scholarly journals Small bowel obstruction due to retroperitoneal hernia following renal transplant: a case report

2020 ◽  
Vol 2020 (11) ◽  
Author(s):  
Atta Nawabi ◽  
Adam C Kahle ◽  
Clay D King ◽  
Perwaiz Nawabi
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Renal Transplantation ◽  
Renal Transplant ◽  
Common Type ◽  
Postoperative Phase ◽  
Oral Contrast ◽  
Large Defect ◽  
Retroperitoneal Dissection ◽  
Unclear Etiology

Abstract Para duodenal hernias, the most common type of retroperitoneal hernias, are thought to occur naturally from abnormal gut rotation because of fusion folds within the peritoneum. Retroperitoneal hernias are a rare postoperative complication and have not been described after renal transplantation via a retroperitoneal approach. This case report presents a 48-year-old male with intestinal obstruction after renal transplant due to herniation into the retroperitoneum via an incidentally created peritoneal defect. We suggest computed tomography with oral contrast be used in the early postoperative phase to assess for obstruction in patients with prolonged ileus of unclear etiology who have undergone retroperitoneal dissection. Small peritoneal defects should be closed during dissection. Larger, or multiple peritoneal defects should be extended to make a single, large defect to decrease the possibility of bowel herniating and becoming incarcerated.

scholarly journals Descending Necrotizing Mediastinitis Resulting from Pharyngitis with Perforation of the Aryepiglottic Fold

2020 ◽  
Vol 2020 ◽  
pp. 1-4
Author(s):  
Alexandra Pulst-Korenberg ◽  
Stephen C. Morris
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Rare Complication ◽  
High Morbidity ◽  
Oral Contrast ◽  
Descending Necrotizing Mediastinitis ◽  
Pleural Effusions ◽  
Aryepiglottic Fold ◽  
Pharyngeal Perforation ◽  
Complications And Mortality

Descending necrotizing mediastinitis and pharyngeal perforation are uncommon complications of pharyngitis that are associated with high morbidity and mortality. This case report describes a previously healthy 18-year-old male who presented to the emergency room with 5 days of severe sore throat, intermittent fevers, and vomiting and was found to have extensive posterior pharyngeal and mediastinal air along with extravasation of contrast on computed tomography, consistent with perforation of the left aryepiglottic fold as well as descending necrotizing mediastinitis. The patient had a complicated hospital course including multiple operative interventions, abscess formation, and development of pericardial and pleural effusions. Successful treatment required swift resuscitation including broad-spectrum antibiotics and significant coordination of emergent operative intervention between otolaryngology and cardiothoracic surgery. It is important to recognize descending necrotizing mediastinitis as a clinical entity that may result from oropharyngeal infections as early intervention significantly decreases subsequent complications and mortality. Furthermore, pharyngeal perforation is an extremely rare complication which requires either CT with oral contrast or esophagram for diagnosis.

scholarly journals VALGANCICLOVIR INDUCED THROMBOCYTOPENIA: A CASE REPORT

2017 ◽  
Vol 10 (7) ◽  
pp. 3 ◽  
Author(s):  
Amita D ◽  
Balaji O ◽  
Navin Patil
Keyword(s):  
Case Report ◽  
Renal Transplantation ◽  
Renal Transplant ◽  
Adverse Effects ◽  
Transplant Patient ◽  
Hematological Toxicity ◽  
Severe Immunosuppression ◽  
Platelet Counts ◽  
Transplant Patients ◽  
Renal Transplant Patients

Triple immunosuppression is very pivotal in maintaining the graft in case of renal transplantation. But because of severe immunosuppression, always there is chance of severe adverse effects. Hematological toxicity is usually very common but dreaded in case of renal transplant patients. Here, we report a case of valganciclovir-induced drop in platelet counts in a postrenal transplant patient.

scholarly journals The use of screening computed tomography prior to renal transplantation should be limited to high-risk patients with advanced age, coronary artery disease and diabetes mellitus

2019 ◽  
Vol 6 (9) ◽  
pp. 3088
Author(s):  
Parth M. Patel ◽  
Parth Y. Patel ◽  
Farouk Abu Alhana ◽  
Eyad Jaara ◽  
Zayd G. Safadi ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Computed Tomography ◽  
Coronary Artery Disease ◽  
Renal Transplantation ◽  
Coronary Artery ◽  
Renal Transplant ◽  
Pulmonary Nodules ◽  
Ct Findings ◽  
Transplant Evaluation ◽  
Artery Disease

Background: Computed tomography (CT) scans’ predictive value is not well established for screening prior to renal transplantation. The purpose of this study is to measure the extent to which CT findings during transplant evaluation alter candidacy.Methods: Data for 639 renal transplant candidates who underwent CT screening were obtained. Of these, 454 patients had sufficient data and met criterium of having undergone screening CT within six months of official renal transplant evaluation. Transplant status before and after CT imaging was assessed.Results: Those who had screening CTs prior to renal transplantation who were older (p=0.01), had coronary artery disease (p=0.006), or had diabetes mellitus (p=0.042) had significant waitlist status changes. Candidates whose CT findings included vascular calcification or pulmonary nodules were more likely to be permanently excluded from the waitlist (p<0.05). Thirty-two, or 7.0%, had a permanent waitlist status change due to pathologic CT findings that precluded transplantation.Conclusions: Focusing on older patients with coronay artery disease, atherosclerosis, or diabetes would reduce the number of CTs obtained during workup. Candidates with systemic vascular calcification or pulmonary nodules found on subsequent imaging are at the greatest risk for permanent exclusion from renal transplantation.

