scholarly journals Laparoscopic Nephroureterectomy for Adult Patient with Primary Obstructive Megaureter

2013 ◽  
Vol 2013 ◽  
pp. 1-4
Author(s):  
Kimito Osaka ◽  
Kazuhide Makiyama ◽  
Shinji Ohtake ◽  
Hiroyuki Yamanaka ◽  
Futoshi Sano ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Renal Function ◽  
Surgical Intervention ◽  
Abdominal Distension ◽  
Retrograde Pyelography ◽  
Ureteral Catheter ◽  
Large Size ◽  
History Of ◽  
Obstructive Megaureter ◽  
Laparoscopic Nephroureterectomy

A 29-year-old female with a complaint of abdominal distension was referred to our hospital. She had a history of being treated for pyelonephritis three times. By computed tomography and retrograde pyelography, she was diagnosed with adult left primary megaureter. Her left renal function was severely deteriorated. She hoped for surgical intervention before becoming pregnant. Laparoscopic nephroureterectomy for megaureters seems to be difficult due to the large size. By sucking urine from an inserted ureteral catheter and setting trocar positions, we successfully performed laparoscopic nephroureterectomy for megaureter.

scholarly journals Fulminant amoebic colitis in the era of computed tomography scan: A case report and review of the literature

2018 ◽  
Vol 22 (1) ◽  
Author(s):  
Suman Mewa Kinoo ◽  
Vikesh V. Ramkelawon ◽  
Jaynund Maharajh ◽  
Bugwan Singh
Keyword(s):  
Computed Tomography ◽  
Bowel Wall ◽  
Abdominal Distension ◽  
Review Of The Literature ◽  
Computed Tomography Scan ◽  
Fulminant Colitis ◽  
Bowel Necrosis ◽  
Amoebic Colitis ◽  
History Of ◽  
Tomography Scan

Amoebic colitis, caused by ingestion of water or food contaminated with the protozoan Entamoeba histolytica, can progress to a fulminant colitis. Computed tomography (CT) findings reported in the literature on this type of colitis are sparse. We present a 59-year-old male patient with a one-week history of progressive abdominal pain, abdominal distension and associated watery and bloody diarrhoea. A CT scan revealed deep ulcerations with submucosal and intramural tracking of contrast. Colonoscopy and biopsy confirmed a diagnosis of Amoebic colitis. The patient required a laparotomy and demised. Deep ulcerations with submucosal and intramural tracking of contrast on CT are diagnostic of fulminant amoebic colitis. Although not demonstrated at CT in this case, discontinuous bowel necrosis, omental wrapping (seen at laparotomy in our case) and neovascularisation of the bowel wall may be other features to look out for.

scholarly journals A Rare Cause of Dyspnoea: Right-sided Bochdalek Hernia in an Adult

2020 ◽  
Author(s):  
David Rocha Paiva ◽  
Daniela Casanova ◽  
Helio Martins ◽  
Margarida Cerqueira ◽  
Mariana Formigo ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Small Bowel ◽  
Gastrointestinal Symptoms ◽  
Abdominal Distension ◽  
Bochdalek Hernia ◽  
Thoracic Pain ◽  
X Ray ◽  
History Of ◽  
Emergent Laparotomy ◽  
Multiple Episodes

Right-sided Bochdalek hernia (BH) is very rarely diagnosed in adults. It commonly presents with gastrointestinal symptoms (pain, abdominal distension and vomiting). Breathlessness, recurrent chest infections and other pulmonary sequelae can also be present. We report the case of a 92-year-old man with a 3-day history of dyspnoea, fever and thoracic pain and multiple episodes of vomiting. An x-ray was performed, and the diagnosis of a large BH hernia was confirmed by computed tomography of the thorax. The condition may be fatal in cases where the small bowel undergoes necrosis or perforation. An emergent laparotomy was performed, but the patient did not improve clinically and died immediately after the procedure.

