A case of a 27 year-old patient who presented after medical management of a missed miscarriage with an acute abdomen is described. She was found to have a haemorrhagic angiomyolipoma, which was successfully treated radiologically. This case highlights the need to consider this differential in the presentation of acute abdomen in the context of a recent or concurrent...
(Vol 12 p 44-48, General Surgery; Gynaecology; Radiology; Urology: 23 October 2012)
Spontaneous renal haemorrhage secondary to renal angiomyolipoma, or Wunderlich syndrome, is rare. Renal angiomyolipomata are composed of abnormal vasculature, smooth muscle and adipose tissue. They are more likely to be symptomatic if they are larger than 4 cm, presenting with a history of flank pain, a palpable mass and rarely gross haematuria. Our case illustrates a...
(Vol 10 p 117-119, General Surgery; Histopathology; Urology: 20 December 2010)
Carcinoid tumours are unique neuroendocrine neoplasms, displaying low-grade malignant potential and arising frequently within the gastrointestinal tract and respiratory tree. Primary carcinoid arising within the renal system is uncommon, whilst carcinoid tumour arising within a horseshoe kidney is rare. We describe a case of primary renal carcinoid occurring within a...
(Vol 10 p 46-50, Histopathology; Urology: 22 July 2010)
We present a case of a 59-year-old gentleman with myasthenia gravis and metastatic renal cell carcinoma that resolved on sunitinib. The clear temporal relationship between the patient receiving sunitinib for renal cell carcinoma and the resolution of his myasthenia gravis suggests that the improvement was due either to a paraneoplastic condition responding to treatment of...
(Vol 10 p 42-45, Neurology; Oncology; Urology: 22 July 2010)
We present a case of an apparently well gentleman performing self-castration. On presentation he was in shock. After resuscitation his wound was explored and haemostasis achieved. While such presentations are seen with a background of psychiatric illness, our patient did not suffer from such disorders. This case emphasises the importance of a multi-disciplinary holistic...
(Vol 7 p 9-12, Psychiatry, Urology: 20 February 2007)
Secondary involvement of the urinary bladder in non-Hodgkin’s lymphoma is relatively common, but primary malignant lymphomas of this organ remain exceedingly rare. We report a case presenting atypically with renal colic and briefly review the relevant literature.
(Vol 4 p 7-9, Urology, oncology: May 2004)
The cardiovascular complications of sildenafil (ViagraTM) are well recognized, although non-cardiovascular complications are rare. We present the first recorded case of fractured penis associated with ViagraTM usage.
(Vol 2 p 11-12, Urology: January 2002)


Frank Cross
Consultant Vascular and General Surgeon
The London Clinic, UK


Neil Barnes
Consultant Physician
Barts Health NHS Trust, London, UK
Ali Jawad
Professor of Rheumatology
Barts Health NHS Trust, London, UK

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