scholarly journals Xanthogranulomatous Pyelonephritis Associated with Hepatic Dysfunction in Pregnancy

2015 ◽  
Vol 2015 ◽  
pp. 1-4
Author(s):  
L. Ferreira ◽  
C. Oliveira ◽  
C. Cruz ◽  
A. Pacheco
Keyword(s):  
Pregnant Woman ◽  
Rare Disease ◽  
Hepatic Dysfunction ◽  
Rare Event ◽  
Renal Parenchyma ◽  
Xanthogranulomatous Pyelonephritis ◽  
Normal Renal Parenchyma ◽  
Foamy Macrophages ◽  
In Pregnancy ◽  
Total Nephrectomy

Xanthogranulomatous pyelonephritis is a rare disease characterised by the replacement of normal renal parenchyma by foamy macrophages. The only treatment for this type of pyelonephritis is of a surgical nature with partial or total nephrectomy. The occurrence of xanthogranulomatous pyelonephritis during pregnancy is a rare event (with only 6 cases described in the literature). We report a case of xanthogranulomatous pyelonephritis in a 32-week pregnant woman associated with hepatic dysfunction.

Lethal Vertebral Artery Dissection in Pregnancy: A Case Report and Review of the Literature

2006 ◽  
Vol 130 (4) ◽  
pp. 533-535 ◽  
Author(s):  
Madalina Tuluc ◽  
Daniel Brown ◽  
Bruce Goldman
Keyword(s):  
Case Report ◽  
Pregnant Woman ◽  
Subarachnoid Hemorrhage ◽  
Vertebral Artery ◽  
Fatal Outcome ◽  
Vertebral Artery Dissection ◽  
Rare Event ◽  
Artery Dissection ◽  
Review Of The Literature ◽  
In Pregnancy

Abstract Subarachnoid hemorrhage represents a rare event in pregnancy with a high mortality rate. We present the case of a 39-year-old pregnant woman who developed right vertebral artery dissection with subsequent massive subarachnoid hemorrhage with fatal outcome. The macroscopic and microscopic autopsy findings are described. A review of the literature with a discussion of the varied predisposing factors for vertebral artery dissection and subarachnoid hemorrhage and the rarity of these events in pregnancy is provided.

scholarly journals Focal Xanthogranulomatous Pyelonephritis in Brachydactyly Mental Retardation Syndrome (2q37 Deletion Syndrome)

2019 ◽  
Vol 09 (02) ◽  
pp. 114-116
Author(s):  
Esra Nagehan Akyol Onder ◽  
Mine Ozkol ◽  
Nalan Nese ◽  
Can Taneli ◽  
Osman Orkun Cankorur ◽  
...  
Keyword(s):  
Mental Retardation ◽  
Renal Fibrosis ◽  
Granulomatous Inflammation ◽  
Rare Condition ◽  
Renal Parenchyma ◽  
Xanthogranulomatous Pyelonephritis ◽  
Deletion Syndrome ◽  
Inflammatory Infiltration ◽  
Small Deletion ◽  
Foamy Macrophages

AbstractXanthogranulomatous pyelonephritis (XGP) is characterized by destruction of the renal parenchyma and granulomatous inflammation with lipid-laden foamy macrophages as well as inflammatory infiltration and intensive renal fibrosis. It generally occurs in adults, especially those in the fifth and sixth decades of life, but is occasionally seen in children as well. Brachydactyly mental retardation (BDMR) syndrome (OMIM 600430) is caused by a small deletion of chromosome 2q37 and is a rare condition, with roughly 100 cases reported worldwide. Here, we describe the case of a patient with deletion of chromosome 2q37, which is known as the BDMR syndrome, and XGP.