Direct Intratumoral Pre-surgical Embolization of Orbital Hemangioblastoma

2008 ◽  
Vol 21 (5) ◽  
pp. 693-697 ◽  
Author(s):  
Y.-M. Wu ◽  
H.-F. Wong ◽  
S.H. Ng
Keyword(s):  
Computed Tomography ◽  
Central Nervous System ◽  
Nervous System ◽  
Satisfactory Result ◽  
Visual Loss ◽  
Surgical Intervention ◽  
Preoperative Embolization ◽  
Solid Mass ◽  
Large Size ◽  
The Right

Orbital hemangioblastomas of extraretinal origin are extremely rare and few cases have been reported. We describe a 48-year-old woman with progressive right visual loss and proptosis. Computed tomography showed an avidly enhanced transpatial solid mass in the right orbit with outward protrusion. The mass was presumed to be of extraretinal origin because of its unusually large size, but there was only mild involvement of the eyeball. The histopathologic characteristics of this tumor were identical to those seen in central nervous system hemangioblastomas. The hypervascularity of the lesion would have made surgical intervention difficult. Preoperative embolization was indicated and was performed by direct tumor puncture and injection of N-butyl cyanoacrylate with a satisfactory result.

CASE REPORT: ODONTOGENIC CUTANEOUS FISTULA IN THE SUBMANDIBULAR CERVICAL SKIN IN TWO DOGS

2019 ◽  
Vol 45 (04) ◽  
pp. 135-140
Author(s):  
Shu-Fang Yang ◽  
Chung-Chao Chen ◽  
Pi-Chen Chang ◽  
Jian-Xi Yu ◽  
Wen-Wen Liang ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Differential Diagnosis ◽  
Tooth Extraction ◽  
Surgical Intervention ◽  
Dental Radiography ◽  
Oral Antibiotics ◽  
Intact Male ◽  
Cutaneous Fistula ◽  
History Of ◽  
Cutaneous Nodule

Odontogenic cutaneous fistula is commonly misdiagnosed by practitioners, leading to incorrect and unnecessary treatment. Here, we present two cases. Case 1 involved an eight-year-old intact male Maltese with a submandibular cutaneous abscess following 2 weeks of antibiotic treatment who was later diagnosed, using dental radiography, with odontogenic cutaneous fistula. Case 2 involved an eight-year-old neutered female Maltese with a submandibular cutaneous nodule and general skin problems following 6 months of oral antibiotics and a history of surgical intervention who was finally diagnosed, using dental radiography and computed tomography, with an odontogenic cutaneous fistula that resolved completely following tooth extraction. These two cases highlight the importance of odontogenic infection in the differential diagnosis of typical lesions in the head and neck.

A rare case of metastatic ureteric malignancy from endometriosis

2015 ◽  
Vol 10 (3) ◽  
pp. 205-207
Author(s):  
Debashis Sarkar ◽  
Andrew Cliff ◽  
Yasmine Maurice
Keyword(s):  
Renal Function ◽  
Oestrogen Receptor ◽  
Rare Case ◽  
Metastatic Adenocarcinoma ◽  
Left Ureter ◽  
Clear Margin ◽  
Flexible Cystoscopy ◽  
History Of ◽  
Loin Pain ◽  
Laparoscopic Nephroureterectomy

A 61-year-old woman presented with left loin pain and was found to have a long standing left-sided hydronephrosis. CT IVU showed a 2.5 cm soft tissue in the region of the distal left ureter with marked proximal dilatation (Figures 1–3). Her urine cytology, flexible cystoscopy and renal function were normal. She underwent a left laparoscopic nephroureterectomy; histology revealed periureteric metastatic adenocarcinoma with clear margin. On immunohistochemistry, oestrogen receptor, CK7, BerEp4, and CEA were strongly expressed (Figures 4 and 5). She had a history of hysterectomy 20 years earlier for ovarian and fallopian tube endometriosis. It was found that adenocarcinoma had arisen within a focus of periureteric endometriosis persisting as hydronephrosis.

