scholarly journals Nonobstructive Acute Renal Failure with a Large Solitary Fibroid

2016 ◽  
Vol 2016 ◽  
pp. 1-5
Author(s):  
Rayan Elkattah ◽  
Zineb Mashak ◽  
Blakele Bakker ◽  
Shanti Mohling ◽  
Ali Yilmaz ◽  
...  
Keyword(s):  
Renal Failure ◽  
Acute Renal Failure ◽  
African American Woman ◽  
American Woman ◽  
Total Abdominal Hysterectomy ◽  
Hemodynamic Instability ◽  
Abdominal Hysterectomy ◽  
Fibroid Uterus ◽  
Elevated Creatinine ◽  
Myoglobin Level

A 38-year-old African American woman presenting with acute abdominal pain and nonobstructive renal failure was found to have an enlarged fibroid uterus. A differential for sepsis was considered. Lab evaluation revealed an elevated creatinine and myoglobin level at 3.9 mg/dL and 2140 ng/mL, respectively. Ongoing hemodynamic instability mandated surgery for acute abdomen. A 25 cm fibroid uterus was extirpated through a total abdominal hysterectomy. Immediate improvement of acute nephropathy mirrored the postoperative decline in serum myoglobin levels. Myoglobinemia from a massive degenerating fibroid is associated with nonobstructive acute renal failure.

scholarly journals Renal involvement in human rabies: clinical manifestations and autopsy findings of nine cases from northeast of Brazil

2005 ◽  
Vol 47 (6) ◽  
pp. 315-320 ◽  
Author(s):  
Elizabeth De Francesco Daher ◽  
Geraldo Bezerra da Silva Júnior ◽  
Marúsia Thomaz Ferreira ◽  
Fernando Antonio de Sousa Barros ◽  
Tiago Magalhães Gurgel ◽  
...  
Keyword(s):  
Renal Failure ◽  
Acute Renal Failure ◽  
Renal Involvement ◽  
Clinical Manifestations ◽  
Signs And Symptoms ◽  
Hemodynamic Instability ◽  
Human Rabies ◽  
Tubular Necrosis ◽  
Post Mortem Findings ◽  
Histopathologic Findings

A retrospective study was conducted in nine patients with rabies admitted to a hospital of Fortaleza, Brazil. Autopsy was performed in all cases. The ages ranged from three to 81 years and six were males. They all were bitten by dogs. The time between the accident and the hospital admission ranged from 20 to 120 days (mean 45 ± 34 days). The time until death ranged from one to nine days (mean 3.3 ± 5.5 days). The signs and symptoms presented were fever, hydrophobia, aerophobia, agitation, disorientation, dyspnea, sialorrhea, vomiting, oliguria, sore throat, pain and hypoesthesia in the site of the bite, headache, syncope, cough, hematemesis, mydriasis, hematuria, constipation, cervical pain and priapism. In three out of six patients, there was evidence of acute renal failure, defined as serum creatinine > 1.4 mg/dL. The post-mortem findings in the kidneys were mild to moderate glomerular congestion and mild to intense peritubular capillary congestion. Acute tubular necrosis was seen in only two cases. This study shows some evidence of renal involvement in rabies. Histopathologic findings are nonspecific, so hemodynamic instability, caused by autonomic dysfunction, hydrophobia and dehydration must be responsible for acute renal failure in rabies.

scholarly journals CLINICAL PROFILE AND MANAGEMENT OPTION OF FIBROID UTERUS PATIENTS OF OBSTETRICS AND GYNAECOLOGY DEPARTMENT OF DMCH, LAHERIASARAI, BIHAR

2020 ◽  
pp. 1-2
Author(s):  
Sangeeta Singh ◽  
Renu Jha ◽  
Seema Seema ◽  
Debarshi Jana
Keyword(s):  
Uterine Fibroids ◽  
Total Abdominal Hysterectomy ◽  
Abdominal Hysterectomy ◽  
Management Options ◽  
Fibroid Uterus ◽  
Number Of Patients ◽  
Study Results ◽  
The Mean ◽  
Benign Tumours ◽  
Symptomatic Uterine Fibroid

