scholarly journals Ureteroscopy-Assisted Biopsy for a Retroperitoneal Tumor: A Case Report

2015 ◽  
Vol 8 (2) ◽  
pp. 279-284
Author(s):  
Yoko Maeda ◽  
Takashi Kawahara ◽  
Mikiko Tanabe ◽  
Yohei Kumano ◽  
Mari Ohtaka ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Open Surgery ◽  
Retroperitoneal Fibrosis ◽  
Retroperitoneal Tumor ◽  
Idiopathic Retroperitoneal Fibrosis ◽  
Surgical Biopsy ◽  
Case Presentation ◽  
First Case ◽  
Open Surgical Biopsy ◽  
Enhanced Computed Tomography

Introduction: Retroperitoneal tumor is often seen in urology clinical practice. To diagnose the tumor, tumor specimens must be obtained. However, in some cases, the tumor is penetrated by vessels around the ureter, and it may be difficult to detect the optimal spot for obtaining a specimen, even when performing open surgery. Case Presentation: A 53-year-old male patient was referred to our hospital for further examination of left back pain due to hydronephrosis. Enhanced computed tomography demonstrated ureter stenosis in front of the ilium, which was surrounded by a retroperitoneal tumor. The tumor was penetrated by blood vessels; therefore, we performed an open surgical biopsy on the suspicion of a retroperitoneal tumor using ureteroscopic assistance. The diagnosis of idiopathic retroperitoneal fibrosis was made according to the biopsy. Conclusion: We herein report the first case of a ureteroscopy-assisted biopsy for the pathological diagnosis of a retroperitoneal tumor.

A Giant Coronary Sinus Aneurysm with Secondary Vena Cava Aneurysms

2016 ◽  
Vol 19 (1) ◽  
pp. 028
Author(s):  
Shengjun Wu ◽  
Peng Teng ◽  
Yiming Ni ◽  
Renyuan Li
Keyword(s):  
Computed Tomography ◽  
Heart Transplantation ◽  
Coronary Sinus ◽  
Unusual Case ◽  
Superior Vena ◽  
Vena Cava ◽  
Final Diagnosis ◽  
Rare Entity ◽  
First Case ◽  
Enhanced Computed Tomography

Coronary sinus aneurysm (CSA) is an extremely rare entity. Herein, we present an unusual case of an 18-year-old symptomatic female patient with a giant CSA. Secondary vena cava aneurysms were also manifested. The final diagnosis was confirmed by enhanced computed tomography (CT) and cardiac catheterization. As far as we know, it is the first case that such a giant CSA coexists with secondary vena cava aneurysms. Considering the complexity of postoperative reconstruction, we believe that heart transplantation may be the optimal way for treatment. The patient received anticoagulant due to the superior vena cava (SVC) thrombosis while waiting for a donor.

IDIOPATHIC RETROPERITONEAL FIBROSIS

PEDIATRICS ◽  
1962 ◽  
Vol 30 (2) ◽  
pp. 225-232
Author(s):  
John Farrer ◽  
Carl G. Peterson
Keyword(s):  
Retroperitoneal Fibrosis ◽  
Unknown Etiology ◽  
Idiopathic Retroperitoneal Fibrosis ◽  
First Case

The first case of juvenile idiopathic retroperitoneal fibrosis is reported. The disease is a well-recognized entity characterized by nonspecific retroperitoneal inflammation and fibrosis of unknown etiology. Fibrotic involvement of the ureters frequently leads to hydronephrosis.

scholarly journals Ureteral iliac artery fistula in idiopathic retroperitoneal fibrosis: A case report

2020 ◽  
Vol 92 (2) ◽  
Author(s):  
Eugenio Di Grazia ◽  
Tiziana La Malfa ◽  
Gherardo Gasso
Keyword(s):  
Iliac Artery ◽  
Retroperitoneal Fibrosis ◽  
Common Iliac Artery ◽  
Unknown Etiology ◽  
Gross Hematuria ◽  
Idiopathic Retroperitoneal Fibrosis ◽  
First Case ◽  
Life Threatening ◽  
Uncommon Condition ◽  
The Right