scholarly journals Right ectopic intrathoracic kidney: Unusual clinical presentation in a young patient affected by scrotal varicocele

2017 ◽  
Vol 89 (4) ◽  
pp. 323 ◽  
Author(s):  
Lucio Dell'Atti ◽  
Andrea Benedetto Galosi
Keyword(s):  
Computed Tomography ◽  
Renal Function ◽  
Clinical Presentation ◽  
Incidental Finding ◽  
Abdominal Ultrasound ◽  
Kidney Tumors ◽  
First Case ◽  
History Of ◽  
Intrathoracic Kidney ◽  
Good Drainage

Intrathoracic kidney is a partial or complete displacement of the kidney above the hemidiaphragm into the mediastinal compartment of the thorax. It is usually seen as an incidental finding discovered on chest radiograph or abdominal ultrasound. However computed tomography consents the correct detection of intrathoracic masses and defines their shape, size, and extent. We here report a case of ectopic thoracic kidney in a 22-year-old man who had a long history of scrotal discomfort associated with right varicocele. Frequently, this ectopia does not affect renal function and the stretched ureter provides good drainage. In literature, a small number of cases shows that varicocele is a possible mode of presentation of kidney tumors, but this is the first case of varicocele secondary to intrathoracic kidney ectopia.

scholarly journals Bilateral obstruction of bilaterally duplicated collecting systems requiring upper and lower moiety drainage

2016 ◽  
Vol 98 (04) ◽  
pp. e55-e58
Author(s):  
JO Lynch ◽  
A Cox ◽  
B Rawal ◽  
S Shelmerdine ◽  
N Vasdev ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Computed Tomography ◽  
Interventional Radiology ◽  
Renal Function ◽  
Catheter Insertion ◽  
Anatomical Variants ◽  
Extrinsic Compression ◽  
Complex Patients ◽  
Important Relationship ◽  
History Of

A 60-year-old woman with a history of breast cancer presented with bilateral obstruction of bilaterally duplicated renal collecting systems secondary to extrinsic compression from metastatic pelvic lymphadenopathy. Bilateral JJ ureteric stents were inserted, resulting in some improvement of renal function but a failure to normalise completely. Repeat computed tomography demonstrated bilateral duplex collecting systems with persisting obstruction of the undrained moieties. Selective puncture was performed to decompress the obstructed renal moieties for bilateral nephrostomy catheter insertion. This allowed renal function to improve sufficiently for the patient to be discharged and commence chemotherapy. This is the first reported case of bilaterally obstructed partially duplicated collecting systems and it illustrates the importance of recognising anatomical variants to tailor treatment appropriately. It also highlights the important relationship between urology and interventional radiology in the management of such complex patients.

scholarly journals Clinicopathological features of Pseudocyst Pancreas and its Management: A Prospective and Retrospective Study

2020 ◽  
Vol 6 (6) ◽  
pp. 338-346
Author(s):  
Dr. Mahim Koshariya ◽  
◽  
Dr. Agam Sharma ◽  
Dr. Brahmanand Gupta ◽  
Dr. Tushar Suroshe ◽  
...  
Keyword(s):  
Surgical Intervention ◽  
Clinicopathological Features ◽  
Alcoholic Pancreatitis ◽  
Chronic Alcoholic Pancreatitis ◽  
Chronic Alcoholic ◽  
Liquid Component ◽  
Large Size ◽  
History Of ◽  
Head Of The Pancreas ◽  
Surrounding Areas

