1/13. Teflonoma presenting as a cystourethrocele.We report an unusual case of teflonoma which appeared three years after teflon injection and presented as cystourethrocele. The pathology confirmed the presence of a giant cell reaction compatible with a teflonoma.- - - - - - - - - - ranking = 1keywords = giant (Clic here for more details about this article) |
2/13. Giant bladder diverticulum due to previous bullet injury: findings of gadolinium-enhanced magnetic resonance imaging.Non-obstructive acquired giant bladder diverticulum is rare. An 84-year-old man presented with difficulty in urination. Radiological examinations including pelvic magnetic resonance imaging, urethrocystography and urethrocystoscopy demonstrated a giant bladder diverticulum with normal infravesical urinary tract. The patient had a past history of gunshot bladder injury and underwent surgical removal of the bullet. The giant bladder diverticulum was thought to be associated with the injury or the operation.- - - - - - - - - - ranking = 3keywords = giant (Clic here for more details about this article) |
3/13. Unusual bladder masses in children.Benign and malignant bladder masses in children are extremely rare pathologic lesions. The presentation can include gross hematuria, irritable or obstructive voiding symptoms, and urinary infection. We present 2 cases in which large bladder masses suspicious for malignancy were diagnosed as benign lesions. One patient presented with abdominal pain and frequency 2 weeks after a minor bicycle accident and had a bladder wall abscess with sterile urine. Another child presented with gross hematuria and was found to have a giant cystitis glandularis lesion with no precipitating event or infection. The evaluation and differential diagnosis are discussed, and a review of the literature is presented.- - - - - - - - - - ranking = 1keywords = giant (Clic here for more details about this article) |
4/13. Fine-needle aspiration of a periurethral Teflon-filled cyst following radical prostatectomy.Periurethral Teflon injections are being used increasingly for the treatment of urinary incontinence after radical prostatectomy. We report a case of a man who developed increasing obstructive urinary symptoms and stress incontinence following radical retropubic prostatectomy. Six months earlier, he had undergone periurethral Teflon injections. On transrectal ultrasound and magnetic resonance imaging, a 3.2-cm cystic lesion was noted at the prostatic bed near the bladder neck where the Teflon had been injected. Ultrasound-guided transperineal fine-needle aspiration of the cyst yielded a specimen with numerous birefringent crystalline Teflon particles. Although previous reports have described granulomatous tissue reaction, no multinucleated giant cells were present to suggest granuloma formation. To our knowledge, this is the first reported case of Teflon cyst formation following periurethral Teflon injections. The patient's history, imaging studies, cytopathology, and review of the literature are presented in this report.- - - - - - - - - - ranking = 1keywords = giant (Clic here for more details about this article) |
5/13. Intraoperative catheter management during laparoscopic excision of a giant bladder diverticulum.BACKGROUND: Massive bladder diverticula present a technical challenge to the laparoscopic surgeon. We describe a laparoscopic approach to transperitoneal diverticulectomy, using a specific catheter arrangement to allow excellent control of the various portions of the procedure. methods: A 49-year-old male with longstanding frequency was diagnosed with a 1000 cc bladder diverticulum and bladder neck outlet obstruction. Laparoscopic transperitoneal diverticulectomy was performed using a triple catheter arrangement: endoscopic placement of a Councill catheter in the diverticulum, fluoroscopic positioning of an occlusion balloon catheter in the renal pelvis, and placement of a Cope loop suprapubic tube. Additionally, a transurethral incision of the prostate was performed. RESULTS: The procedure was completed laparoscopically using a four port transperitoneal approach. During the procedure, the diverticulum could be filled and emptied as needed; the catheter across the diverticular neck facilitated subsequent closure of the bladder wall defect. The diverticulum was completely excised. The remaining defect in the bladder was then closed in 2 layers. The patient was discharged on postoperative day 3. CONCLUSION: Careful planning and arrangement of catheters in the bladder, ureter, and diverticulum facilitates laparoscopic transperitoneal diverticulectomy of even a very large volume diverticulum.- - - - - - - - - - ranking = 4keywords = giant (Clic here for more details about this article) |
6/13. Novel use of acellular dermal matrix in the formation of a bioprosthetic silo for giant omphalocele coverage.A case report is presented on the utilization of an acellular dermal matrix in the formation of a biologic silo conducive to early epithelial grafting in the treatment of a giant omphalocele associated with cloacal exstrophy.- - - - - - - - - - ranking = 5keywords = giant (Clic here for more details about this article) |
7/13. Giant diverticulum of the bladder simulating ovarian cyst.A patient was admitted for investigation of a giant ovarian cyst, confirmed by physical examination. At laparotomy the genital organs appeared normal. Ultrasonic reexamination affirmed the preliminary findings of a pelvic cystic mass. A urinary bladder diverticulum was suspected and confirmed by cystography and found to be nonobstructive in nature. Although extremely rare, bladder diverticulum should be considered in the differential diagnosis of a cystic pelvic mass.- - - - - - - - - - ranking = 1keywords = giant (Clic here for more details about this article) |
8/13. Giant bladder diverticulum presenting with recurrent acute urinary retention--a rare event in adult patients: case report.Acquired giant bladder diverticula of obstructive genesis are not particularly unusual. On the other hand, acute urinary retention due to bladder diverticula is an extremely rare event in adult patients, since most cases are paediatric. A 40-year-old white male with a history of invasive urological procedures presented with recurrent acute urinary retention. Diagnostic procedures including cystourethrography and cystoscopy revealed a giant bladder diverticulum causing ab extrinseco compression of the urethra. The iatrogenic aetiology of the vicious circle of chronic urethral obstruction and increased luminal pressure promoting diverticular growth is discussed.- - - - - - - - - - ranking = 2keywords = giant (Clic here for more details about this article) |
9/13. Giant cell reparative granuloma of the bladder associated with transitional cell carcinoma.We report a case of benign giant cell tumor of the bladder associated with transitional cell carcinoma. This giant cell granuloma represents a reactive reaction that must be distinguished from the giant cell malignant tumor. The morphological, histochemical and immunohistochemical criteria that can aid in the differential diagnosis are discussed.- - - - - - - - - - ranking = 3keywords = giant (Clic here for more details about this article) |
10/13. Rare clinical presentations of giant bladder diverticulum in male patients.A rare clinical presentation of a huge bladder diverticulum in two male patients is described. One patient presented with septic shock and the other with chronic renal failure. No evidence of bladder neck obstruction was found in either patient.- - - - - - - - - - ranking = 4keywords = giant (Clic here for more details about this article) |
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