scholarly journals Hormonal Treatment for Severe Hydronephrosis Caused by Bladder Endometriosis

2014 ◽  
Vol 2014 ◽  
pp. 1-5 ◽  
Author(s):  
Erkan Efe ◽  
Murat Bakacak ◽  
Salih Serin ◽  
Eyüp Kolus ◽  
Önder Ercan ◽  
...  
Keyword(s):  
Emergency Department ◽  
Renal Function ◽  
Uterine Cavity ◽  
Hormonal Treatment ◽  
Conservative Surgery ◽  
Urinary System ◽  
Function Loss ◽  
Bladder Endometriosis

The incidence of endometriosis cases involving the urinary system has recently increased, and the bladder is a specific zone where endometriosis is most commonly seen in the urinary system. In the case presented here, a patient presented to the emergency department with the complaint of side pain and was examined and diagnosed with severe hydronephrosis and bladder endometriosis was determined in the etiology. After the patient was pathologically diagnosed, Levonorgestrel-Releasing Intrauterine System (LNG-IUS) was administered to the uterine cavity. At the 12-month follow-up, endometriosis was not observed in the cystoscopy and symptoms had completely regressed. Hydronephrosis may be observed after exposure of the ureter, and silent renal function loss may develop in patients suffering from endometriosis with bladder involvement. For patients with moderate or severe hydronephrosis associated with bladder endometriosis, LNG-IUS application may be separately and successfully used after conservative surgery.

Our Experience in Conservative Treatment

1992 ◽  
Vol 59 (6) ◽  
pp. 43-46
Author(s):  
A. Fandella ◽  
F. Merlo ◽  
L. Maccatrozzo ◽  
G. Anselmo
Keyword(s):  
Renal Function ◽  
Normal Tissue ◽  
Solitary Kidney ◽  
Conservative Surgery ◽  
Renal Tumors ◽  
Pathological Examination ◽  
Oncological Safety ◽  
Stable Renal Function ◽  
New Criterion

From January 1983 to September 1992 conservative surgery was performed for renal tumors in 29 patients with renal cell carcinoma; bilateral neoplasia (8 patients), anatomical or functional solitary kidney (13 patients) and 8 patients with a contralateral healthy kidney (small, incidental, unique renale neoplasm). We performed partial nephrectomy with excision of a margin of normal tissue for oncological safety rather than enucleation. In our series we especially studied renal function by radionuclide imaging, in those with a follow-up of over 12 months. 23 patients are alive with stable renal function and no evidence of malignancy. Recently we have tried to utilize flow cytometry as an intra-operative test to obtain the result of this test at the same time as the intra-operative pathological examination, so as to have more elements for deciding on conservative surgery. Pre-intra-operative cytometric knowledge could be the new criterion for a well-considered decision between radical or conservative procedures.

Long-term follow-up after conservative surgery for bladder endometriosis

2005 ◽  
Vol 83 (6) ◽  
pp. 1729-1733 ◽  
Author(s):  
Luigi Fedele ◽  
Stefano Bianchi ◽  
Giovanni Zanconato ◽  
Valentino Bergamini ◽  
Nicola Berlanda ◽  
...  
Keyword(s):  
Conservative Surgery ◽  
Long Term Follow Up ◽  
Bladder Endometriosis

scholarly journals Hypermagnesemia in a 20-month-old healthy girl caused by the use of a laxative: a case report

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Kotaro Araki ◽  
Yuhei Kawashima ◽  
Miyuki Magota ◽  
Norio Shishida
Keyword(s):  
Emergency Department ◽  
Renal Function ◽  
Renal Dysfunction ◽  
Impaired Renal Function ◽  
Muscle Tone ◽  
Case Presentation ◽  
Cardiac Side Effects ◽  
Level Of Consciousness ◽  
Tendon Reflexes