Ureter-arterial fistula (UAF) is an uncommon condition. The presentation is usually a life-threatening intermittent massive gross hematuria and the diagnosis is still a challenge for urologist. Idiopathic Retroperitoneal fibrosis (IRF) is a condition of unknown etiology characterized by a highly fibrotic retroperitoneal mass that frequently causes ureteral obstruction. To our knowledge we report the first case describing the UAF in a patient suffering from IRF. We hypothesize that inflammation and fibrosis resulted in fixation of the ureter to the adjacent artery causing a fistulous path. UAF was managed by deploying a 10 x 59 mm endo-graft at the intersection of common iliac artery bifurcation with the right ureter. Post treatment course was uneventful.

La fibrosi retroperitoneale idiopatica: Terapia laparoscopica: Idiopathic retroperitoneal fibrosis: Laparoscopic treatment

1998 ◽  
Vol 65 (2) ◽  
pp. 306-309 ◽  
Author(s):  
G. Bianchi ◽  
P. Beltrami ◽  
G. Giusti
Keyword(s):  
Open Surgery ◽  
Retroperitoneal Fibrosis ◽  
Normal Activity ◽  
Laparoscopic Treatment ◽  
Idiopathic Retroperitoneal Fibrosis

The experience reported in literature on laparoscopic ureterolysis is reviewed. Patients currently treated by this procedure are limited due to the low number of cases which are eligible and the difficult technique the procedure entails. In the pilot centres where laparoscopy is routine, laparoscopic ureterolysis has given excellent results. Advantages over open surgery include low invasiveness and a rapid return to normal activity.

scholarly journals Gallbladder Metastases: A Report of Two Cases

2019 ◽  
Vol 12 (1) ◽  
pp. 235-240 ◽  
Author(s):  
Mohamad Mouchli ◽  
Douglas J. Grider ◽  
Paul Yeaton
Keyword(s):  
Computed Tomography ◽  
Invasive Ductal Carcinoma ◽  
Triple Negative ◽  
Ductal Carcinoma ◽  
Primary Lung Cancer ◽  
Gallbladder Wall ◽  
Metastatic Lesion ◽  
Quadrant Pain ◽  
Case Presentation ◽  
Enhanced Computed Tomography

Introduction: Metastasis to the gallbladder is not common and usually manifests an advanced stage of malignancy. Herein, we report a case of triple negative high grade invasive ductal carcinoma of breast with a metastatic lesion to the gallbladder. Case Presentation: The patient is a 52-year-old female diagnosed with invasive ductal carcinoma treated with mastectomy and chemotherapy. After 12 months, she presented to the emergency department with right upper quadrant pain and elevated liver chemistries. Abdominal enhanced computed tomography showed periportal and gallbladder wall edema. After cholecystectomy, the resected gallbladder was histologically considered to be a metastatic lesion arising from the primary lung cancer. The second case describes a case of a 77-year-old woman with multiple co-morbidities who presented to the hospital with sepsis secondary to biliary source. Abdominal enhanced computed tomography findings were concerning for acute cholecystitis. After cholecystectomy, the pathology of the resected gallbladder demonstrated cholecystitis and plasmacytoma. Conclusion: The atypical presentation of gallbladder metastases could mislead treating providers. The diagnosis might alter management decisions and prognosis.

COMPUTED TOMOGRAPHY FINDINGS IN THE DIAGNOSIS OF IDIOPATHIC RETROPERITONEAL FIBROSIS

1983 ◽  
Vol 7 (1) ◽  
pp. 209
Author(s):  
M. Polito ◽  
G. Muzzonigro ◽  
G. Laraia ◽  
R. Lanza ◽  
F. Caprio ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Retroperitoneal Fibrosis ◽  
Idiopathic Retroperitoneal Fibrosis

scholarly journals Mixed cortico-medullary adrenal carcinoma in children: looks are deceptive!!