Background: Fibroids are the most common benign tumours of smooth muscle cells of uterus in females and typically found during the middle and later reproductive years. As fibroid is an estrogen and progesterone dependent tumour, it gradually decreases in size during starting of menopause. The objective of this presented study was to determine management options among fibroid uterus patients. Methods: 50 number of patients were included in this study those who’s age of 20-55, with symptomatic uterine fibroid and undergone hysterectomy or myomectomy. Postmenopausal, Pregnancy and Asymptomatic fibroid were excluded from this study. Results: The study showed that 52 percent of patient having fibroid uterus were belonged to 31-40 years of age. The mean age was 41.2±6.07. The majority 74% of patients in this study presented with menstrual abnormalities, 40% presented with abdominal lump. Dysmenorrhoea was 26%, 6% patient had primary subfertility and 14% secondary subfertility. Total Abdominal Hysterectomy (TAH) with unilateral salpingo- oophorectomy done in 10% cases, TAH with bilateral salpino-oophorectomy in 22% cases, non descent vaginal hysterectomy in 6% cases, myomectomy done in 20% cases and polypectomy was done in 2% cases. Conclusion: Uterine fibroids are very common in women and frequently in late reproductive and perimenopausal years. It is also a common gynecological problem in our country, which frequently disturbs the lives of woman. Women now have choice of therapies for the treatment of fibroids.

Continuous venovenous hemodialysis

1994 ◽  
Vol 3 (2) ◽  
pp. 92-99 ◽  
Author(s):  
BL Strohschein ◽  
DM Caruso ◽  
KA Greene
Keyword(s):  
Renal Failure ◽  
Acute Renal Failure ◽  
Hemodynamic Instability ◽  
Cerebellar Hemorrhage ◽  
Renal Replacement Therapies ◽  
Surgical Evacuation ◽  
Fluid Shifts ◽  
Continuous Venovenous Hemodialysis ◽  
Dialysis Disequilibrium Syndrome ◽  
Continuous Hemodialysis

Hemodialysis and peritoneal dialysis are the main renal replacement therapies for patients with acute renal failure. These patients are often unable to tolerate drastic fluid shifts and other complications of conventional dialysis. Continuous hemodialysis, however, provides protection from the hemodynamic consequences and osmotic stressors of conventional dialysis and is rapidly becoming the treatment of choice for critically ill patients. We present a case in which a patient with a spontaneous cerebellar hemorrhage developed acute renal failure. Surgical evacuation was not an option. Clinical management included the use of continuous venovenous hemodialysis, which is described in the setting of a patient with a posterior fossa mass. The risks of anticoagulation, hemodynamic instability, and development of dialysis disequilibrium syndrome are discussed.

scholarly journals Degenerated fibroid: a diagnostic dilemma

2020 ◽  
Vol 9 (4) ◽  
pp. 1766
Author(s):  
Nayanika Gaur ◽  
Manish Jha
Keyword(s):  
Histopathological Examination ◽  
Exploratory Laparotomy ◽  
Total Abdominal Hysterectomy ◽  
Abdominal Hysterectomy ◽  
Cystic Degeneration ◽  
Ovarian Malignancy ◽  
Imaging Studies ◽  
Diagnostic Dilemma ◽  
Fibroid Uterus ◽  
Wide Range

Leiomyoma is one of the most commonly encountered benign gynaecological neoplasms. With a wide range of symptoms, sometimes even asymptomatic, these tumors are easy to diagnose and treat, unless there are degenerative changes, which makes them difficult to diagnose and differentiating them from other serious conditions including malignancy, thereby, complicating their management also. Here, the case present to you a case of 48-year-old women with symptoms and clinical examination suggesting fibroid uterus but imaging studies inconclusive to differentiate fibroid uterus with ovarian malignancy, thus, creating a diagnostic dilemma. Ultimately, patient underwent exploratory laparotomy, keeping possibility of ovarian malignancy. Histopathological examination of the specimen of total abdominal hysterectomy with bilateral salpingo-oopherectomy concluded extensive cystic degeneration of leiomyoma and no evidence of malignancy.

scholarly journals Post Caesarean Vesicouterine Fistula Causing Menouria

2013 ◽  
Vol 25 (1) ◽  
pp. 46-48
Author(s):  
R Sultana ◽  
N Haque
Keyword(s):  
Fistulous Tract ◽  
Bladder Wall ◽  
Rare Event ◽  
Lower Abdominal Pain ◽  
Total Abdominal Hysterectomy ◽  
Abdominal Hysterectomy ◽  
The Body ◽  
Vesicouterine Fistula ◽  
Fibroid Uterus ◽  
Urogenital Fistula