scholarly journals Partial Renal Transplant Torsion as a Cause of Abdominal Pain

2021 ◽  
Vol 11 ◽  
pp. 51
Author(s):  
Joseph T. George ◽  
Winnie Mar
Keyword(s):  
Computed Tomography ◽  
Abdominal Pain ◽  
Renal Transplantation ◽  
Renal Transplant ◽  
Acute Onset ◽  
Imaging Findings ◽  
Characteristic Imaging ◽  
Characteristic Features ◽  
Immediate Surgery ◽  
Acute Event

Allograft torsion is a rare but potentially devastating outcome of renal transplantation. Patients typically present with an acute onset of abdominal pain, though symptoms are non-specific and can easily be missed in favor of more common diagnoses. Imaging, in particular ultrasound and computed tomography, can aid in the diagnosis of renal transplant torsion by demonstrating characteristic features, and once recognized immediate surgery is typically performed in an attempt to salvage the allograft. However, renal transplant torsion needs not be an acute event; patients can instead present with chronic, waxing, and waning symptoms if the allograft undergoes partial or intermittent torsion. The aforementioned characteristic imaging findings may not be present in this situation. It is essential to recognize partial, intermittent torsion as well, for which imaging can again play a role.

Transient Prealbumin- Associated Hyperthyroxinemia in TSH-Producing Pituitary Adenoma

1990 ◽  
Vol 29 (01) ◽  
pp. 40-43 ◽  
Author(s):  
W. Langsteger ◽  
P. Költringer ◽  
P. Wakonig ◽  
B. Eber ◽  
M. Mokry ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Pituitary Adenoma ◽  
Thyroid Hormones ◽  
Protein Binding ◽  
Alpha Subunit ◽  
Normal Range ◽  
Thyroxine Binding Globulin ◽  
Free Thyroid Hormones ◽  
Transmission Computed Tomography

This case report describes a 38-year-old male who was hospitalized for further clarification of clinically mild hyperthyroidism. His increased total hormone levels, the elevated free thyroid hormones and the elevated basal TSH with blunted response to TRH strongly suggested a pituitary adenoma with inappropriate TSH incretion. Transmission computed tomography showed an intrasellar expansion, 16 mm in diameter. The neoplastic TSH production was confirmed by an elevated alpha-subunit and a raised molar alpha-sub/ATSH ratio. However, T4 distribution on prealbumin (PA, TTR), albumin (A) and thyroxine binding globulin (TBG) showed a clearly increased binding to PA (39%), indicating additional prealbumin-associated hyperthyroxinemia. The absolute values of PA, A and TBG were within the normal range. After removal of the TSH-producing adenoma, basal TSH, the free thyroid hormones and T4 binding to prealbumin returned to normal. Therefore, the prealbumin-associated hyperthyroxinemia had to be interpreted as a transitory phenomenon related to secondary hyperthyroidism (T4 shift from thyroxine binding globulin to prealbumin) rather than a genetically conditioned anomaly of protein binding.

Coronary Artery Fistula Detected by 64-Slice Multidetector Computed Tomography: Case Report

2010 ◽  
Vol 13 (3) ◽  
pp. E198-E199
Author(s):  
Yi-Chang Lin ◽  
Yi-Ting Tsai ◽  
Chih-Yuan Lin ◽  
Chung-Yi Lee ◽  
Gou-Jieng Hong ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Coronary Artery ◽  
Multidetector Computed Tomography ◽  
Coronary Artery Fistula

Incidence of Cerebral Hemorrhage in Traumatic Patients using Computed Tomography in Tabuk City, Saudi Arabia

2020 ◽  
Vol 5 (10) ◽  
pp. 460-463
Author(s):  
Amna Mohamed Ahmed ◽  
Towmader Awad ◽  
Hajer Yousif ◽  
Reem Nahari ◽  
Omnia Abdelrhman ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Saudi Arabia ◽  
Head Trauma ◽  
Subdural Hematoma ◽  
Cerebral Hemorrhage ◽  
Imaging Modality ◽  
Common Type ◽  
Radiology Department ◽  
Age Group ◽  
Ct Finding

Computed Tomography (CT) is the most commonly used imaging modality in the evaluation of cerebral hemorrhage in the head trauma patients. Objective: To study the incidence of a cerebral hemorrhage in traumatic patients using computed tomography. Method: This retrospective study was conducted at King Khalid hospital in Tabuk city, Saudi Arabia, in the radiology department, in the period from September 2018 to April 2020. The study was done by collecting 471 CT reports of patients all of them were exposed to head trauma with deferent reasons. The data were analyzed by Statistical Package for the Social Sciences (SPSS) program (ver. 20) and presented in tables and graphs according to the checklist which includes: patient age, gender, type of trauma, CT finding, and type of hemorrhage. Results: The most age group suffered from head trauma was less than 20 years percentage (55%), The male patients more exposed to head trauma than female patients with percentage (84.5%), the road traffic accident (RTA) is the most common type of trauma by percentage (63.5%), according to the CT finding; the cerebral hemorrhage represented (15.5%) with the highest percentage in a subdural hematoma (31.2%), the fracture represented (2.8%) while the normal appearance represented (81.7%) as the highest percentage. Conclusion: Most of the traumatic brain injury in patients caused cerebral hemorrhage and the CT scan reports show that: the common type of cerebral hemorrhage is subdural hematoma and it is common in males which exposed to (RTA) in the age group (21 - 40) years old.

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