Skin discoloration in acute necrosis of the pancreas

1935 ◽  
Vol 31 (8-9) ◽  
pp. 1118-1118
Author(s):  
I. Н. Zaajеr
Keyword(s):  
Clinical Picture ◽  
Pancreatic Necrosis ◽  
Lumbar Region ◽  
Skin Discoloration ◽  
Left Lumbar Region

The author describes a case of acute pancreatic necrosis, in whose clinical picture the appearance of sharp blue-green spots first in the left lumbar region and then in the circumference of the navel and spreading further was noticed.

LOWER URINARY TRACT SYNDROME IN ELDERLY AND SENILE PEOPLE WITH COMBINED PATHOLOGY OF THE PROSTATE AND LUMBAR SPINE

2021 ◽  
pp. 921-926
Author(s):  
В. В. Третьяков ◽  
В. С. Мякотных
Keyword(s):  
Chronic Pain ◽  
Urinary Tract ◽  
Lumbar Spine ◽  
Clinical Picture ◽  
Lower Urinary Tract ◽  
Lumbar Region ◽  
Urination Disorders ◽  
Pain Syndromes ◽  
Chronic Pain Syndromes ◽  
Lower Urinary

Для определения места и роли дегенеративных изменений поясничного отдела позвоночника в патогенезе синдрома нижних мочевых путей и успешности проведения лечебных мер наблюдали 106 мужчин пожилого и старческого возраста, страдающих доброкачественной гиперплазией предстательной железы и патологией позвоночника. Длительные хронические боли в пояснице испытывали 48 (45,3 %) пациентов, у 93,8 % из них отмечали никтурию, у 75 % - затруднения при мочеиспускании, у 60,4 % - ложные позывы на мочеиспускание, что мотивировало обращение к урологу. Выявленные с помощью опросника IPSS различия, соответственно 21,78±4,33 и 16,33±4,61 балла, указывали на негативное значение хронического болевого синдрома в формировании общей клинической картины урологической патологии. У лиц старческого возраста болевой синдром и симптомы раздражения мочевых путей были менее выраженными, чем у лиц пожилого возраста, а обструктивные симптомы, наоборот, более отчетливыми. Хронические болевые синдромы в поясничной области значительно чаще ( р <0,001)регистрировали у 67 пациентов с удовлетворительными и неудовлетворительными результатами лечения по поводу расстройств мочеиспускания, чем у 39 с наилучшей эффективностью. Таким образом, патология поясничного отдела позвоночника и связанные с ней хронические болевые синдромы вносят существенный вклад в патогенез и клиническую картину синдрома нижних мочевых путей и в результативность лечения расстройств мочеиспускания. Выявленные особенности следует учитывать в процессе диагностики и лечения комбинированной патологии. In order to determine the place and role of degenerative changes in the lumbar spine in the pathogenesis of lower urinary tract syndrome and the success of treatment measures, 106 elderly and senile male patients suffering from benign prostatic hyperplasia and spinal pathology were observed. Long-term chronic lower back pain was experienced by 48 (45,3 %) patients, 93,8 % of them had night urination, 75 % had difficulty urinating, and 60,4 % had false urge to urinate, which motivated them to contact a urologist.The differences identified using the IPSS questionnaire, respectively 21,78±4,33 and 16,33±4,61 points, indicated a negative value of chronic pain syndrome in the formation of the overall clinical picture of urological pathology. Among the senile patients, pain and urinary tract irritation symptoms were less pronounced than among the elderly patients, and obstructive symptoms, on the contrary, were more pronounced. Chronic pain syndromes in the lumbar region were significantly more frequent ( p <0,001) among 67 patients with satisfactory and unsatisfactory results of treatment for urination disorders than among 39 with the best efficiency. Thus, the pathology of the lumbar spine and associated chronic pain syndromes make a significant contribution to the pathogenesis and clinical picture of the lower urinary tract syndrome and to the effectiveness of treatment of urination disorders. The identified features should be taken into account in the process of diagnosis and treatment of combined pathology.

scholarly journals Approach and management of a giant lipoma in the left lumbar region

2015 ◽  
Vol 14 ◽  
pp. 189-193 ◽  
Author(s):  
Giuseppe Andrea Ferraro ◽  
Rosa Salzillo ◽  
Francesco De Francesco ◽  
Francesco D’Andrea ◽  
Gianfranco Nicoletti
Keyword(s):  
Lumbar Region ◽  
Giant Lipoma ◽  
Left Lumbar Region

CSF fistula through the left lumbar region in adult following a ventriculoperitoneal shunt surgery: a rare case report

