Highlights Pleomorphic liposarcoma of the spermatic cord is a very rare subtype of liposarcoma. It is considered to be one of the highest malignancy grades with high invasion, metastasis and recurrence. The diagnosis is a mixture of clinical, radiological and histological arguments. The mainstay of management is wide excision of the soft tissue mass with radical orchiectomy. The role of adjuvant treatments remains controversial.

Comparatively to scrotal gangrene, isolated penile gangrene is very rare due to the rich blood supply of the organ. It is thought to be initiated by a traumatic or vascular insult to the penis. This condition requires parenteral antibiotic therapy and serial debridement of necrotic tissue. Split thickness skin graft is thought to be the best approach to cover penile skin loss. We share our experience on the presentation of an isolated penile gangrene in a 35-year-old male. In the light of this case, we review the predisposing factors and the management of this entity.

Highlights The urogenital tuberculosis is characterized by a non-specific and highly misleading clinical symptomatology. The clinical polymorphism of urogenital tuberculosis leads to a delayed diagnosis and severe complications. The diagnosis is a mixture of clinical, biological, radiological and especially histological arguments. The urogenital tuberculosis can mimic a renal or a bladder cancer requiring often a useless surgical treatment.

Introduction and Importance: Secondary deep vein thrombosis due to a mass effect on the venous system has been reported in the literature. Venous thrombosis is frequently seen in the lower extremities; however, when seen at the iliac level, the mass effect of an underlying pathology must be considered. Identifying such etiologies guides the management and reduces the risk of recurrences. Case Presentation: In this report, the authors present a case of an extended iliofemoral vein thrombosis caused by a giant retroperitoneal abscess (RA) in a 50-year-old woman with underlying type 2 diabetes mellitus, presenting with painful left leg swelling and fever. Color venous Doppler ultrasonography and computed tomography scan of the abdomen and pelvis findings were compatible with a left voluminous RA compressing the left iliofemoral vein with an extended deep vein thrombosis. Conclusions: The mass effect on the venous system is rare in RAs, but it must be kept in mind. In light of this case and literature review, the authors highlight the diagnosis and management difficulties in handling this unusual presentation form of a RA.