scholarly journals A rare case of double kidney stones and Emphysematous Pyelonephritis presenting with septic shock

2020 ◽  
Vol 31 ◽  
pp. 101172
Author(s):  
Wubin Tan ◽  
Tieqiu Li ◽  
Ke Yang ◽  
Zheng Mao ◽  
Jiahui Li
2020 ◽  
Vol 26 (1) ◽  
Author(s):  
Tiffany A. Perkins ◽  
Alberic Rogman ◽  
Murali K. Ankem

Abstract Background Emphysematous pyelonephritis (EPN) with gas in the inferior vena cava (IVC) is a rare presentation and to our knowledge, this is the first case report in the urologic literature. Case presentation A 35-Year-old obese diabetic Hispanic female presented to the emergency room with a clinical picture of septic shock. Prompt computerized tomography scan revealed EPN with gas throughout the right renal parenchyma and extending to the right renal vein, IVC, and pulmonary artery. She died before surgical intervention Conclusion This case demonstrates that patients presenting with severe EPN have a high mortality risk and providers should acknowledge that septic shock, endogenous air emboli, or a combination of both could result in cardiovascular collapse and sudden death.


2021 ◽  
Vol 38 ◽  
pp. 101685
Author(s):  
Albara Hariri ◽  
Abdulhkam Aljarbou ◽  
Khalid Albalawi ◽  
Saad Alqasem ◽  
Ibrahim Alowidah ◽  
...  

2018 ◽  
Vol 2018 ◽  
pp. 1-4
Author(s):  
Pei-Yi Wang ◽  
Yi-En Chang ◽  
Yu-Chieh Lee ◽  
Chii Ruey Tzeng

Objective. To obtain a better understanding of the clinical course and the subsequent complications of teratoma rupture. Case. We report a rare case of chemical peritonitis and pleuritis caused by teratoma rupture during ultrasonographically guided transvaginal oocyte retrieval (TVOR). The patient initially presented with nonspecific and digestive symptoms after TVOR, but the condition deteriorated rapidly after three weeks with peritonitis and septic shock. Thus, exploratory laparoscopy was performed with the findings of a ruptured teratoma at left adnexa, severe adhesions, and purulent fluid in her peritoneal cavity. Bilateral pleuritis was also noted after the operation, which was suspected to be caused by chemical irritation of the spilled contents of the teratoma. The patient’s condition improved after surgical treatment and was discharged 28 days after admission. Conclusion. Our case showed that the timing of peritoneal irritation caused by teratoma rupture converting to severe chemical peritonitis was approximately 3 weeks. Physicians should avoid cyst puncture during TVOR and closely observe or even perform surgical treatment when iatrogenic teratoma ruptures are suspected.


Medicina ◽  
2022 ◽  
Vol 58 (1) ◽  
pp. 132
Author(s):  
Hsiao-Yun Chao ◽  
Chih-Huang Li ◽  
Shou-Yen Chen

Endoscopic biliary stent insertion is a well-established procedure that is indispensable in the management of various benign and malignant biliary disorders, and one that helps prevent mortality related to invasive surgical procedures. We report a rare case of the distal migration of a biliary stent outside the abdomen to the pericardium, inducing constrictive pericarditis and septic shock. This case alerts clinicians to be aware of potential adverse events that can lead to unfavorable patient outcomes. Such adverse events can be effectively avoided through early detection and intervention.


2014 ◽  
Vol 41 (1) ◽  
pp. 54
Author(s):  
Vikram Prabha ◽  
Ritesh Vernekar ◽  
JV Chethan ◽  
Siddayya Hiremath ◽  
Murigendra Hiremath

CHEST Journal ◽  
2019 ◽  
Vol 156 (4) ◽  
pp. A1369-A1370
Author(s):  
Ashley Choe ◽  
Kathryn Kocher ◽  
Bianca Rad ◽  
William Dalzell
Keyword(s):  

2017 ◽  
Vol 57 (5) ◽  
pp. 597-599
Author(s):  
Pradeep Bangalore Prakash ◽  
Sook-Kyung C. Kwon ◽  
Aditya Badheka ◽  
Veerajalandhar Allareddy

2017 ◽  
Vol 33 (8) ◽  
pp. 576-578
Author(s):  
Kirsten Virginia Loftus ◽  
Paria Majd Wilson

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