Page kidney post ureteroscopy: a case report

Abstract Renal injury after surgical intervention is not uncommon in current urological practice with most complication would be anticipated in high risk patient. Subcapsular renal hematoma is not known complication post some urological interventions such as extracorporeal shockwave lithotripsy (ESWL), percutaneous nephrolithotomy (PCNL) and trauma. Few cases of subcapsular hematomas are reported as a complication post ureteroscopy in the literature. Clinical spectrum varies from spontaneous resolution through acute renal failure secondary to Page kidney. Page kidney is the external compression of a kidney usually caused by a subcapsular hematoma associated with high blood pressure and occasional renal failure. It is named after Dr. Irvin Page who first demonstrated in 1939 that applying external compression on the renal parenchyma could cause hypertension. Various management options are mentioned in literature and depend upon the severity and presentation. Percutaneous drainage is an option for the management of subcapsular hematoma in hemodynamically stable patient.

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Page Kidney: An Unusual Complication of a Renal Transplant Biopsy

Case Reports in Urology ◽

10.1155/2018/8768549 ◽

2018 ◽

Vol 2018 ◽

pp. 1-3

Author(s):

Jacob D. McFadden ◽

Jason S. Hawksworth

Keyword(s):

Risk Factors ◽

Case Report ◽

T Cell ◽

Renal Transplant ◽

Surgical Intervention ◽

Unusual Complication ◽

External Compression ◽

Page Kidney ◽

Transplant Kidney ◽

Transplant Biopsy

Page kidney, a rare phenomenon whereby external compression of renal parenchyma can induce hypertension, can be caused by subcapsular hematoma following renal transplant biopsy. Surgical intervention is often warranted to salvage the transplant kidney. This is a case report of a patient with acute T-cell-mediated rejection and no other risk factors for postprocedural bleeding that developed Page kidney. The patient had no signs or symptoms for >24 hours from the time of biopsy, underscoring the need for awareness of this rare but potentially catastrophic complication of renal transplant biopsies.

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Secondary Surgical Intervention in Acute Renal Failure

ANZ Journal of Surgery ◽

10.1111/j.1445-2197.1974.tb06397.x ◽

1974 ◽

Vol 44 (2) ◽

pp. 96-101 ◽

Cited By ~ 4

Author(s):

Vernos Marshall

Keyword(s):

Renal Failure ◽

Acute Renal Failure ◽

Surgical Intervention

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Case-based review: conservative management of appendicitis – are we delaying the inevitable?

Annals of The Royal College of Surgeons of England ◽

10.1308/003588412x13171221590296 ◽

2012 ◽

Vol 94 (4) ◽

pp. 232-234 ◽

Cited By ~ 6

Author(s):

S Davies ◽

A Peckham-Cooper ◽

A Sverrisdottir

Keyword(s):

Acute Appendicitis ◽

Conservative Management ◽

Surgical Intervention ◽

Primary Treatment ◽

Spontaneous Resolution ◽

Primary Treatment Modality ◽

Uncomplicated Appendicitis ◽

Recurrent Appendicitis ◽

Appendiceal Inflammation ◽

Surgical Presentation

Acute appendicitis is a common surgical presentation for which surgical intervention, an appendicectomy, has remained a largely unchallenged primary treatment modality. Traditionally, it has been felt that the pathophysiological progressive nature of appendicitis ultimately leads to perforation. A number of recent studies, however, suggest that the process of appendiceal inflammation may follow a more remitting nature with evidence indicating spontaneous resolution. It is hypothesised that the treatment of uncomplicated appendicitis may therefore be amenable to conservative management with antibiotics. This article aims to highlight some of the issues and challenges relating to the conservative management of acute appendicitis and further demonstrates potential diagnostic and treatment difficulties involved in managing the more unfamiliar condition of recurrent appendicitis.

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Spontaneous resolution of large non-traumatic bilateral acute-on-chronic subdural hematoma

Romanian Neurosurgery ◽

10.1515/romneu-2017-0002 ◽

2017 ◽

Vol 31 (1) ◽

pp. 8-16

Author(s):

D. Adam ◽

D. Iftimie ◽

Gina Burduşa ◽

Cristiana Moisescu

Keyword(s):