scholarly journals Adrenal infarction in a healthy pregnant woman

2016 ◽  
Vol 9 (2) ◽  
pp. 90-92 ◽  
Author(s):  
Heidi Sormunen-Harju ◽  
Krista Sarvas ◽  
Niina Matikainen ◽  
Nanna Sarvilinna ◽  
E Kalevi Laitinen
Keyword(s):  
Differential Diagnosis ◽  
Abdominal Pain ◽  
Pregnant Woman ◽  
Acute Abdomen ◽  
Rare Event ◽  
Normal Pregnancy ◽  
Healthy Pregnant Woman ◽  
Upper Abdominal ◽  
Adrenal Infarction ◽  
In Pregnancy

Adrenal infarction is a very rare event but occasionally seen in hypercoagulable states. We present a case of a 31-year-old woman at 38 weeks of gestation who developed a severe upper abdominal pain and unilateral adrenal infarction due to thrombosis of the adrenal vein. The only thrombogenic factor found was pregnancy. The case highlights that adrenal infarction may complicate a normal pregnancy and should be included in the differential diagnosis of the acute abdomen in pregnancy.

scholarly journals Xanthogranulomatous pyelonephritis: Rare presentation of a rare disease

2013 ◽  
Vol 02 (01) ◽  
pp. 4-4 ◽  
Author(s):  
Saifullah Khalid ◽  
Sufian Zaheer ◽  
Samreen Zaheer ◽  
Ibne Ahmad ◽  
Mohd Khalid
Keyword(s):  
Rare Disease ◽  
Radical Nephrectomy ◽  
Renal Mass ◽  
Favourable Outcome ◽  
Renal Parenchyma ◽  
Xanthogranulomatous Pyelonephritis ◽  
Stage Iii ◽  
Rare Presentation ◽  
Renal Infection ◽  
Functioning Kidney

AbstractXanthogranulomatous pyelonephritis is a rare chronic renal infection of unknown pathogenesis characterized by replacement of renal parenchyma by lipid filled macrophages frequently associated with an enlarged, non-functioning kidney and an obstructing calculus. We report a case of a 45 year old non diabetic female who presented with gradually enlarging renal mass with extensive retroperitoneal involvement and a non-functioning kidney with no evidence of obstructing stone or fat density and simulating malignancy. She was diagnosed as stage III Xanthogranulomatous pyelonephritis and managed with radical nephrectomy with favourable outcome.

Syphilis and pregnancy: Review

2021 ◽  
Vol 2 (3) ◽  
Author(s):  
Samaniego Haro VJ ◽  
Keyword(s):  
Pregnant Woman ◽  
Congenital Syphilis ◽  
Neonatal Morbidity ◽  
Sexual Partners ◽  
Cure Rate ◽  
Chronic Complications ◽  
Drug Of Choice ◽  
Recurrent Abortions ◽  
Penicillin Treatment ◽  
In Pregnancy

Syphilis is a disease that has not been eradicated in part due to inadequate management of antibiotic therapy which is selected according to the stage of the disease and to the misuse of the type of penicillin. Treatment of this disease should be done to prevent it´s chronic complications, to avoid infecting sexual partners and the fetus in a pregnant woman. Syphilis in pregnancy causes increase in the rate of recurrent abortions and neonatal morbidity and mortality, that´s the main reason why early detection and treatment without delay is extremely important. Pregnancy alters immunity, so the serological diagnosis can provide false positives, with the use of inverse algorithms these results may decrease, by increasing the sensitivity of the tests. Today, after 69 years since the advent of penicillin, it has become the drug of choice for any stage of syphilis and in pregnant women; if the patient has allergy, desensitization is indicated either orally or intravenously and other antibiotic shouldn´t be used because of the security offered by penicillin in the cure rate and in the reduction of congenital syphilis. Keywords: Syphilis; Pregnancy; Inverse algorithms.

Cholangiocarcinoma in pregnancy (clinical case)

2020 ◽  
pp. 19-27
Author(s):  
A. Yu. Ralnikova ◽  
V. F. Bezhenar ◽  
B. V. Arakelyan ◽  
N. A. Tatarova ◽  
M. E. Malysheva
Keyword(s):  
Pregnant Woman ◽  
Clinical Case ◽  
Clinical Observation ◽  
Late Diagnosis ◽  
Biliary Cancer ◽  
In Pregnancy

The article discusses the problems of diagnosing biliary cancer during pregnancy, proceeding under the guise of complications associated with gestation. A clinical observation of late diagnosis of cholangiocarcinoma in a pregnant woman is presented.

