Unilateral non-rotated left kidney with vascular and ureter variations in a cadaver: a unique case report with embryological and educational aspects

Abstract The kidneys and ureters are retroperitoneal structures in the upper part of the paravertebral gutters, tilted against the structures on the sides of the lowest two thoracic and upper three lumbar vertebrae, so that their anterior and posterior surfaces face antero-laterally and postero-medially, respectively. Congenital anomalies of the urinary tract are often the underlying cause of renal pathologies; 40% of these pathological conditions are due to variations in location, shape, and size of the kidney(s), calyces, ureter, or bladder. This case report describes the presence of a unilateral non-rotated left kidney with vascular and ureter variations found during routine cadaveric dissection for medical graduates. Alterations in rotation of the kidney and its relation to structures at the hilum have great clinical significance when conducting surgical procedures like partial nephrectomy, nephron sparing surgery, and renal transplantation.

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Migration of Ethylene Vinyl Alcohol Co-Polymer in the Urinary Tract Successfully Managed

Medicina ◽

10.3390/medicina55060234 ◽

2019 ◽

Vol 55 (6) ◽

pp. 234

Author(s):

Anna Maria Ierardi ◽

Filippo Pesapane ◽

Antonio Arrichiello ◽

Federico Fontana ◽

Filippo Piacentino ◽

...

Keyword(s):

Case Report ◽

Urinary Tract ◽

Vinyl Alcohol ◽

Cost Effective ◽

Embolic Agent ◽

Unique Case ◽

Selective Embolization ◽

Embolic Material ◽

Ethylene Vinyl Alcohol ◽

And Migration

Selective embolization is the treatment of choice for traumatic renal pseudoaneurysm. The use of ethylene vinyl alcohol copolymer (EVOH) was recently described as an embolic agent in peripheral lesions. The aim of a good embolic agent is to: achieve rapid and effective embolization; reach and fill distal vasculature targeted for embolization; be easy to prepare and use. Moreover, it should be highly radiopaque, controllable during administration, biocompatible and cost-effective. EVOH is a non-adhesive embolic agent and its efficacy is independent from the coagulant status. The risk of non-targeted embolization should be reduced by the good radio-opacity of the embolic material that is injected under continuous fluoroscopy. Nevertheless, symptomatic EVOH migration was described. We report a unique case of embolization of a renal pseudoaneurysm and migration of EVOH in the urinary tract. Retrograde trans-urethral removal of the migrated embolic agent was successfully performed. Our case report indicates that EVOH may not be appropriate when a fistula with renal calyx is suspected, even if its migration in the urinary tract may be managed.

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Retrograde endoscopic intra-renal injection of Fibrin sealant for upper urinary tract unexplained hematuria: A unique case report

Urology Case Reports ◽

10.1016/j.eucr.2018.05.008 ◽

2018 ◽

Vol 19 ◽

pp. 52-53

Author(s):

Ahmed Aljuhayman ◽

Ahmed Nazer ◽

Abdulrahman Almuhrij ◽

Samer Ali ◽

Ahmed Alasker ◽

...

Keyword(s):

Case Report ◽

Urinary Tract ◽

Fibrin Sealant ◽

Upper Urinary Tract ◽

Unique Case

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Interstitial pneumonitis and myelosuppression associated to mitomycin C urinary tract instillations: A case report

Journal of Oncology Pharmacy Practice ◽

10.1177/1078155218760160 ◽

2018 ◽

Vol 25 (3) ◽

pp. 739-742 ◽

Cited By ~ 1

Author(s):

Montserrat Rodriguez-Reyes ◽

Javier Marco-Hernandez ◽

Pedro Castro-Rebollo ◽

Dolors Soy-Muner

Keyword(s):

Case Report ◽

Urinary Tract ◽

Lung Function ◽

Mitomycin C ◽

Interstitial Pneumonitis ◽

Blood Count ◽

Left Kidney ◽

Upper Urinary Tract ◽

Ureteral Catheter ◽

Bladder Carcinomas

Mitomycin C as a treatment for superficial bladder carcinomas and upper urinary tract tumours has been linked to local adverse events. Systemic toxicity has been documented for just a very few cases. This report presents a case of interstitial pneumonitis accompanied by myelosuppression in a 74-year-old patient after receiving the fifth administration of mitomycin C through a ureteral catheter as a treatment for left kidney pyelocaliceal urothelial carcinoma. Therefore, suspecting mitomycin C toxicity, urinary tract instillations were discontinued, and intravenous filgrastim and methylprednisolone were initiated. Currently, after five months since the last mitomycin C urinary tract instillation, the patient is still receiving filgrastim and corticosteroids. A moderate effort dyspnoea persists despite interstitial pulmonary infiltrates have presented a very important reduction. Pancytopenia has also persisted. Blood count and lung function monitoring would be appropriate in patients undergoing mitomycin C instillations, especially in those with established prior lung disease.

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UroLift for the Treatment of Lower Urinary Tract Symptoms in a Patient with AMS 700 MS Implanted Penile Prosthesis. The First Reported Case in the Literature

Journal of Endoluminal Endourology ◽

10.22374/jeleu.v2i1.31 ◽

2019 ◽

Vol 2 (1) ◽

pp. e5-e12 ◽

Cited By ~ 1

Author(s):

Adam Jones ◽

Yih Chyn Phan ◽

Wasim Mahmalji

Keyword(s):

Erectile Dysfunction ◽

Case Report ◽

Urinary Tract ◽

Lower Urinary Tract Symptoms ◽

Lower Urinary Tract ◽

Penile Prosthesis ◽

Prostatic Hyperplasia ◽

Unique Case ◽

Urinary Tract Symptoms ◽

Lower Urinary

The UroLift system (Teleflex Inc.) is a minimally-invasive and non-ablative technique used for the treatment of male lower urinary tract symptoms (LUTS) caused by benign prostatic hyperplasia. It has been introduced as an alternative to transurethral resection of the prostate (TURP) to avoid any unwanted side affects such as erectile dysfunction, hospital stay and catheterisation. A 68-year old patient with bothersome LUTS and significant co-morbidities presented for consideration of UroLift to avoid the risks associated with more invasive TURP surgery. The patient had previously had an AMS 700 MS implanted penile prosthesis (IPP) inserted for erectile dysfunction refractory to medical therapy. To the authors best knowledge, there have been no reports or published literature on the use of the UroLift device to treat male LUTS in the presence of an IPP. This case report aims to present this unique case and discuss operative technique for use of the UroLift device in the presence of an IPP.