Abstract Background Hypermagnesemia can be a fatal condition and should be diagnosed early on. Most reports of hypermagnesemia have been of adults with impaired renal function. We describe the case of a pediatric patient without renal dysfunction who developed severe hypermagnesemia. Case presentation A healthy 20-month-old Asian girl presented to our emergency department with episodes of vomiting and a reduced level of consciousness. The neurological examination showed a symmetric decrease in muscle tone, and the deep tendon reflexes were decreased. On admission, her magnesium (Mg) level was 11.0 mg/dL after receiving magnesium oxide for 4 days because of constipation. She was immediately administered calcium gluconate infusion (3.9 mEq), and then was continuously infused with it (0.23 mEq/h) as a Mg antagonist to cardiac side effects. She was kept hydrated with 0.9% sodium chloride to maintain good urine output to excrete the Mg. The level of the serum Mg decreased to 2.4 mg/dL, enabling her to regain consciousness. During 5 years of follow-up, she was neurologically well, without the recurrence of hypermagnesemia. Conclusions Even in the absence of significant renal dysfunction, the prescription of a laxative containing Mg for constipation can result in severe hypermagnesemia. In addition, the symptoms of hypermagnesemia are nonspecific, and early diagnosis is difficult unless it is actively suspected.

scholarly journals 1172: Long-Term Follow-Up after Conservative Surgery for Bladder Endometriosis

2006 ◽  
Vol 175 (4S) ◽  
pp. 377-377
Author(s):  
Luigi Fedele ◽  
Stefano Bianchi ◽  
Giovanni Zanconato ◽  
Valentino Bergamini ◽  
Nicola Berlanda ◽  
...  
Keyword(s):  
Conservative Surgery ◽  
Long Term Follow Up ◽  
Bladder Endometriosis

scholarly journals High-Normal Serum Uric Acid Increases Risk of Early Progressive Renal Function Loss in Type 1 Diabetes: Results of a 6-year follow-up

Diabetes Care ◽  
2010 ◽  
Vol 33 (6) ◽  
pp. 1337-1343 ◽  
Author(s):  
L. H. Ficociello ◽  
E. T. Rosolowsky ◽  
M. A. Niewczas ◽  
N. J. Maselli ◽  
J. M. Weinberg ◽  
...  
Keyword(s):  
Type 1 Diabetes ◽  
Renal Function ◽  
Uric Acid ◽  
Serum Uric Acid ◽  
Normal Serum ◽  
Function Loss

scholarly journals Risk factors for long-term renal survival after renal transplantation: a role for angiotensin-converting enzyme (insertion/deletion) polymorphism?

1998 ◽  
Vol 9 (11) ◽  
pp. 2075-2081 ◽  
Author(s):  
J Broekroelofs ◽  
C A Stegeman ◽  
G Navis ◽  
A M Tegzess ◽  
D De Zeeuw ◽  
...  
Keyword(s):  
Risk Factors ◽  
Renal Function ◽  
Renal Transplantation ◽  
High Risk ◽  
Graft Survival ◽  
Graft Loss ◽  
Converting Enzyme ◽  
Function Loss

Chronic progressive renal function loss is a main cause of long-term graft loss after initially successful renal transplantation. Transplanted kidneys share some risk factors for renal function loss, such as hypertension or proteinuria, with diseased native kidneys. Recently, it has been shown that renal function loss is influenced by the angiotensin-converting enzyme (ACE) (insertion/deletion [I/D]) genotype in renal disease in diseased native kidneys. This study examines whether donor or recipient ACE (I/D) genotype is a risk factor for graft loss after renal transplantation. To avoid bias by acute events, graft survival was studied, with patients dying with a functioning graft censored, starting at 12 mo after transplantation in a cohort of 367 patients transplanted between 1987 and 1994 with at least 2 yr of follow-up. Mean follow-up was 58 mo. ACE (I/D) genotype was determined by PCR on stored donor and recipient lymphocytes. Neither donor nor recipient ACE (I/D) genotype was associated with graft survival. However, Cox proportional hazards analysis identified recipient, but not donor, ACE (I/D) genotype D-allele to be independently associated with a shorter time to graft loss in subgroups of patients at high risk for graft loss defined by a creatinine clearance <50 ml/min (n = 108, P = 0.017) or proteinuria > or =0.5 g/24 h at 12 mo (n = 97, P = 0.0051) after transplantation. In conclusion, recipient ACE (I/D) genotype was associated with time to graft loss in a specific high-risk subgroup of the study population. This suggests that the effect of ACE (I/D) genotype on graft survival only becomes apparent when other risk factors are simultaneously present.