Vesicouterine fistula is an uncommon urogenital fistula. The incidence is on the rise because of increasing incidence of Caesarean sections. Cyclical Haematuria or Menouria is an important clinical feature of this fistula which may or may not be associated with urinary incontinence depending on the location of the fistulous tract. We present a case report of Post caesarean section Vesicouterine fistula following 2 Caesarean sections. This was successfully managed by laparotomy with repair of fistulous tract in bladder wall and Total Abdominal Hysterectomy for multiple Fibroid uterus done. Menouria is a rare event in Gynecology and one should always keep this possibility in mind when there is cyclical haematuria. A 42 year old Bangladeshi woman was hospitalized with complaints of menorrhagia, lower abdominal pain for last 8 years, cyclical hematuria for last 20 years. She was mildly anemic, haemodynamically stable and regularly menstruating women. The primary Ultrasound scans suggested multiple fibroid with cystic ovary in left side. Cystoscopy was done and findings are a fistulous opening in the bladder measuring around 7mm in size. It was supratrigonal in position. The patient had no history of Endometriosis, Pelvic irradiation therapy, Inflammatory disease, Trauma or Malignancy. Initially there was dilemma in her diagnosis and the patient was diagnosed as a case of bladder Endometriosis besides fibroid uterus. So surgery was planned and Total Abdominal Hysterectomy & bilateral salphingo-oophorectomy done. There was a fistula about 3cm × 2cm in the lower part of the body of uterus connecting with the base of Bladder. Fistula repaired after dissection, patient follow up done and catheter removed after 14 days without any complications. Vesicouterine fistula can be prevented if care is taken to separate the bladder from the uterus during repeat Caesarean sections. DOI: http://dx.doi.org/10.3329/medtoday.v25i1.16072 Medicine Today 2013 Vol.25(1): 46-48

scholarly journals Torsion of a Uterine Leiomyoma: A Case Report and Review of the Literature

2011 ◽  
Vol 4 ◽  
pp. CMWH.S6780 ◽  
Author(s):  
N.M. Ward ◽  
M.K. Frey ◽  
B.D. Shaktman
Keyword(s):  
Abdominal Pain ◽  
Case Report ◽  
Uterine Leiomyoma ◽  
Total Abdominal Hysterectomy ◽  
Abdominal Hysterectomy ◽  
Review Of The Literature ◽  
Fibroid Uterus

A 55 year-old woman presented with abdominal pain. Transvaginal ultasonography demonstrated an enlarged fibroid uterus. She underwent total abdominal hysterectomy and bilateral salpingo-oophorectomy and was found to have torsion of a large pedunculated leiomyoma. There are fewer than 10 cases reported in the literature of torsion of a uterine leiomyoma.

scholarly journals A Healthy Active Duty Soldier with an Elevated Serum Creatinine

2021 ◽  
Author(s):  
Trevor W Tobin ◽  
John S Thurlow ◽  
Christina M Yuan
Keyword(s):  
Renal Failure ◽  
Acute Renal Failure ◽  
Serum Creatinine ◽  
Renal Injury ◽  
Elevated Serum ◽  
Active Duty ◽  
Medical Problems ◽  
Sports Supplements ◽  
Elevated Serum Creatinine ◽  
Elevated Creatinine

ABSTRACT Creatine products and sports supplements are widely used by active duty soldiers. These products are associated with both acute renal failure and elevated serum creatinine levels without renal injury. We present a case involving an active duty, 26-year-old Caucasian soldier who was evaluated in our clinic for elevated creatinine levels. This patient had no active medical problems and was noted on repeat labs to have significantly elevated creatinine levels. Subsequent investigations led us to conclude these values were not associated with renal injury and were due to ingested supplements.

scholarly journals Bilateral serous papillary adenocarcinoma of fallopian tube: a case report