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Crossed fused Ectopic Kidney - A Case Report

TAJ Journal of Teachers Association ◽

10.3329/taj.v16i2.3889 ◽

1970 ◽

Vol 16 (2) ◽

pp. 79-81

Author(s):

JC Debnath ◽

KP Sarker ◽

Md Nasir Uddin ◽

Sushanta K Sarker ◽

K Mahboobur Rahman ◽

...

Keyword(s):

Case Report ◽

Urinary Tract ◽

Gastrointestinal Tract ◽

Renal Pelvis ◽

Congenital Anomalies ◽

Left Kidney ◽

Ectopic Kidney

We present a case of crossed-fused ectopic left kidney in a young man who came with rightsidedabdominal pain for about 5 months. Crossed-fused ectopic kidney is often associated withother congenital anomalies, especially in the urinary tract. Our patient had two anomalies-ananomalous placement of renal pelvis (laterally in the orthotopic kidney), and a high up caecum,which was an asymptomatic associated gastrointestinal tract anomaly.doi: 10.3329/taj.v16i2.3889TAJ December 2003; Vol.16(2): 79-81

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Fungal Bezoars Mimicking an Enterovesica Fistula: A Unique Case Report

Current Urology ◽

10.1159/000499284 ◽

2019 ◽

Vol 13 (2) ◽

pp. 107-109

Author(s):

Evert Baten ◽

An Buttiens ◽

Lize Waumans ◽

Linde Stessens ◽

Ingrid Arijs ◽

...

Keyword(s):

Case Report ◽

Immune System ◽

Urinary Tract ◽

Candida Tropicalis ◽

Fungal Colonization ◽

Unique Case ◽

Emphysematous Cystitis ◽

Patients With Diabetes

Fungal colonization or infection of the urinary tract system is relatively common in patients with diabetes or a compromised immune system. However, fungal intravesical bezoars are extremely rare. We present a unique case with multiple, gas-holding fungals bezoars and emphysematous cystitis caused by Candida tropicalis.

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A New Anatomic Variant of T14 Vertebra: A Unique Case Report

Journal of the Medical Association of Thailand ◽

10.35755/jmedassocthai.2021.10.13041 ◽

2021 ◽

Vol 104 (10) ◽

pp. 1726-1728

Keyword(s):

Magnetic Resonance Imaging ◽

Case Report ◽

Lumbar Vertebrae ◽

Plain Radiography ◽

Thoracic Vertebrae ◽

Resonance Imaging ◽

Unique Case ◽

Transitional Vertebra ◽

Magnetic Resonance Imaging Mri ◽

Whole Spine

The most common morphologic design of the spine comprises of 24 presacral mobile segments allocated to 7 non–rib-bearing cervical, 12 ribbearing thoracic, and 5 non-rib-bearing lumbar vertebrae. However, there are significant variations in the number of thoracic and lumbar segments. The authors presented a case of a 65-year-old female with back pain radiating to hips and legs. Plain radiography and magnetic resonance imaging (MRI) of the whole spine revealed fourteen thoracic vertebrae and bilateral ribs, which were found incidentally on preoperative investigation. To the authors’ knowledge, it has never been referenced in the literature. Keywords: Spine variation; T14 vertebra; Supernumerary thoracic ribs; Transitional vertebra

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Nephron-sparing surgery in multiple renal cancer: a case report

Clinical Management Issues ◽

10.7175/cmi.v11i1.1290 ◽

2017 ◽

Vol 11 (1) ◽

Author(s):

Federica Regis ◽

Marina Di Mauro ◽

Giorgio Ivan Russo ◽

Daniele Urzì ◽

Tommaso Castelli ◽

...

Keyword(s):

Case Report ◽

Left Kidney ◽

Young Patients ◽

Nephron Sparing Surgery ◽

Renal Tumors ◽

Renal Masses ◽

Contrast Enhanced ◽

Nephron Sparing ◽

Renal Vessels ◽

Multiple Renal Masses

BACKGROUND: In the last decade, nephron-sparing surgery has largely supplanted the radical approach for the treatment of small renal masses. More recently, ablative technologies have been discussed as alternative in patients that are not eligible for surgical approach.CASE SUMMARY: A 54-year-old Caucasian man was referred to our Urology Clinic for multiple renal masses. A computed tomography (CT) scan revealed three contrast-enhanced lesions located in the upper pole, middle renal, and in the lower pole of the left kidney 20 mm, 25 mm, and 45 mm long, respectively. The patient underwent laparoscopic tumorectomy of two lesions and cryoablation of the left renal mass by the transperitoneal approach, performed without clamping the renal vessels. At the end of the procedure the operator posed a reno-ureteral ipsilateral stent to tutor the urinary tract. Tumor enucleation and cryoablation were chosen to preserve renal function.CONCLUSION: This case report shows that in young patients with multiple renal tumors, cryoablation treatment is feasible and outcomes are promising as well. However, risk of complications should be considered and discussed with patients.

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