scholarly journals Surgical management in retroperitoneal fibrosis: beyond ureterolysis

2021 ◽  
Vol 27 (1) ◽  
Author(s):  
Vigneswara Srinivasan Sockkalingam Venkatachalapathy ◽  
Datson George Palathullil ◽  
Dempsey Mohan Sam ◽  
George Palathullil Abraham
Keyword(s):  
Retroperitoneal Fibrosis ◽  
Young Male ◽  
Renal Unit ◽  
Disease Extent ◽  
Reconstructive Procedures ◽  
Case Presentation ◽  
Boari Flap ◽  
Ureteral Reconstruction ◽  
Minimally Invasive Surgical ◽  
Renal Autotransplantation

Abstract Background Retroperitoneal fibrosis can be associated with bilateral dense and extensive periureteral adhesions. When ureterolysis could not be successfully performed due to disease extent and severity, elaborate ureteral reconstructive procedures will be required. Case presentation A young male with retroperitoneal fibrosis presented with bilateral hydroureteronephrosis. The ureteral involvement was extensive and adhesions were dense. He was managed by laparoscopic boari flap ureteroneocystostomy on one renal unit and laparoscopic nephrectomy with renal autotransplantation on the other renal unit. Conclusions Ureterolysis is not feasible in all cases of retroperitoneal fibrosis. Extensive bilateral ureteral reconstruction without using intestinal segments is feasible. Minimally invasive surgical reconstructive procedures can be successfully employed in such scenarios also.

Management of Ureteral Strictures and Ureteropelvic Junction Obstruction

2019 ◽  
Author(s):  
Sean McAdams ◽  
Haidar Abdul-Muhsin ◽  
Mitchell R. Humphreys
Keyword(s):  
Ureteropelvic Junction Obstruction ◽  
Ureteropelvic Junction ◽  
Ureteral Stricture ◽  
Boari Flap ◽  
Ureteral Reconstruction ◽  
Urinary Drainage ◽  
Preserve Renal Function ◽  
Psoas Hitch ◽  
Invasive Management

The goals for management of ureteropelvic junction obstruction (UPJO) and ureteral stricture are to resolve obstruction, restore continuity, and preserve renal function while minimizing morbidity. The management of UPJO can be challenging and represents a spectrum of options that vary in the invasiveness and effective. These options include observation, long-term internal or external urinary drainage, and endoscopic or minimally invasive management. Mismanagement can potentially results in deterioration of loss of kidney function. This chapter discusses the foundations for successful management of UPJO and ureteral strictures. It also highlights the special clinical situations related to this disease entity and discusses the key advances in the field. This review contains 8 figures, 4 tables, and 73 references. Key Words: Boari flap, dismembered pyeloplasty, endopyelotomy, psoas hitch, pyeloplasty, ureteropelvic junction obstruction, ureteral obstruction, ureteral reconstruction, ureteral stricture, uretero-ureterostomy

Renal autotransplantation in patients with retroperitoneal fibrosis

1984 ◽  
Vol 51 (2) ◽  
pp. 357-363 ◽  
Author(s):  
M. C. Rose ◽  
A. C. Novick ◽  
S. J. Rybka
Keyword(s):  
Retroperitoneal Fibrosis ◽  
Renal Autotransplantation

Renal Autotransplantation for Retroperitoneal Fibrosis

1981 ◽  
Vol 125 (3) ◽  
pp. 408-411 ◽  
Author(s):  
James Palleschi ◽  
Jack W. McAninch
Keyword(s):  
Retroperitoneal Fibrosis ◽  
Renal Autotransplantation

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.

scholarly journals Application of PICCO During Anesthesia of Patients Undergoing Transcatheter Ventricular Isolation Plasty Due to Left Ventricular Aneurysm

2019 ◽  
Vol 22 (1) ◽  
pp. E035-E037
Author(s):  
Guiping Xu ◽  
Yuxuan Zhang ◽  
Quansheng Wang ◽  
Tao Su ◽  
Jing Mei ◽  
...  
Keyword(s):  
Cardiac Output ◽  
Left Ventricular ◽  
Left Ventricular Aneurysm ◽  
Successful Implementation ◽  
Ventricular Aneurysm ◽  
High Demand ◽  
Case Presentation ◽  
Minimally Invasive Surgical ◽  
Clinical Anesthesia ◽  
Ventricular Restoration

