Case 7.4

2014 ◽  
pp. 314-315
Author(s):  
Christine U. Lee ◽  
James F. Glockner
Keyword(s):  
Posterior Margin ◽  
Renal Stone ◽  
Left Kidney ◽  
Flank Pain ◽  
Left Flank ◽  
Necrotizing Glomerulonephritis ◽  
History Of ◽  
Left Flank Pain ◽  
Noncontrast Enhanced ◽  
New Onset

64-year-old man with a history of necrotizing glomerulonephritis who has new-onset left flank pain Axial images from noncontrast-enhanced renal stone protocol CT (Figure 7.4.1) show hyperdense subcapsular material along the posterior margin of the left kidney. Axial fat-suppressed FSE T2-weighted images (...

scholarly journals Ureteritis cystica associated with xanthogranulom atouspyelonephritis

2015 ◽  
Vol 62 (2) ◽  
pp. 65-69
Author(s):  
Slobodan Ristovski ◽  
A. Sofronievska ◽  
Maja Glavinov
Keyword(s):  
Recurrent Urinary Tract Infection ◽  
Wide Spectrum ◽  
Treatment Options ◽  
Left Kidney ◽  
Flank Pain ◽  
Macroscopic Hematuria ◽  
Left Flank ◽  
History Of ◽  
Renal Infection ◽  
Left Flank Pain

Ureteritis cystica (UC) and xanthogranulomatous pyelonephritis (XP) are rare, benign conditions that uncommonly appear together. The first one has not well established etiology yet and can affect ureter, renal pelvis and bladder. The second one is a chronic renal infection resulting in severe kidney deterioration and destruction. Both of these entities are usually unilateral. They both cause wide spectrum of symtoms so the diagnose can be difficult to establish. We report the case of a 68 year old male with a history of intermittent macroscopic hematuria, left flank pain, recurrent urinary tract infection and calculosis of left kidney. We describe the imaging and endoscopic investigations leading to the diagnosis of ureteritis cystica as well as the treatment options.

scholarly journals CT Findings of Primary Renal Angiosarcoma

2021 ◽  
pp. 212-216
Author(s):  
Hisashi Komoto ◽  
Kazuhiro Kitajima ◽  
Yusuke Kawanaka ◽  
Nahomi Yoshimura ◽  
Ryo Kunimoto ◽  
...  
Keyword(s):  
Left Kidney ◽  
Ct Images ◽  
Flank Pain ◽  
Renal Tumors ◽  
Left Flank ◽  
Contrast Enhanced Ct ◽  
Contrast Enhanced ◽  
Enhanced Ct ◽  
Aggressive Tumors ◽  
Left Flank Pain

Primary angiosarcomas of the kidney are very rare but highly aggressive tumors showing poor prognosis. We present a case of primary renal angiosarcoma occurring in a 60-year-old man with left flank pain. CT images depicted a huge exophytic mass (14 cm in diameter) in the left kidney, exhibiting central extensive hemorrhage or necrosis without contrast enhancement. The mass showed centripetal peripheral nodular enhancement on dynamic contrast-enhanced CT images. We suggest its inclusion in the differential diagnosis of cases of hemorrhagic renal tumors with prominent vasculature.

Case 7.29

2014 ◽  
pp. 361-362
Author(s):  
Christine U. Lee ◽  
James F. Glockner
Keyword(s):  
Signal Intensity ◽  
Flank Pain ◽  
Bleeding Diathesis ◽  
Diffusion Weighted Image ◽  
Axial Diffusion ◽  
Weighted Image ◽  
Left Flank ◽  
History Of ◽  
Adc Map ◽  
Left Flank Pain

72-year-old man with left flank pain and a history of bleeding diathesis, for which he takes warfarin Axial FSE T2-weighted image (Figure 7.29.1) reveals a posterior left perinephric mass with heterogeneous increased signal intensity. Axial diffusion- weighted image (b=800 s/mm2) and the corresponding ADC map (...

scholarly journals Successful non-operative management of extensive pneumomediastinum and pneumoperitoneum

2020 ◽  
pp. 171
Author(s):  
Keyword(s):  
Continuous Positive Airway Pressure ◽  
Airway Pressure ◽  
Positive Airway Pressure ◽  
Flank Pain ◽  
Pressure Therapy ◽  
Left Flank ◽  
Free Air ◽  
Operative Exploration ◽  
History Of ◽  
Left Flank Pain

Background: A 70 year old male presented with acute left flank pain and was found to have extensive free air in both the mediastinal and peritoneal cavities. He was managed successfully without surgery. Case: A 70 year old male presented with left flank pain that began an hour prior to arrival. He had a history of obstructive sleep apnea that had been treated with continuous positive airway pressure therapy (CPAP) at home for many years. His vital signs, physical exam, and laboratory testing were all unremarkable. However, imaging findings were impressive for massive pneumoperitoneum and pneumomediastinum. Given his clinical stability, operative exploration was deferred, and he was admitted for observation and bowel rest. He was discharged less than 48 hours after admission without incident. His history of home CPAP therapy was the only attributable cause for the ominous findings seen on his imaging. Recognizing that this was a case of benign free air saved this patient from the morbidity and potential for death that comes with an unnecessary operative exploration. Conclusion: Continuous positive airway pressure therapy can result in benign free air within the mediastinal and peritoneal cavities. Evaluating the complete clinical scenario will allow for recognition of similar cases in which these grim findings are not indicative of surgical disease, thus avoiding the iatrogenesis of unnecessary surgery.