Normal Renal Parenchyma Simulating Tumor

Radiology ◽  
1968 ◽  
Vol 91 (2) ◽  
pp. 217-222 ◽  
Author(s):  
Max C. King ◽  
Richard M. Friedenberg ◽  
Leoncio B. Tena
Keyword(s):  
Renal Parenchyma ◽  
Normal Renal Parenchyma

scholarly journals A case of pituitary apoplexy in pregnancy

2014 ◽  
Vol 2014 ◽  
Author(s):  
Aimee R Hayes ◽  
Anthony J O'Sullivan ◽  
Mark A Davies
Keyword(s):  
Pituitary Apoplexy ◽  
Rare Event ◽  
Visual Disturbance ◽  
List Type ◽  
The Subject ◽  
Magnetic Resonance Imaging Mri ◽  
Evidence Of Impact ◽  
Learning Points ◽  
Visual Abnormalities ◽  
In Pregnancy

Summary Pituitary apoplexy is a rare event in pregnancy. A 41-year-old woman with a known pituitary microadenoma presented with visual disturbance and headache during the second trimester of pregnancy. Magnetic resonance imaging (MRI) demonstrated pituitary apoplexy with chiasmal compression. After treatment with corticosteroid therapy, she underwent transsphenoidal excision of the pituitary adenoma. Visual abnormalities were completely restored and pituitary function preserved. There was no evidence of impact on the foetus. The literature on the subject is reviewed with emphasis on the management of the apoplectic patient with mild and stable neuro-ophthalmological signs. Learning points There are no clear guidelines on the management of pituitary apoplexy in pregnancy. A multidisciplinary approach can minimise morbidity and mortality. Pituitary apoplexy has an unpredictable clinical course and determining which clinical situations warrant early surgery needs to take into consideration the presence and severity of neurological signs and their stability. The management of conscious apoplectic patients with absent or mild and stable neuro-ophthalmological signs is controversial.

POTENTIAL THERAPEUTIC PITFALLS IN REYE'S SYNDROME

PEDIATRICS ◽  
1973 ◽  
Vol 52 (4) ◽  
pp. 491-493
Author(s):  
R. E. Brown ◽  
F. G. Mullick ◽  
G. E. Madge
Keyword(s):  
Medical School ◽  
Rare Disease ◽  
Hepatic Dysfunction ◽  
Disease Process ◽  
Reye's Syndrome ◽  
Viral Type

Reye's syndrome1 is no longer considered to be a rare disease, even though it was not described in medical school to those who graduated more than 10 years ago. This is probably the result of several factors, including the education of the pediatrician and pathologist to recognize the cardinal manifestations of the syndrome and their better appreciation of the spectrum of this disease process. The essential features of this disease process which affects children are easily recognized. These include, in many instances, an antecedent, viral-type illness followed by protracted vomiting; the development of an encephalopathy without a concomitant encephalitis or meningitis; some evidence of hepatic dysfunction, usually in the absence of jaundice; and biopsy or autopsy evidence of fatty accumulation in the viscera, primarily the liver.

The skin in pregnancy

2010 ◽  
pp. 2149-2153
Author(s):  
Fenella Wojnarowska
Keyword(s):  
Pregnant Woman ◽  
Intrahepatic Cholestasis ◽  
Intrahepatic Cholestasis Of Pregnancy ◽  
Cholestasis Of Pregnancy ◽  
In Pregnancy

Pregnancy dermatoses are common, and because they are usually very itchy may ruin the life of the pregnant woman. It is particularly important to recognize when itch is due to intrahepatic cholestasis of pregnancy, which has important implications for the health of both mother and fetus (see ...

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