Biomedical subjects
Publications and source records attributed to M L Smida.
The authors report their experience of forty-two cases of xanthogranulomatous pyelonephritis. They point out the various difficulties of preoperative identification of such diseases by the imaging modalities. They also discuss the main pathogenic hypotheses proposed in the literature.
The authors report their experience of calculus anuria in children. They based their study on a series of 12 cases. They point out, in particular, the diagnostic difficulties and prognostic risks which could be encountered. They also emphasize, the role of prompt renal drainage in the management of such an emergency and recommend percutaneous nephrostomy followed by cold nephrolithotripsy.
Eight pediatric cases of the diffuse form of xanthogranulomatous pyelonephritis are reported. These patients were selected among 17 with destruction of one kidney. Clinical symptoms were suggestive of a tumor in some instances. However, an infectious etiology was strongly suggested by the presence of a renal lithiasis in seven cases (including five staghorn stones) and of a urinary tract infection in six cases (usually caused by a Proteus). Nephrectomy was performed in every case.
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The authors report a series of twenty patients presenting with perinephric abscess. Percutaneous management was performed in 4 cases. Considering the benefit of the modern imaging techniques, the authors discuss the current diagnostic, therapeutic and prognostic modalities of this disease.
Three uncommon cases of malignant para-testicular tumors are described. The first one was a malignant mesothelioma discovered after cervical node biopsy, the second, a high grade lipoblastic liposarcoma and the third a malignant mesenchymoma with 4 components. The literature is reviewed with special regard to these 3 types.
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The authors report a new case of accessory spleno-testicular fusion with scrotal pain. They point out the main features of this rare congenital anomaly and review data from the literature.
The authors report 5 cases of strangulation of the penis with hair in children. This affection, more seen frequently within socially disadvantaged children, needs early diagnosis and treatment because it may be responsible for glans amputation. A better knowledge of this accident by parents and physicians might prevent this barbaric aggression.
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