Introduction: Left ventricular aneurysm is a common complication type of myocardial infarction. Percutaneous ventricular restoration (PVR) is a new and minimally invasive surgical method for left ventricular aneurysm. Due to its complication and high demand on the surgeon, careful cooperation of anesthesia work is of great significance for the successful implementation of the operation. Case Presentation: During anesthesia, Pulse Index Continuous Cardiac Output (PICCO) not only monitors general hemodynamic parameters, but also displays parameters such as cardiac output, myocardial contractility, pre-cardiac load, etc., which provides important guidance for the anesthetic procedures. Conclusions: This study aimed to explore the application of PICCO in the anesthesia of patients by analyzing the clinical anesthesia management of 3 cases of patients undergoing transcatheter ventricular partitioning restoration (TVPR) due to left ventricular aneurysm in the case of analysis.

scholarly journals Thyroglossal cyst at unusual site: a rare case presentation

2019 ◽  
Vol 5 (5) ◽  
pp. 1419
Author(s):  
Toshi Janardan ◽  
Jas Simran Singh Bhatia
Keyword(s):  
Young Male ◽  
Thyroglossal Duct Cyst ◽  
Excision Biopsy ◽  
Thyroglossal Cyst ◽  
Unusual Site ◽  
Duct Cyst ◽  
Case Presentation ◽  
Thyroglossal Duct ◽  
Superior Mediastinum ◽  
Base Of The Tongue

<p>Thyroglossal duct cyst is a congenital lesion in the anterior side of neck which results from embryonic remnant of the descending thyroglossal duct. It may get enlarge by infection, inflammation or mucous retention but can be found anywhere in the midline from the base of the tongue to thyroid gland. Most commonly it is present infrahyoid only. In this case, it is present at an unusual site at suprasternal region. A young male presented in the OPD with a single, non-tender swelling in the midline at suprasternal region, almost reaching upto superior mediastinum. After radiological examination and histopathological excision biopsy, it came out to be thyroglossal cyst. No recurrence had occurred.</p>

scholarly journals A Case of COVID-19 Pneumonia in a Young Male with Full Body Rash as a Presenting Symptom

2020 ◽  
Vol 4 (2) ◽  
Author(s):  
Madison Hunt ◽  
Christian Koziatek
Keyword(s):  
United States ◽  
Severe Acute Respiratory Syndrome ◽  
Emergency Departments ◽  
Young Male ◽  
The United States ◽  
Case Presentation ◽  
Case Load ◽  
Presenting Symptoms ◽  
Full Body

Background: In December 2019 the coronavirus disease of 2019 (COVID-19), caused by the severe acute respiratory syndrome coronavirus 2, was identified in Wuhan, China. In the ensuing months, the COVID-19 pandemic has spread globally and case load is exponentially increasing across the United States. Emergency departments have adopted screening and triage procedures to identify potential cases and isolate them during evaluation. Case Presentation: We describe a case of COVID-19 pneumonia requiring hospitalization that presented with fever and extensive rash as the primary presenting symptoms. Rash has only been rarely reported in COVID-19 patients, and has not been previously described.

scholarly journals Traumatic Coronary Dissection: Case Presentation and Literature Review

2016 ◽  
Vol 1 (3) ◽  
pp. 282-286
Author(s):  
Arthur A. Keresztesi ◽  
Gabriela Asofie ◽  
Harald Jung
Keyword(s):  
Literature Review ◽  
Chest Trauma ◽  
Young Male ◽  
Thoracic Wall ◽  
Anterior Myocardial Infarction ◽  
Case Presentation ◽  
Motorcycle Accident ◽  
Car Crash ◽  
Male Subjects ◽  
Intimal Tear

Abstract In posttraumatic coronary dissection, a small intimal tear occurs due to the sudden compression of the thoracic wall during the chest trauma, this being sometimes fatal. We present the case of a 56-year-old truck driver with chest trauma after a car crash. The 12-lead ECG showed signs suggestive of an acute anterior myocardial infarction, and the coronary angiography confirmed an arterial dissection of the left anterior descending coronary artery. A stent was inserted the same day, and the patient was treated accordingly. He survived for a total of three days. The autopsy and histological examination confirmed the MI and the coronary dissection. The chest trauma was linked to the patient’s death. The literature review reveals 46 cases in which the most frequent cause of chest trauma was a car or motorcycle accident; also, young male subjects were more frequently involved. Stent placement was the main course of treatment, and a delay in the onset of symptoms was also frequent.

Recurrent buttock pain in a young male: Case presentation

2010 ◽  
Vol 13 (4) ◽  
pp. 244-245
Author(s):  
Michelle A. Wessely ◽  
Terence Perrault ◽  
Newsha Azizi
Keyword(s):  
Young Male ◽  
Buttock Pain ◽  
Case Presentation
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