Two patients came to the emergency department with sudden-onset abdominal pain. The first case was a 20-year-old male; a contrast-enhanced computed tomography (CT) scan revealed a 17 cm x 7 cm hematoma in the abdomen and left retroperitoneal space. Furthermore, the left kidney was not visualized by CT. With an emergent diagnostic laparotomy, the etiology of the bleeding was determined to be left atrophichydronephrotic kidney rupture. Thus, a left nephrectomy was performed. The second case was a 38-year-old male with a history of chronic hypertension; a CT scan revealed a 7 cm x 6 cm left perirenal hematoma. A left nephrectomy was performed due to hemodynamic instability on the second day of follow-up. A pathology specimen revealed a 1-cm renal cell carcinoma (RCC) in the kidney. In case of hemodynamic instability, spontaneous kidney rupture requires immediate surgical intervention; its causes include atrophic-hydronephrotic kidney and RCC.
Highlights
First infant testicular cavernous hemangimoa report.
Cavernous hemangiomas among testicular masses can also be observed in infancy.
Hydrocele can make diagnosis and treatment of testicular masses difficult.
Testes sparing surgery was performed for care to fertility.
Renal transplantation is the primary treatment method for end-stage kidney disease. Moreover, its cost and comorbidities are pretty low compared with peritoneal dialysis or hemodialysis. 1 The most com-mon urinary complication of kidney transplantation is ureteral complications, and it has been reported in 2.6-15%. [2][3][4][5] Immunosuppression is one of the lousy mortality reasons for kidney transplantation. It can
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