scholarly journals COVID-19 presenting as right flank pain in a postpartum woman: A case report

2021 ◽  
Vol 69 ◽  
pp. 102770
Author(s):  
Venus Chegini ◽  
Reihaneh Hosseini ◽  
Neda Zarei ◽  
Victoria Chegini ◽  
Faezeh Aghajani ◽  
...  
2021 ◽  
Vol 9 (11) ◽  
pp. 327-330
Author(s):  
Komal Vijaywargiya ◽  
◽  
Rajesh Muley ◽  
Aayushi Ruia ◽  
◽  
...  

Posterior reversible encephalopathy syndrome { PRES } is a reversible neurological entity characterised by seizures , headaches , visual symptoms , impaired consciousness and other focal neurological findings . There are a variety of causes behind this syndrome but eclampsia takes the lead and preeclampsia also significantly contributes . We present here a case of young postpartum woman with atypical findings and imaging results leading to diagnosis of PRES .


2013 ◽  
Vol 3 (3) ◽  
pp. 10
Author(s):  
Andrew Feifer ◽  
Mona Alam El-Din ◽  
Atilla Omeroglu ◽  
Maurice Anidjar

We report the case of a 56-year-old postmenopausal woman whopresented with incidental left hydronephrosis during an investigationfor a gastrointestinal complaint. The patient denied any historyof flank pain or hematuria. Contrast-enhanced computedtomography revealed severe right-sided ureterohydronephrosis aswell as renal atrophy. The contralateral kidney was normal, as wasthe patient’s overall renal function. A retrograde ureterogramdemonstrated complete ureteral obstruction 4 cm proximal to theureterovesical junction. Subsequent ureteroscopy revealed a polypoidmass completely occupying the ureteral lumen, of which thebiopsies demonstrated inconclusive atypical urothelial changes.The patient underwent a laparoscopic nephrectomy with opendissection of the distal ureter. The patient recovered well postoperatively.Final pathology revealed a benign obstructingendometrioma without evidence of invasion from periureteraltissue. This appears to be the first reported case of asymptomaticprimary ureteral endometrioma with secondary renal atrophy.Earlier investigation and treatment may have allowed for renalpreservation earlier in the course of the disease.Nous décrivons le cas d’une femme ménopausée de 56 ans présentantune hydronéphrose gauche découverte de façon fortuite aucours d’un examen mené pour donner suite à des symptômes gastro-intestinaux. La patiente n’avait pas d’antécédents de douleurau flanc ou d’hématurie. Une TDM avec agent de contraste arévélé une urétéro-hydronéphrose droite importante accompagnéed’une atrophie rénale. Le rein controlatéral et la fonction rénaleglobale de la patiente ne présentaient aucune anomalie. Uneurétérographie par voie rétrograde a permis d’observer une obstructioncomplète de l’uretère proximale à 4 cm de la jonction urétérovésicale.Une urétéroscopie subséquente a révélé une masse polypoïdeoccupant la totalité de la lumière urétérale et des analysesaprès biopsie ont montré des changements atypiques non concluantsau niveau de l’épithélium urinaire. La patiente a subi unenéphrectomie par laparoscopie avec dissection ouverte de l’uretèredistale. La patiente s’est bien rétablie après l’intervention. Lerapport final de pathologie a révélé un endométriome obstructifbénin sans signe d’invasion des tissus péri-urétéraux. Il sembleque ce soit ici le premier cas signalé d’endométriome urétéralprimitif asymptomatique avec atrophie rénale secondaire. Un examenet un traitement réalisés plus tôt dans le cours de l’évolutionde la maladie auraient pu permettre la préservation du rein.


2011 ◽  
Vol 1;14 (1;1) ◽  
pp. 55-59
Author(s):  
Chong H. Kim

Background: Chronic renal pain secondary to uretero-pelvic junction obstruction (UPJO) is common but remains poorly understood. Patients with UPJO experience frequent infections, renal calculi and pain. Management options for patients with this condition are traditionally limited to surgical interventions to eliminate the obstruction. Spinal Cord Stimulation (SCS) has gained widespread popularity for the treatment of numerous conditions from complex regional pain syndrome to failed back syndrome. With continued success, the possible use of SCS has steadily increased. Although a significant number of patients with severe chronic renal pain will transiently respond to analgesics and physical interventions such as autonomic sympathetic blocks, substantial long-term pain relief is usually lacking. SCS therefore might be a welcome addition to the treatment of moderate to severe chronic renal pain. . Objective: This article presents a case of using spinal cord stimulation in the management of chronic renal pain secondary to Uretero-pelvic junction obstruction. Design: Case report Setting: Academic University Pain Management Center Methods: A 38-year old female presented with a 15-year history of persistent right sided flank pain secondary to congenital uretero-pelvic junction obstruction. After failing to respond adequately to stenting, medications and nerve blocks, a trial of spinal cord stimulation and subsequent permanent implantation of a spinal cord stimulator (SCS) were performed. Results: The patient reported significant improvement in pain, overall functioning and no consumption of opioids during the SCS trial and following system implant. Limitations: A case report. Conclusion: Spinal cord stimulation might be an option in the management of chronic renal pain secondary to Uretero-pelvic junction obstruction. Key words: spinal cord stimulation, renal pain, uretero-pelvic jnction obstruction, visceral pain, flank pain, pelvic pain


2019 ◽  
Vol 9 ◽  
pp. 28
Author(s):  
Carol Ng ◽  
Gloria Ting Wong

Round ligament varicosities occur almost exclusively in pregnant and postpartum women and present similarly to inguinal hernias clinically, thus posing diagnostic challenges to clinicians. The distinction of the two conditions is important as round ligament varicosities do not require surgery while inguinal hernias do. Rarely, round ligament varicosites may be complicated by thrombosis or hemorrhage. In this case report, we present a rare case of round ligament varicosity (RLV) which has been complicated by thrombosis. The radiological features on ultrasound and contrast computed tomography of a thrombosed RLV are presented.


2017 ◽  
Vol 77 (5) ◽  
pp. 327 ◽  
Author(s):  
Yoogi Cha ◽  
Hye-Won Kim ◽  
Hun Soo Kim ◽  
Tae Wan Won

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