scholarly journals Ultrasound Imaging of Cystic Nephroma

2017 ◽  
Vol 4 (3) ◽  
pp. 1-9 ◽  
Author(s):  
Federico Greco ◽  
Eliodoro Faiella ◽  
Domiziana Santucci ◽  
Delia De Lisi ◽  
Gianguido Lo Vullo ◽  
...  
Keyword(s):  
Differential Diagnosis ◽  
Abdominal Pain ◽  
Urinary Tract ◽  
Ultrasound Imaging ◽  
Clinical Presentation ◽  
Imaging Features ◽  
Cystic Nephroma ◽  
Cystic Lesions ◽  
Palpable Mass ◽  
Tract Infections

Cystic nephroma is a rare, benign multicystic lesion of the kidney. This tumor occurs both in children and in adults. In children, it is highly prevalent in males; in adults, it is more frequent in women. The term “cystic nephroma” represents two apparently different entities: pediatric cystic nephroma, a benign form thought to originate from metanephric tissue, and adult cystic nephroma, considered as a lesion of mixed epithelial stromal tumor. The clinical presentation may be a palpable mass or nonspecific symptoms such as abdominal pain, hematuria, and urinary tract infections. In this review, we summarize the ultrasound imaging features of cystic nephroma and describe the characteristics of the most common renal cystic lesions and the differential diagnosis of cystic nephroma with other renal cystic lesions.

scholarly journals Ovarian Torsion in a 5-Year Old: A Case Report and Review

2012 ◽  
Vol 2012 ◽  
pp. 1-3 ◽  
Author(s):  
Matthew F. Ryan ◽  
Bobby K. Desai
Keyword(s):  
Emergency Department ◽  
Abdominal Pain ◽  
Case Report ◽  
Urinary Tract ◽  
Clinical Suspicion ◽  
Ovarian Torsion ◽  
Surgical Emergencies ◽  
High Clinical Suspicion ◽  
Tract Infections ◽  
Prompt Diagnosis

Ovarian torsion represents a true surgical emergency. Prompt diagnosis is essential to ovarian salvage, and high clinical suspicion is important in this regard. Confounding the diagnosis in general are more commonly encountered abdominal complaints in the Emergency Department (ED) such as constipation, diarrhea, and urinary tract infections and more common surgical emergencies such as appendicitis. Prompt diagnosis can be further complicated in low-risk populations such as young children. Herein, we describe the case of a 5-year-old girl with a seemingly benign presentation of abdominal pain who was diagnosed in the ED and treated for acute ovarian torsion after two prior clinic visits. A brief discussion of evaluation, treatment, and management of ovarian torsion follows.

scholarly journals A Case of Urethral Diverticulum with Surgical Repair Using Cadaveric Pericardial Tissue

2018 ◽  
Vol 2018 ◽  
pp. 1-5 ◽  
Author(s):  
Loren Custer ◽  
Morris Jessop ◽  
Stanley Zaslau ◽  
Robert Shapiro
Keyword(s):  
Differential Diagnosis ◽  
Urinary Tract ◽  
Vaginal Discharge ◽  
Surgical Repair ◽  
Urethral Diverticulum ◽  
Surgical Correction ◽  
Definitive Treatment ◽  
Needle Localization ◽  
Vaginal Mass ◽  
Tract Infections

A urethral diverticulum is a relatively uncommon finding. The estimated prevalence is approximately 1-5% in the general population. While the definitive treatment is surgical correction, there are limited studies guiding the best approach to repair. This is the case of a 48-year-old female who initially presented with vaginal discharge, dysuria, and dyspareunia. MRI revealed the diagnosis of suspected urethral diverticulum. The patient was treated with surgical correction with the aid of needle localization prior to the procedure. After the diverticulum was excised, the resulting defect in the urethra was successfully closed with cadaveric pericardial tissue. A urethral diverticulum should be considered in the differential diagnosis when a patient presents with symptoms such as recurrent urinary tract infections (UTIs) vaginal mass, dysuria, dyspareunia, or vaginal discharge. The use of cadaveric tissue augments the surgical technique for repair.

scholarly journals Spontaneous appendico-renal fistula: clinical presentation and management of a previously unreported entity

2019 ◽  
Vol 12 (3) ◽  
pp. e228278 ◽  
Author(s):  
Rishi Nayyar ◽  
Prashant Kumar
Keyword(s):  
Urinary Tract ◽  
Urinary Tract Infections ◽  
Clinical Presentation ◽  
Urinary Fistulas ◽  
Tract Infections ◽  
Underlying Pathology

Entero-urinary fistulas are uncommon in urological practice and may have widely varying aetiologies ranging from benign to malignant or iatrogenic in nature. All permutations of entero-urinary fistulas have been reported in the literature except an appendico-renal fistula. Here, we present one such case, presenting with urinary tract infections and perineal urethrocutaneous fistulae. He was ultimately diagnosed to have a spontaneous appendico-renal fistula as underlying pathology behind the symptoms.

