scholarly journals Conservative management of chylous leak after open radical nephrectomy in an adult patient: a case report and literature review

2021 ◽  
Vol 27 (1) ◽  
Author(s):  
Adel Alrabadi ◽  
Mohammad Ihmeidan ◽  
Saddam Al Demour
Keyword(s):  
Case Report ◽  
Urinary Tract ◽  
Literature Review ◽  
Adult Patient ◽  
Conservative Management ◽  
Radical Nephrectomy ◽  
Chylous Ascites ◽  
Upper Urinary Tract ◽  
First Choice ◽  
Open Radical Nephrectomy

Abstract Background Chylous ascites is rare but still a recognized complication of retroperitoneal surgeries caused mostly by inadvertent trauma to lymphatic channels. In this article, we present a case report and literature review of adult patient, with malignant tumor of upper urinary tract, who developed chylous leak after open nephrectomy. Case presentation We present a case of chylous leak for a 67-year-old female patient, presented to urology clinic with complaining of left loin pain and gross hematuria, found to have upper urinary tract tumor, she underwent open radical nephrectomy with lymph nodes dissection, and postoperatively she had chylous leak that is treated conservatively using octreotide and spironolactone without the need for total parenteral nutrition. Conclusion Conservative management should always be the first choice of management of chylous leak and chylous ascites. Careful anatomical identification and securing of the periaortic lymphatics are needed to decrease the risk of postoperative chylous leak and ascites.

scholarly journals Male urethral sarcoma: a case report and literature review

2015 ◽  
Vol 14 (1) ◽  
pp. 64-66
Author(s):  
Magno Almeida Nogueira ◽  
Guilherme Campelo Lopes dos Santos ◽  
Roberto Iglesias Lopes ◽  
Octavio Henrique Arcos Campos ◽  
Marcos Francisco Dall'Oglio ◽  
...  
Keyword(s):  
Case Report ◽  
Urinary Tract ◽  
Soft Tissue ◽  
Literature Review ◽  
Soft Tissue Sarcomas ◽  
Heterogeneous Group ◽  
Men 2

Urethral tumors are rare and aggressive. They usually affect men (2:1) and occur more commonly in white (85% of cases). Soft tissue sarcomas are a heterogeneous group of tumors that arise from embryonic mesoderm. It represents 1% of all cases of urinary tract malignancies and rarely primary affect the ureter. We report a case of male urethral sarcoma. To date, only two similar cases have been published in literature.

scholarly journals Urodynamic studies and features of anaesthesia during intradetrusor botulinum therapy in the context of the COVID-19 pandemic (literature review)

2021 ◽  
Vol 65 (5) ◽  
pp. 485-491
Author(s):  
Dmitriy A. Lysachev ◽  
Lyubov A. Khodyreva ◽  
Roman V. Stroganov ◽  
Yuri A. Kupriyanov
Keyword(s):  
Botulinum Toxin ◽  
Urinary Tract ◽  
Literature Review ◽  
Local Anaesthesia ◽  
Botulinum Toxin Type A ◽  
Diagnostic Procedures ◽  
Botulinum Toxin Type ◽  
Upper Urinary Tract ◽  
Lower Urinary Tract Dysfunction ◽  
Urodynamic Studies

The coronavirus pandemic has had a severe impact on the health care system. It is also changing the appointment and conduct of diagnostic procedures, emergency and routine medical care. According to the medical guidelines of the European Society of Urology (EAU) for the provision of urological care during the current epidemic situation, various levels of urgency have been proposed for diagnostic and therapeutic measures depending on the type of disease. Urodynamic studies refer to studies with a priority level from P2 (for neurogenic dysfunction of the urinary tract) to P4 (for lower urinary tract dysfunction without the risk of damage to the upper urinary tract). The question arises regarding the safety of these studies, both for patients and medical staff, and possible measures to reduce the risk of infection in a viral pandemic. Because of the increased workload of hospitals that have not been redesigned for the fight against coronavirus infection and provide routine and emergency urological care, an even greater need has arisen to find effective and safe methods of local anaesthesia for performing urodynamic studies and intradetrusive injections of botulinum toxin type A under local anesthesia in outpatient and outpatient settings (for example, in a short-term hospital). This article presents a literature review on the principles and features of performing urodynamic studies in the context of the Covid-19 pandemic and the effectiveness and safety of using various methods of local anaesthesia when performing intradetrusor injections of botulinum toxin with detrusor hyperactivity of a neurogenic and non-neurogenic nature. There were evaluated forms of local anaesthesia such as intradetrusor instillation of lidocaine, electrophoresis, and the use of alternative solutions for urinary bladder irrigation (for example, Ringer’s solution).

scholarly journals A Child with Right Complete Ureteral Duplication Revealed by Sepsis in Northern Benin: A Case Report

2020 ◽  
Vol 3 (1) ◽  
pp. 71-74
Author(s):  
Agbeille Mohamed F ◽  
Agossou J ◽  
Gandaho I ◽  
Kpanidja MG ◽  
Noudamadjo A ◽  
...  
Keyword(s):  
Case Report ◽  
Urinary Tract ◽  
Lumbar Spine ◽  
Early Diagnosis ◽  
Upper Urinary Tract ◽  
Urinary Tract Abnormalities ◽  
Ureteral Duplication ◽  
The Right ◽  
Upper Urinary Tract Abnormalities ◽  
Complete Duplication

Upper urinary tract abnormalities are relatively common and may be diagnosed before or at birth. Some cases will be seen during complications that most often are obstructive. We herein report one case of complete right ureter duplication revealed by sepsis. The case involved one little girl aged 3 years, referred from a peripheral health center for prolonged fever. Physical examination found out a right flank mass connecting with the lumbar spine, renal ballottement, and pain due to a blow to the right flank. Further explorations helped establish the diagnosis of complete duplication of the right ureter with the destruction of the upper renal pelvis. Little girl benefitted from a dual antibiotic therapy combined with partial nephrectomy of the right kidney upper pole. Infectious are serious complications in upper urinary tract obstructions resulting in kidney destruction; therefore, early diagnosis is required.

Bilateral anterior superior iliac spine apophysis avulsion fractures in a skeletally mature patient: case report and literature review

2021 ◽  
Vol 103 (2) ◽  
pp. e74-e75
Author(s):  
M Flatman ◽  
Z Harb
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Adult Patient ◽  
Road Traffic ◽  
Anterior Superior Iliac Spine ◽  
Patient Case ◽  
Avulsion Fractures ◽  
Good Outcome ◽  
Road Traffic Collision ◽  
Mature Patient

We present a case of bilateral anterior superior iliac spine avulsion fractures in an adult patient who was involved in a road traffic collision. Her injuries were managed conservatively and she has had an uncomplicated recovery with a good outcome. This is, to our knowledge, the only reported case of bilateral simultaneous anterior superior iliac spine apophyseal avulsion fractures in an adult.

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