginal bleeding from a vaginal metastasis is reported. Less than 60 cases of this occurrence have been described.
The ultrastructure of renal cell carcinoma was studied in 6 patients. This study demonstrated a spectrum of ultrastructural patterns ranging from the classic electron microscopic features of granular cell carcinoma at one extreme, to those of clear cell carcinoma at the other extreme. Other tumors demonstrated intermediate features. There was reasonably good correlation between the light microscopy and electron microscopy. Unusual findings of connective tissue banded structures and basement membrane branching were demonstrated.
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A conservative procedure is described for shortening the redundant ileal segment through a peristomal incision. The procedure may be used to complement a stomal revision.
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Mycotic prostatitis is usually found incidentally at autopsy or in surgically removed prostates. A seventy-nine-year-old man with mycotic prostatitis presented with prostatism. A non-operative diagnosis was established by needle biopsy of the prostate. Symptoms of prostatism improved with medical management. A review of prostatic mycosis is presented.
An unfavorable experience with the adaptation of the circle tube for cystostomy drainage is presented. The primary disadvantage is the dissatisfaction of patients with the presence of 2 tubes emerging from the lower abdomen.
The case is presented of a pregnant woman who had urinary extravasation from the right renal collecting structures after an automobile accident. Treatment was conservative.
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During the last 20 years reports have appeared describing successful results with a 2-stage orchiopexy for patients noted to have a short testicular artery on first exploration. A critical review of these reports indicates that accurate documentation of the phenomenon of spontaneously increasing spermatic cord length following surgical manipulation does not exist. It is suggested that a scientifically accurate prospective study of the staged orchiopexy is needed.
Although selection of a short ileal segment in the formation of an ileal conduit usually is recommended it is apparent that a truly short conduit is not used often. Therefore, a technique for the construction of a short ileal conduit is presented. It is suggested that many reported series of ileal diversions with subsequent renal deterioration may have used long ileal segments and consequently, may not be valid. Prospective series with short ileal segments seem necessary prior to the complete abandonment of the now widely used procedure of ileal conduit diversion.
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Explore the source record for details and available documents.
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Impotence is a rare psychologic complication. While scrotal ecchymoses and swelling are common, pain is not. Wound infections are not uncommon but abscesses are. Vasitis, epididymitis or orchitis is unusual. Sperm granuloma can initiate recanalization. The implications of sperm agglutinating antibody formation are not yet clear. Pregnancy is a "complication." The patient should be considered relatively fertile for at least four months postoperatively.