Baltoma: a rare cause of pulmonary nodules

Baltoma is a rare cause of pulmonary nodules, originating from Bronchus-Associated Lymphoid Tissue (BALT). Certain characteristic findings are helpful for diagnosis but do not substitute for tissue diagnosis. Adequate sampling of nodules is necessary for definitive diagnosis by the pathologist. This slow growing malignant tumor responds well to therapy.     

Benign metastasizing leiomyoma: a rare cause of multiple pulmonary nodules

Benign metastasizing leiomyoma (BML) is a rare cause of pulmonary nodules that occurs when uterine leiomyomas metastasize to the lung. The management of these lesions varies from resection and hysterectomy to nonsurgical treatments such as hormonal therapy. We report a case of a 45-year-old woman with multiple nodules of the right lung identified during preoperative imaging before her hysterectomy for uterine fibroids.     

Endometriosis: a rare cause of appendicitis

Endometriosis is a relatively common disorder affecting about 15% females in the reproductive age group. It is a wellknown cause of infertility but endometriosis presenting as appendicitis is rare. We present a case of a 29 years old nulliparous lady in whom appendectomy was done for appendicitis and histopathological examination of the retrieved specimen revealed endometriosis.     

Catamenial haemoptysis: a rare cause.

Since the first report of pulmonary endometriosis as a cause of catamenial haemoptysis all cases have been assumed to be due to pulmonary endometriosis, even in the absence of histopathological proof. A case is presented where the histological findings were of a pulmonary arteriovenous malformation.     

Breast necrosis: Calciphylaxis a rare cause

Calciphylaxis is a small vessel vasculopathy characterized by significant calcium deposition in the vessel walls and tissue of renal failure patients. The process leads to progressive, painful, ischemic wounding. Management is generally medical; however, superinfection requires surgical intervention. A case of calciphylaxis of the breast is presented. Calciphylaxis of the breast is atypical – the wounds are usually located on the abdomen and thighs. A discussion of the process, its progression, identification and surgical management is presented. A case is made for appropriate debridement and vacuum-assisted wound therapy.     

Tracheocele: a rare cause of pharyngeal disorders

A 40-year-old woman with an uneventful history consulted for an episode of cervical swelling and pharyngeal disorders with sensation of a foreign body. Cervical and ENT examination was normal. The barium swallow showed a normal esophagus and the CT scan showed an air image in the right side of the trachea. The diagnosis of tracheocele was made at surgery and was confirmed by histology. Clinical, endoscopic, and radiologic outcome was favorable three months after surgical resection of the diverticulum. Tracheocele is rarely reported in the literature. It results from a congenital or acquired weakness of the tracheal wall. The right side is involved more frequently. No specific signs or symptoms have been identified. Diagnosis is often based on CT findings. Surgery confirms the diagnosis and allows resection.     

Antopol-Goldman lesion: a rare cause of hematuria

An Antopol-Goldman lesion or subepithelial pelvic hematoma of the kidney is a rare cause of hematuria. We described a 26 year-old man hospitalized for macroscopic hematuria associated with a subepithelial hematoma whose development might have been favored by arterial hypertension secondary to a renal artery stenosis.     

Pyelovenous fistula: a rare cause of hematuria

A 72-year-old female who was admitted to our urology clinic with painless intermittent macroscopic hematuria existing for 3 months with no other voiding symptom was diagnosed with left pyelovenous fistula. Although a rare condition, pyelovenous fistula should be kept in mind when the cause of macroscopic hematuria cannot be diagnosed with routine radiological examinations, and retrograde pyelography should be the method of choice for the diagnosis in this rare condition.     

Rectourethral fistula: a rare cause of infertility

Rectourethral fistulas are rare, and infertility due to rectal ejaculation is extremely rare. We report a case of congenital rectourethral fistula presenting as infertility due to rectal ejaculation.