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Biomedical subjects

L H Werboff

Publications and source records attributed to L H Werboff.

4 recordsLinked to original sources

Hematospermia as the presenting symptom of metastatic malignant melanoma of unknown primary origin.

The presence of blood in the ejaculate is alarming to patients and may arise from many sources in the genitourinary tract. Fortunately, hematospermia is rarely due to underlying malignancy and only necessitates further evaluation with continued symptoms. We report a case of persistent hematospermia in a man with human immunodeficiency virus caused by metastatic malignant melanoma to both seminal vesicles. The evaluation included pelvic magnetic resonance imaging and transrectal ultrasound-guided biopsy. Metastases to the brain were subsequently discovered, but a primary source for the melanoma could not be identified. This is the first reported case of isolated involvement of the seminal vesicles with malignant melanoma and underscores the potential for serious disease presenting as hematospermia.

Adult↗

Toxoplasmosis of the bladder: case report and review of the literature.

Toxoplasma gondii is an intracellular parasite that is responsible for an asymptomatic or minimally symptomatic lymphadenopathy syndrome, which in the immunocompromised host can be life threatening. Toxoplasmosis commonly affects the central nervous system. Genitourinary involvement is uncommon with reported cases limited to Toxoplasma orchitis and the nephrotic syndrome. To our knowledge we report the first case of toxoplasmosis of the bladder as an intravesical mass without central nervous system or other organ involvement in a young man with the acquired immunodeficiency syndrome.

AIDS-Related Opportunistic Infections↗

Pelvic lipomatosis: diagnosis using computed tomography.

Pelvic lipomatosis is a rare, benign disease in which the characteristic roentgenographic findings may mimic those of pelvic malignancy. In the past more than two-thirds of reported cases have been explored surgically for diagnosis. We present 2 cases to demonstrate how the definitive diagnosis of pelvic lipomatosis can be made with the aid of computed tomography to avoid invasive techniques.

Adult↗