scholarly journals Rare Encounter of Renal Hydatid Cyst: A Case Report

2021 ◽  
Vol 59 (239) ◽  
Author(s):  
Prabina Basnet ◽  
Sudeep Chapagain ◽  
Rasik Neupane ◽  
Abishkar Thapa
Keyword(s):  
Central Nervous System ◽  
Urinary Tract Infection ◽  
Hydatid Cyst ◽  
Left Kidney ◽  
Flank Pain ◽  
Lower Pole ◽  
Normal Kidney ◽  
Healthy Life ◽  
Left Flank ◽  
Left Flank Pain

Cystic Echinococcosis (CE) or Hydatid disease is caused by the infection with the larval stage of long tapeworm, Echinococcus granulosus. This condition often remains asymptomatic for years before the cyst grows large enough to cause symptoms in affected organs. The most common organs involved are liver and lungs although the heart, brain, bone, central nervous system, and kidney may also be involved. This case is about a young woman who presented with left flank pain and urinary tract infection who was later diagnosed as having left renal hydatid cyst. The cyst was approximately 7.8×6.6×8cm with internal multiple septations at the lower pole cortex of the left kidney. Laparoscopic pericystectomy was performed and with no postoperative complications, she was discharged on albendazole and other supportive medication. With timely management using combination therapy, this condition is curable and the patient can live a healthy life with normal kidney function.

scholarly journals Wunderlich’s syndrome in pregnancy: a shocking triad

2019 ◽  
Vol 12 (5) ◽  
pp. e229219
Author(s):  
Daniel Kane ◽  
Mona Abdelrahman ◽  
Aisling T Looney ◽  
Maeve Eogan
Keyword(s):  
Left Kidney ◽  
Sudden Onset ◽  
Flank Pain ◽  
Rare Clinical Entity ◽  
Left Flank ◽  
Perinephric Space ◽  
Acute Flank Pain ◽  
Uneventful Pregnancy ◽  
Left Flank Pain ◽  
In Pregnancy

Wunderlich’s syndrome, non-traumatic renal haemorrhage into the subscapular and perinephric space, in pregnancy, is a very rare clinical entity. We describe a case of Wunderlich’s syndrome in a 29-year-old gravida 5 para 4 who presented to our emergency department with sudden onset severe left flank pain. On assessment, she was clinically shocked—hypotensive, tachycardic and perfused poorly peripherally. Ultrasound of the abdomen and pelvis and subsequent MRI of the left kidney revealed a large hypervascular exophytic lesion arising from the left renal pole—appearance consistent with an angiomyolipoma. This specific presentation is clinically characterised as Lenk’s triad—acute flank pain, flank mass and hypovolaemic shock. The patient was adequately resuscitated and interventional radiological embolisation of the mass was performed. She went on to have an uneventful pregnancy and delivered vaginally after induction at 38 weeks of gestation.

scholarly journals Urinary Infection and Spontaneous Subcapsular Renal Hematoma

2014 ◽  
Vol 7 (1) ◽  
pp. 102-104
Author(s):  
Jian-Feng Liu ◽  
Yong-Hong Cai ◽  
Ke-Zhong Zhao ◽  
Zhang Lian ◽  
Rui-Hong Han ◽  
...  
Keyword(s):  
Urinary Infection ◽  
Left Kidney ◽  
Acute Onset ◽  
Flank Pain ◽  
Uncontrolled Hypertension ◽  
Resonance Imaging ◽  
Left Flank ◽  
Ultrasound Computed Tomography ◽  
Left Flank Pain

Spontaneous subcapsular renal hematoma is an uncommon entity. We report a 54-year-old lady presenting with high fever, dysuria followed 5 days later by acute onset left flank pain and uncontrolled hypertension. Ultrasound, computed tomography and magnetic resonance imaging showed a subcapsular hematoma in the left kidney. Except urinary tract infection and hypertension, no particular cause for the condition could be found. Symptoms and size of the collection decreased on conservative treatment. The collection disappeared on MRI at 6 weeks follow-up. She was asymptomatic at 23 months follow-up.

scholarly journals Calyceal Diverticulum: A Case Report

2021 ◽  
Vol 57 (1) ◽  
pp. 76
Author(s):  
Dwi Nanda Satriyo Arif Wibowo
Keyword(s):  
Flank Pain ◽  
Radiological Imaging ◽  
Left Flank ◽  
Double J Stent ◽  
Imaging Results ◽  
Calyceal Diverticulum ◽  
Dj Stent ◽  
History Of ◽  
Left Flank Pain ◽  
Clinical Problems

Calyceal diverticulums are often benign and asymptomatic. On the other hand, some interventions are necessary in several symptoms. Radiological imaging is performed to made dianoses, but somehow can pose misinterpretation of radiological imaging results and mistreatment from the urologist. To present a case of a calyceal diverticulum treated with open diverticulectomy. This study reported a case of a calyceal diverticulum in a 30-year-old man with an almost 1-month history of left flank pain. The patient undergone several imaging diagnostics, before finally diagnosed calyceal diverticulum with a stone inside it. The patient had underwent open diverticulectomy. Initially, cystoscopy and insertion of Double J Stent (DJ Stent) were done, and then using the lumbotomy approach the incision that had been made. This case demonstrated the use of imaging combined with urologist interpretation and surgical management which was successfully treated the patient’s clinical problems.

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