Transverse vaginal septum presenting as secondary amenorrhoea: a rare clinical presentation

2020 ◽  
Vol 13 (8) ◽  
pp. e235374 ◽  
Author(s):  
Garima Yadav ◽  
Neha Agrawal ◽  
Sureka Binit ◽  
Pratibha Singh
Keyword(s):  
Differential Diagnosis ◽  
Abdominal Pain ◽  
Menstrual Cycle ◽  
Clinical Presentation ◽  
Primary Amenorrhea ◽  
Early Age ◽  
Cell Debris ◽  
Vaginal Septum ◽  
Secondary Amenorrhea ◽  
Transverse Vaginal Septum

Transverse vaginal septum is one of the variants of Mullerian duct anomaly, caused as a result of defective fusion or recanalisation of vaginal and Mullerian organs. At an early age, it commonly presents as primary amenorrhea along with cyclical abdominal pain while later on usually it presents as dyspareunia and infertility. Our 22-year-old patient presented with secondary amenorrhea. It is very unusual for a transverse vaginal septum to cause secondary amenorrhea. MRI and clinical examination raised the suspicion of transverse vaginal septum causing secondary amenorrhea. She attained regular menstrual cycle after septum excision. The proposed theory behind it is obliteration of microperforated transverse vaginal septum because of menstrual blood and cell debris. Thus, a rare possibility of transverse vaginal septum should also be considered as a differential diagnosis of secondary amenorrhea.

scholarly journals Case Report: Prolapsed Ureterocele—A Differential Diagnosis of Urethral Cists

2020 ◽  
Vol 2020 ◽  
pp. 1-3
Author(s):  
Francisco Renan Doth Sales ◽  
Georgia Alexsandra Colantonio Dourado ◽  
Ana Carolina Montes Ribeiro ◽  
Humberto de Holanda Madeira Barros ◽  
David Sucupira Cristino ◽  
...  
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Urinary Tract ◽  
Young Children ◽  
Clinical Presentation ◽  
Cystic Dilatation ◽  
Distal Ureter ◽  
Urethral Prolapse ◽  
Infants And Young Children ◽  
Vulvar Mass

Ureterocele is a cystic dilatation of submucosal distal ureter. It presents a higher incidence in infants and young children but is rare in adults. The urethral prolapse of ureterocele is extremely rare, and its clinical presentation includes vulvar mass, hematuria, and urinary tract dysfunction. We present a case of ureterocele prolapse in a 45-year-old woman who has a 3-day-evolution vulvar mass and intense urethral bleeding. The patient underwent armed cystoscopy and ureteroscopy, ureterocele resection, and biopsy. She evolved with good postoperative condition and was then discharged.

scholarly journals Recurrent Urinary Tract Infections due to Asymptomatic Colonic Diverticulitis

2012 ◽  
Vol 2012 ◽  
pp. 1-3 ◽  
Author(s):  
Evangelos Falidas ◽  
Georgios Anyfantakis ◽  
Stavros Boutzouvis ◽  
Michail Kyriakopoulos ◽  
Stavros Mathioulakis ◽  
...  
Keyword(s):  
Urinary Tract Infection ◽  
Abdominal Pain ◽  
Urinary Tract ◽  
Tract Infection ◽  
Urinary Tract Infections ◽  
Recurrent Urinary Tract Infection ◽  
Common Complication ◽  
Colonic Diverticulitis ◽  
Colovesical Fistula ◽  
Tract Infections

Colovesical fistula is a common complication of diverticulitis. Pneumaturia, fecaluria, urinary tract infections, abdominal pain, and dysuria are commonly reported. The authors report a case of colovesical fistula due to asymptomatic diverticulitis, and they emphasize the importance of deeply investigate recurrent urinary tract infection without any bowel symptoms. They also briefly review the literature.

scholarly journals Uncommon Differential Diagnosis of Acute Right-sided Abdominal Pain – Case Report

2019 ◽  
Vol 4 (1) ◽  
pp. 33-36
Author(s):  
Cédric Kwizera ◽  
Benedikt Wagner ◽  
Johannes B. Wagner ◽  
Călin Molnar
Keyword(s):  
Differential Diagnosis ◽  
Abdominal Pain ◽  
Acute Appendicitis ◽  
Fragile X ◽  
Pleural Empyema ◽  
Blind Ending ◽  
Rare Differential Diagnosis ◽  
Mentally Impaired ◽  
The Right ◽  
Tract Infections

Abstract The appendix is a worm-like, blind-ending tube, with its base on the caecum and its tip in multiple locations. Against all odds, it plays a key role in the digestive immune system and appendectomy should therefore be cautiously considered and indicated. We report the case of a 45-year-old male with a known history of Fragile-X syndrome who presented to the emergency department with intense abdominal pain and was suspected of acute appendicitis, after a positive Dieulafoy’s triad was confirmed. The laparoscopic exploration showed no signs of inflammation of the appendix; nonetheless, its removal was carried out. Rising inflammatory laboratory parameters led to a focused identification of a pleural empyema due to a tooth inlay aspiration. Our objective is to emphasize the importance of a thorough anamnesis, even in cases of mentally impaired patients, as well as to highlight a rare differential diagnosis for appendicitis. Acute appendicitis is an emergency condition that requires a thorough assessment and appropriate therapy. Clinical examinations are important, but in this particular case, imaging methods had a much more important role in establishing the right treatment approach. Furthermore, the signs of acute appendicitis are mimicked by several medical conditions including respiratory tract infections.

scholarly journals Surgical management of intracranial capillary hemangiomas in children: report of 2 cases

2016 ◽  
Vol 17 (3) ◽  
pp. 310-317 ◽  
Author(s):  
Paul A. Grabb
Keyword(s):  
Differential Diagnosis ◽  
Surgical Management ◽  
Preoperative Planning ◽  
Clinical Presentation ◽  
Operative Management ◽  
Preoperative Imaging ◽  
Imaging Features ◽  
Pertinent Literature ◽  
Intraoperative Management

Two cases of intracranial capillary hemangiomas (ICHs) occurring in children are presented to highlight the surgical challenges encountered with these extremely rare lesions. The author describes their clinical presentation, preoperative imaging features, intraoperative findings, and operative management. The pertinent literature is reviewed. Recommendations for preoperative planning and intraoperative management are made based on the author’s experience and the literature for when ICH is considered in the differential diagnosis and encountered intraoperatively.

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