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A 64-year-old man with a remote history of left radical nephrectomy presented with a recurrent mass in the renal bed. Computed tomography findings suggested a mass in the bed of the psoas. On laparoscopic exploration, he had metastasis to the tail of the pancreas. We describe our surgical management and the patient's postoperative course.
We report a case of retroperitoneal splenosis, which presented as a local recurrence after laparoscopic radical nephrectomy. Seeding of splenic tissue can occur after trauma and/or removal of the spleen and must be kept in mind when performing laparoscopic surgery.
We present an unusual case of primary malignant mesothelioma of the penis in an adult male. The clinical features and microscopic, immunohistochemical, and ultrastructural characteristics that help to identify this entity are described. A discussion of the behavior of malignant mesothelioma follows, as well as a possible explanation for its origin in the penis. To date, no cases of primary malignant...
Laparoscopic bowel anastomosis can be a challenging and time-consuming process. No detailed intracorporeal technique has been well described, and most laparoscopists use an extracorporeal technique, which has many disadvantages. We detail a simple, pure laparoscopic method that creates a capacious isoperistaltic side-to-side enteroenterostomy.
Leydig cell tumor in a child is uniformly associated with isosexual pseudoprecocity. We report a unique case of an 8-year-old boy diagnosed with Leydig cell tumor who had histologic evidence of discrete spermatocyte maturation and Sertoli cell hyperplasia along the periphery of his tumor but no clinical evidence of pseudoprecocious puberty.
We report a case of repeated testicular infarction in a 39-year-old man with sickle cell disease. The patient presented with a 2-week history of testicular pain and was found clinically and sonographically to have a testicular mass, suspicious for a testicular tumor. The pathologic examination of the orchiectomy specimen revealed multiple infarcts, showing temporal variation ranging from acute (several...
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