Background: Revised Atlanta Classification has veered a change in our understanding ofpseudocyst pancreas which mandates renewed inquiry into pseudocysts defined as per new criteria.The present study provides an overview of experience with Pseudocyst Pancreas for over a decade.Methodology: 100 cases of pseudocysts diagnosed over the last 10 years at GMC, Bhopal,conforming to the present definition were reviewed. Cysts with the inhomogeneous collection,debris, necrosis, or any other non-liquid component, specifically in those diagnosed before 2012were excluded. Relevant data were analyzed. Results: The majority were male (85%) in the agegroup of 40-50 years with alcohol-induced chronic pancreatitis (77%) being the most frequentetiology. Abdominal pain (40%), lump (30%), and abdominal tenderness (59%) were common atpresentation. 58% were in the Head of the pancreas, 29% in the Neck and Body, and 13% in theTail and surrounding areas. Mean cyst diameter was 8.6cm and volume 252cc. 85% were managedsurgically and 40% of those managed conservatively also needed surgical intervention eventuallydue to complications. History of chronic alcoholic pancreatitis, the large size of the cyst (≥6cm and≥60cc), and communication with the main pancreatic duct were highly predictive of surgicalintervention. Conclusion: Radiological characteristics along with the clinical picture may suggestappropriate intervention. Surgery remains the principal modality of treatment, with high successrates.

Cerebral Cysticercosis

PEDIATRICS ◽  
1980 ◽  
Vol 66 (6) ◽  
pp. 967-971
Author(s):  
Alan K. Percy ◽  
Sharon E. Byrd ◽  
George E. Locke
Keyword(s):  
Computed Tomography ◽  
Seizure Control ◽  
Surgical Intervention ◽  
Symptomatic Treatment ◽  
Seizure Disorder ◽  
Single Patient ◽  
Solitary Lesion ◽  
Skull Radiography ◽  
History Of ◽  
Cerebral Cysticercosis

In this country, cerebral cysticercosis is not commonly implicated as the etiology of an otherwise uncomplicated seizure disorder occurring during childhood. Nine children with neurologic symptomatology and radiographic (computed tomography) evidence consistent with cerebral cysticercosis have been evaluated. Each patient was born and resided for some period (1½ to 10 years) in an endemic area. Principal symptomatology consisted of a generalized seizure disorder. EEGs were normal in five patients and nonspecific in two. Serologic studies on serum and CSF were negative in 8/9 patients including the single patient requiring surgical intervention for excision of a cysticercal cyst. Cerebral nuclide scanning was not helpful and skull radiography was used to diagnose intracerebral calcifications in six patients. Computed tomography revealed multiple calcifications in six patients and a solitary lesion in one. Five patients had enhancing cystic lesions including three of those with diffuse calcifications. Since the natural history of cerebral cysticercosis presenting in this fashion is benign, symptomatic treatment is often sufficient. Anticonvulsants generally provide adequate seizure control. In one patient, cyst removal was necessary to achieve seizure control. On the basis of this experience, conclusions are (1) that the incidence of cerebral cysticercosis in exposed children is higher than commonly appreciated, and (2) that computed tomography may assist in the establishment of the diagnosis.

scholarly journals Intestinal Obstruction from Congenital Bands at the Proximal Jejunum: A Case Report and Literature Review

2012 ◽  
Vol 2 ◽  
pp. 78 ◽  
Author(s):  
Debkumar Sarkar ◽  
Preetam Gongidi ◽  
Thomas Presenza ◽  
Emily Scattergood
Keyword(s):  
Computed Tomography ◽  
Surgical Intervention ◽  
Abdominal Ultrasound ◽  
Proximal Jejunum ◽  
Upper Gastrointestinal Series ◽  
Gastrointestinal Series ◽  
Radiologic Findings ◽  
Prior Surgery ◽  
History Of ◽  
Upper Gastrointestinal

Congenital anomalous bands at the proximal jejunum resulting in obstruction have been described sporadically in the literature and are otherwise rare. We present a case of an 8 year-old girl with a nine-month history of intermittent vomiting and no history of prior surgery. The imaging workup includes an abdominal ultrasound, a single contrast upper gastrointestinal series, and a dual contrast computed tomography of the abdomen and pelvis. Surgical intervention revealed the presence of dense bands at the proximal jejunum without evidence of malrotation. Our report reviews the embryology and radiologic findings of this entity using different imaging modalities.

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