Reversible Obstructive Renal Failure Caused by Parapelvic Renal Cyst, Undistinguished on CT-Scan

2016 ◽  
Vol 67 (5) ◽  
pp. A29
2018 ◽  
Vol 2018 ◽  
pp. 1-5
Author(s):  
Chelsea Kennedy-Snodgrass ◽  
Vivian Keenan ◽  
Douglas S. Katz

Dropped gallstones are a relatively common complication, occurring in 3% to 32% of laparoscopic cholecystectomies performed, depending on various intraoperative risk factors. However, complications arising from dropped gallstones are relatively rare, occurring in fewer than 1% of such patients, and can include abscesses and inflammatory masses confined to the subhepatic space, presenting days to years later. We report a patient who developed an infected renal cyst as a result of dropped gallstones, which created a fistula from the duodenum to a previously simple right renal cyst, which was initially identified on an abdominal CT scan. Dropped gallstones can result in substantial morbidity in a minority of patients following cholecystectomy performed for cholecystitis, and a high clinical as well as radiological index of suspicion may be required for accurate early recognition and treatment.


2021 ◽  
Vol 2 (8) ◽  
pp. 654-659
Author(s):  
Khin Phyu Pyar ◽  
Soe Win Hlaing ◽  
Aung Aung ◽  
Zar Ni Htet Aung ◽  
Nyan Lin Maung ◽  
...  

A young farmer, tenth standard student, helping his grandfather during holiday, developed anuria after viper bite. Because of headache, non-enhanced CT scan head was done on admission which showed a small pituitary haemorrhage with normal ventricles. Later, he had generalized fits and second non-enhanced CT scan head was repeated which revealed a small pituitary haemorrhage with dilated ventricles. He also had acute kidney injury, septicaemia, cellulitis and DIC. The serum level of TSH, free T3 & free T4 were low; thus, replacement was done. Cerebrospinal fluid study (protein, sugar, cells) including culture was normal. Renal replacement therapy (haemodialysis), platelets transfusion and antibiotics were given. He had torrential polyuria (urine output 12 liter per day) when he recovered from renal failure and it improved dramatically with desmopressin replacement. There was improvement in third non-enhanced CT scan head and fourth one was consistent with normal ventricle and reduction in size of pituitary haemorrhage.


2010 ◽  
Vol 59 (3) ◽  
pp. 367-369 ◽  
Author(s):  
J. D. Martinez-Pajares ◽  
M. C. Martinez-Ferriz ◽  
D. Moreno-Perez ◽  
M. Garcia-Ramirez ◽  
S. Martin-Carballido ◽  
...  

Fungal infection of the kidneys is a rare condition that has been reported in premature babies and in diabetic or immunocompromised adult patients. Candida spp. is the most frequent micro-organism involved. This paper reports a case of an immunocompetent newborn with a bladder exstrophy who suffered from an acute renal failure caused by bilateral renal aspergilloma (Aspergillus flavus). The newborn was treated with amphotericin B urinary tract irrigation through bilateral nephrostomy catheters, combined with liposomal amphotericin B and voriconazole therapy, which improved his renal function. However, due to persistent fungal colonization, a long antifungal treatment and permanent ureterostomies were necessary to deal with new episodes of ureterorenal obstruction. As of November 2009, despite the renal injuries, renal function had been conserved. The management of the mechanical obstruction and the choice of antifungal drugs are discussed in this unusual case.


2019 ◽  
Author(s):  
D Vale ◽  
M Marangoni ◽  
ML Silva ◽  
JC Torres ◽  
W Cassin ◽  
...  

2007 ◽  
Vol 67 (05) ◽  
pp. 318-320 ◽  
Author(s):  
M. Monge ◽  
I. Vaida ◽  
S.S. Modeliar ◽  
A. Solanilla ◽  
N. Airapetian ◽  
...  

Urology ◽  
2005 ◽  
Vol 65 (5) ◽  
pp. 1001 ◽  
Author(s):  
Eric K. Diner ◽  
Christopher R. Williams ◽  
Ashish Behari ◽  
Peter A. Pinto ◽  
W. Marston Linehan ◽  
...  

2011 ◽  
Vol 2011 ◽  
pp. 1-4
Author(s):  
Sandipani Sandilya ◽  
Ladan Golestaneh

We describe the case of a man who presented with back pain and acute kidney injury and was found to have bilateral ureteral obstruction, which initially corrected with ureteral stents. Imaging studies showed thickening of the bladder. Shortly thereafter, he developed obstructive jaundice, pancreatitis, recurrence of renal failure, and was diagnosed with advanced gastric cancer after a laparotomy revealed peritoneal carcinomatosis. The patient deteriorated rapidly after diagnosis. While peritoneal carcinomatosis, ureteral metastases, and extrinsic ureteral compression have been recognized in gastric cancer, obstructive renal failure due to tumor infiltration of the bladder wall is seldom described. We present this case as an unusual cause of acute renal failure and presentation of gastric cancer.


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