2021 ◽  
Vol 17 (1) ◽  
Author(s):  
Arti Khatri ◽  
Nidhi Mahajan ◽  
Niyaz Ahmed Khan ◽  
Natasha Gupta
Keyword(s):  
Past History ◽  
Case Reports ◽  
Final Diagnosis ◽  
Adrenal Carcinoma ◽  
Case Presentation ◽  
First Case ◽  
Contrast Enhanced ◽  
Paediatric Age ◽  
History Of ◽  
Enhanced Computed Tomography

Abstract Background Mixed cortico-medullary adrenal carcinoma (MCMAC) is an extremely rare entity with scarce literature on its cytomorphology. Case presentation A 2-year-old girl presented with abdominal pain for 3 days and a past history of fever with significant weight loss. On examination, a non-tender left hypochondrial firm mass and an enlarged left supraclavicular node were found. Twenty-four-hour urinary levels of VMA were marginally high. Contrast-enhanced computed tomography of the abdomen showed a suprarenal heterogeneous mass encasing major vessels. Aspiration cytology of both mass and node showed similar features comprising a predominant population of singly scattered large cells with moderate cytoplasm, eccentric nucleus and prominent nucleolus in a necrotic background. Tumour cells expressed Synaptophysin and Melan-A. In view of increasing respiratory distress, debulking surgery was performed, and histopathology of the specimen revealed the presence of both malignant medullary and cortical components supported by immunohistochemistry making a final diagnosis of MCMAC. The patient succumbed to death in the postoperative period. The cytology slides were reviewed and were seen to show a dual cell population. Conclusion Coexistent malignant cortical and medullary tumour of the adrenal gland is the first case reported in the paediatric age group in the literature with only three previous case reports in adults.

Computed Tomography Findings in the Diagnosis of Idiopathic Retroperitoneal Fibrosis

1982 ◽  
Vol 8 (4) ◽  
pp. 231-235
Author(s):  
M. Polito ◽  
G. Muzzonigro ◽  
G. Laraia ◽  
R. Lanza ◽  
F. Caprio
Keyword(s):  
Computed Tomography ◽  
Retroperitoneal Fibrosis ◽  
Idiopathic Retroperitoneal Fibrosis

scholarly journals Open Pyelolithotomy in a Pelvic Ectopic Kidney: Case Report and Current Literature Review

2021 ◽  
Vol 9 (C) ◽  
pp. 287-290
Author(s):  
Suharjendro Hadisuryo ◽  
Ewaldo Hadi ◽  
Aria Danurdoro
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Kidney Stones ◽  
Open Surgery ◽  
Pelvic Kidney ◽  
Ectopic Kidney ◽  
Case Presentation ◽  
Umbilical Incision ◽  
Sharp Pain ◽  
Staghorn Stones

BACKGROUND: Advances in urology have significantly reduced the indications for open surgery to treat staghorn kidney stones. Nevertheless, according to our experience, open surgery is still the preferred treatment for rare cases of the ectopic pelvic kidney. CASE PRESENTATION: A 49-year-old man complained about pain in the lower umbilical region for five months. The pain drastically changed into a sharp pain two months before. The vital sign is normal; on physical examination, the palpation of the suprapubic area elicits pain when pressed, no mass is detected. The abdominal computed tomography without contrast showed a right ectopic kidney located anteriorly of the fifth lumbar to the second sacrum. There was also mild hydronephrosis (grade I) and staghorn stones measuring 4 cm x 2.3 cm. The stone was surgically treated with open pyelolithotomy through a midline infra umbilical incision. The patient was discharged five days postoperatively without distinct complications. CONCLUSION: Open surgery can represent a valid alternative in the treatment of kidney stones of very selected cases, including anomalous kidneys, in a setting where resources are limited.

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