2017 ◽  
Vol 4 (5) ◽  
pp. 1483
Author(s):  
Sheela K. M. ◽  
Shanta Sadashivan ◽  
Keerthi C. P.
Keyword(s):  
Case Report ◽  
Clinical Diagnosis ◽  
Fallopian Tube ◽  
Histopathological Examination ◽  
Total Abdominal Hysterectomy ◽  
Abdominal Hysterectomy ◽  
Papillary Adenocarcinoma ◽  
Primary Carcinoma ◽  
Fibroid Uterus ◽  
Intramural Fibroids

Primary carcinoma of fallopian tube is rare and accounts for only 0.7-1.5% of all gynecological malignancies. Majority of the patients are postmenopausal with mean age of 61 years. Study present a case of 48-year-old lady, who underwent total abdominal hysterectomy with bilateral salpingo oophorectomy for a clinical diagnosis of fibroid uterus. Histopathological examination revealed, in addition to intramural fibroids, bilateral serous papillary adenocarcinoma of fallopian tube. We present this case due to its rarity.

scholarly journals APPORT DE LHEMODIALYSE DANS LINSUFFISANCE RENALE AIGUE OBSTRUCTIVE : BENEFICES ET RISQUES

2021 ◽  
Vol 9 (08) ◽  
pp. 524-531
Author(s):  
O. Assal ◽  
◽  
L. Driouch ◽  
N. Ouzeddoun ◽  
R. Bayahia ◽  
...  
Keyword(s):  
Renal Failure ◽  
Acute Renal Failure ◽  
Descriptive Study ◽  
Hemodynamic Instability ◽  
Independent Factor ◽  
Significant Morbidity ◽  
Dialysis Patients ◽  
Etiological Diagnosis ◽  
Life Threatening ◽  
Uremic Syndrome

Obstructive acute renal failureis a life-threatening medical and surgical emergency, sometimes requiring emergency hemodialysis.The objective of our work is to describe the profile of emergency dialysis patients forobstructive acute renal failure, to determine the main indications of hemodialysis, and to identify the prognostic factors of mortality. Material and methods:This is a prospective and descriptive study including patients who presented an obstructive acute renal failurerequiring urgent hemodialysis before a possible removal of the obstacle. Results:Over 2 years, we collected 106 patients with a sex ratio of 1.4 and a mean age of 59.4 ± 14.5 years. Thehemodialysis indication is retained in the event of hyperkalemia (83%), and/or severe acidosis (38.7%), and/or poorly tolerated anemia (33%), and/or clinical uremic syndrome (13.2%), and/or an acute pulmonary edema (3.8%). Regarding the etiological diagnosis ofobstructive acute renal failure, the obstacle is of neoplastic origin in 73%.Complications related to dialysis are dominated by hemodynamic instability in per-dialysis in 22% of cases, as well as those related to catheter in 20% of cases. Kidney function normalized in 30% of cases, while 70% progressed to CKD.We recorded 13 deaths and hemodynamic instability in per-dialysis is an independent factor of mortality. Conclusion:The need for emergency dialysis is fraught with significant morbidity and mortality, particularly complications linked to KT of hemodialysis.

scholarly journals Benign Metastasizing Leiomyoma: A Very Rare Case Report

2013 ◽  
Vol 5 (1) ◽  
pp. 35-36
Author(s):  
Akhilesh Dutta Dwivedi ◽  
Anjana Agarwal ◽  
Aarti Biswajit Bhattacharya
Keyword(s):  
Case Report ◽  
South Asian ◽  
Rare Case ◽  
Total Abdominal Hysterectomy ◽  
Abdominal Hysterectomy ◽  
Benign Metastasizing Leiomyoma ◽  
Fibroid Uterus ◽  
Rare Case Report ◽  
Metastasizing Leiomyoma

ABSTRACT We report a case of benign metastasizing leiomyoma (BML) recurring after 4 years of total abdominal hysterectomy with bilateral salpingo-oophorectomy for fibroid uterus. Probably in this case, recurrence was due to extragonadal source of estrogen and progesterone. Therefore, patient was put on antiestrogen and antiprogesterone therapy, after hysterectomy to prevent further recurrence. Through this case, importance of surgery combined with antiestrogen and antiprogesterone therapy is emphasized. How to cite this article Agarwal A, Bhattacharya AB, Dwivedi AD, Kumar A. Benign Metastasizing Leiomyoma: A Very Rare Case Report. J South Asian Feder Obst Gynae 2013;5(1): 35-36.

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