Emergency Department Admission and Mortality Rate for Suicidal Behavior

Crisis ◽  
2014 ◽  
Vol 35 (6) ◽  
pp. 406-414 ◽  
Author(s):  
Raimondo Maria Pavarin ◽  
Angelo Fioritti ◽  
Francesca Fontana ◽  
Silvia Marani ◽  
Alessandra Paparelli ◽  
...  
Keyword(s):  
Emergency Department ◽  
Metropolitan Area ◽  
Suicidal Behavior ◽  
Mortality Risk ◽  
Illicit Drugs ◽  
Attempted Suicide ◽  
Cox Model ◽  
Emergency Department Admission ◽  
Completed Suicide

Background: The international literature reports that for every completed suicide there are between 8 and 22 visits to an Emergency Department (ED) for attempted suicide/suicidal behavior. Aims: To describe the characteristics of admission to emergency departments (EDs) for suicide-related presenting complaints in the metropolitan area of Bologna; to estimate the risk for all-cause mortality and for suicide; to identify the profiles of subjects most at risk. Method: Follow-up of patients admitted to the EDs of the metropolitan area of Bologna between January 2004 and December 2010 for attempted suicide. A Cox model was used to evaluate the association between sociodemographic variables and the general mortality risk. Results: We identified 505 cases of attempted suicide, which were more frequent for female subjects, over the weekend, and at night (8:00 p.m./8:00 a.m.). The most used suicide methods were psychotropic drugs, sharp or blunt objects, and jumping from high places. In this cohort, 3.6% of subjects completed suicide (4.5% of males vs. 2.9% of females), 2.3% within 1 year of the start of follow-up. The most common causes of death were drug use and hanging. In the multivariate analysis, those who used illicit drugs 24 hr prior to admission to the ED (hazard ratio [HR] = 3.46, 95% CI = 1.23–9.73) and patients who refused the treatment (HR = 6.74, 95% CI = 1.86–24.40) showed an increased mortality risk for suicide. Conclusion: Deliberate self-harm patients presenting to the ED who refuse treatment represent a specific target group for setting up dedicated prevention schemes.

Postural Changes in Essential Hypertension under Treatment and their Effect on the Renogram

1971 ◽  
Vol 10 (01) ◽  
pp. 39-46
Author(s):  
C. Alexandrou ◽  
E. Papadakis ◽  
E. Gyftaki ◽  
J. Darsinos
Keyword(s):  
Renal Function ◽  
Essential Hypertension ◽  
Early Diagnosis ◽  
Postural Hypotension ◽  
Antihypertensive Treatment ◽  
Normal Subjects ◽  
Upright Position ◽  
Postural Changes ◽  
Significant Impairment

SummaryRadioisotope renograms were obtained in the upright and prone position in 9 normal subjects, in 5 patients with untreated essential hypertension and in 21 hypertensives under treatment, showing moderate postural hypotension.No significant renographic change were seen in the two positions in normal subjects and untreated hypertensives. Treated hypertensives with postural hypotension showed significant impairment of renal function in the upright position in 15 cases and no change in 6. Renal creatinine clearance was lower in the group that showed renographic changes. Renography in the upright position is suggested as a convenient test for early diagnosis and follow-up of the adverse effects of antihypertensive treatment.

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