Conservative Treatment ◽

Subdural Hematoma ◽

Clinical Presentation ◽

Surgical Intervention ◽

Chronic Subdural Hematoma ◽

The Elderly ◽

Neurological Status ◽

Spontaneous Resolution ◽

Subdural Hematomas ◽

Gcs Score

Abstract Background and importance: Chronic subdural hematomas are a frequently encountered neurosurgical pathology, especially in the elderly. They often require surgical evacuation, but recent studies have shown good results with conservative treatment in selected cases. Clinical presentation: We report the case of a 72-year old patient that developed large, non-traumatic, bilateral, acute-on-chronic subdural hematoma after repeated abdominal surgery for appendicular carcinoma. He presented an abdominal wound infection and good neurological status (GCS score of 14 points), factors that indicated the delay of surgical intervention. Subsequent clinical and radiological improvement forestalled the operation altogether and he presented complete spontaneous resolution of subdural hematomas at only 5 months after diagnosis. Conclusion: Although surgical treatment is performed in the majority of chronic subdural hematomas, in clinically and radiologically selected cases, the operation can be avoided. The hematoma can present resolution, either spontaneously or with the help of conservative treatment.

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Tumoral calcinosis, a diagnostic dilemma: a case report

International Journal of Advances in Medicine ◽

10.18203/2349-3933.ijam20203130 ◽

2020 ◽

Vol 7 (8) ◽

pp. 1286

Author(s):

Javed Altaf ◽

Tajamul Rashid ◽

Musharraf Husain ◽

Mohammad Arif ◽

Manzoor Ahmad

Keyword(s):

Renal Failure ◽

Case Report ◽

Chronic Renal Failure ◽

Soft Tissue ◽

Medical Therapy ◽

Surgical Intervention ◽

Tumoral Calcinosis ◽

Diagnostic Dilemma ◽

Biochemical Assessment ◽

Rare Diagnosis

Tumoral calcinosis is a rare diagnosis characterized by deposition of calcium salts in peri-articular soft tissue regions. It is divided into primary and secondary varieties. The primary tumoral calcinosis is further divided into two types; primary hyperphosphatemic type and primary normophosphatemic type. The secondary variety occurs in association with chronic renal failure. Biochemical assessment and typical radiographic features help in diagnosis. Mainstay of treatment for primary variety is surgical. Secondary variety is mainly treated by medical measures. Surgical intervention is reserved for patients who do not respond to medical therapy.

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Spontaneous resolution of a Chiari malformation with syringomyelia

BMJ Case Reports ◽

10.1136/bcr-2021-241789 ◽

2021 ◽

Vol 14 (6) ◽

pp. e241789

Author(s):

Hadleigh Cuthbert ◽

Joshua Pepper ◽

Rupert Price

Keyword(s):

Natural History ◽

Literature Review ◽

Chiari Malformation ◽

Surgical Intervention ◽

Chiari I Malformation ◽

Spontaneous Resolution ◽

Conservative Approach ◽

Resonance Imaging ◽

History Of ◽

Chiari I

The Chiari I malformation (CM-I) is characterised by overcrowding of the posterior fossa and descent of the cerebellar tonsils and is associated with syringomyelia. With the increasing availability of magnetic resonance imaging, CM-I is placing a growing burden on neurosurgical services. However, its natural history remains poorly understood, and the timing and nature of surgical intervention is controversial. We present a case of a significant, symptomatic CM-I with associated syrinx which underwent complete spontaneous resolution over a 4-year period. Spontaneous regression of Chiari malformation and syringomyelia is exceedingly rare; a literature review reveals 15 other cases and only one case which underwent complete resolution. The present case and literature review suggest a more benign natural history of CM-I and support a more conservative approach to its management. Further studies are required to determine whether any factors can predict resolution for certain patient cohorts.

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Pulmonary Pseudocysts in the Newborn Infant

PEDIATRICS ◽

10.1542/peds.59.2.199 ◽

1977 ◽

Vol 59 (2) ◽

pp. 199-204

Author(s):

Howard Harris

Keyword(s):

Newborn Infant ◽

Airway Pressure ◽

Surgical Intervention ◽

Hyaline Membrane Disease ◽

Spontaneous Resolution ◽

Pulmonary Interstitial Emphysema ◽

Interstitial Emphysema ◽

Clinical Recovery ◽

Hyaline Membrane

Five neonates who developed a pulmonary pseudocyst are reported. All infants had clinical hyaline membrane disease and were treated with continuous distending airway pressure. The pseudocysts developed between 39 hours and 7 days of age. In all but one pulmonary interstitial emphysema preceded or occurred together with the development of the pseudocyst. All babies went on to complete clinical recovery without surgical intervention. Radiologic documentation of the spontaneous resolution of the pseudocyst was obtained in three infants and occurred over three days, five days, and three months, respectively.

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