2010 ◽  
Vol 31 (6) ◽  
pp. 817-820
Author(s):  
Shi-yin Xiao ◽  
Lu Ma ◽  
Bal Krishna Shrestha ◽  
Yue-kang Zhang ◽  
Bo-Yong Mao
Keyword(s):  
Case Report ◽  
Ventriculoperitoneal Shunt ◽  
Rare Case ◽  
Lumbar Region ◽  
Shunt Surgery ◽  
Csf Fistula ◽  
Rare Case Report ◽  
Left Lumbar Region

scholarly journals Retroperitoneal liposarcoma of the intestine: a rare cause of acute abdomen

2021 ◽  
Vol 8 (5) ◽  
pp. 1614
Author(s):  
Vikash C. Tiwari ◽  
Vaibhav Mudhale ◽  
Kulkarni S. Sharang ◽  
Jineshwar Nyamagoud ◽  
Malluru Srividya
Keyword(s):  
Sudden Onset ◽  
Wide Resection ◽  
Lumbar Region ◽  
Retroperitoneal Mass ◽  
Significant Past Medical History ◽  
Current Case ◽  
Retroperitoneal Liposarcoma ◽  
Malignant Mesenchymal Tumor ◽  
Well Differentiated ◽  
Left Lumbar Region

Retroperitoneal liposarcoma is a rare malignant mesenchymal tumor with an incidence of 2.5 per million individuals. It is usually asymptomatic until its large enough to compress the surrounding organs, so its early diagnosis is difficult. In current case a 41 year old male patient with no significant past medical history presented to emergency department with sudden onset of abdominal pain in the left lumbar region. On examination, the abdomen was distended, guarding and rigidity present with tenderness to palpation in the left lumbar region, and no mass was palpated. Abdominal USG revealed a large heterogeneous mass in the left lumbar region. As the origin of the mass was uncertain, the patient was evaluated with CECT of the abdomen which revealed a retroperitoneal mass highly s/o liposarcoma. Given the suspicion of a liposarcoma, the patient underwent an abdominal exploration and there was a retroperitoneal mass of 12x8 cm adherent to the left colon. Wide resection of this mass was done along with left colectomy and the specimen was sent for examination. The histopathology study determined lipomatous tumor well differentiated retroperitoneal liposarcoma. Retroperitoneal liposarcoma is a malignant tumor whose treatment is fundamentally surgical. These tumors tend to be resistant to radiotherapy and/or chemotherapy. Among the most important prognostic factors related to survival is surgery with non-affected margins.

scholarly journals Primitive neuroectodermal tumor of the kidney: a rare case

2021 ◽  
Vol 27 (1) ◽  
Author(s):  
R. Pandey ◽  
R. Batra ◽  
P. Dhaigude ◽  
D. Gupta
Keyword(s):  
Primitive Neuroectodermal Tumor ◽  
Multimodal Therapy ◽  
Left Kidney ◽  
Neuroectodermal Tumor ◽  
Adolescent And Young Adult ◽  
Lumbar Region ◽  
Transperitoneal Approach ◽  
Case Presentation ◽  
Renal Pnet ◽  
Left Lumbar Region

Abstract Background Primitive neuroectodermal tumor commonly occurs in bones and is equivalent to Ewing’s sarcoma. Very few cases have been reported in the literature and they had a very different presentation and very aggressive behavior. Case presentation We present a case of a young 23-year-old male who presented with complaints of pain in left lumbar region of abdomen since 8 months and hematuria off and on. CT scan of the abdomen was done which revealed a large heterogeneously enhancing mass lesion in the left lumbar region arising from the superior and mid-pole of left kidney showing multiple non-enhancing necrotic areas. A diagnosis of left renal cell carcinoma was kept. Through the transperitoneal approach, the left kidney was approached and a left radical nephrectomy was done. The histopathology report revealed the tumor cells to be positive for CD99 and focally positive for Vimentin and negative for cytokeratin thereby making a diagnosis of primary neuroectodermal tumor (PNET). Conclusions Renal PNET is a rare renal malignancy that should be kept in the differential diagnosis of a renal SOL especially when it is a presenting feature in adolescent and young adult. It has a very aggressive course and multimodal therapy has to be considered in its treatment

scholarly journals Symptomatic lymphatic cysts after oncourological operations on the pelvic organs and influence of their anatomical localization on the clinical appearance

2020 ◽  
Vol 8 (4) ◽  
pp. 72-79
Author(s):  
S. V. Kotov ◽  
A. О. Prostomolotov
Keyword(s):  
Body Temperature ◽  
Clinical Picture ◽  
Clinical Symptoms ◽  
Vena Cava ◽  
Pubic Symphysis ◽  
Lumbar Region ◽  
Clinical Appearance ◽  
Pelvic Area ◽  
Anatomical Localization ◽  
Lymphatic Cysts

Introduction. Lymphatic cysts (LC) are the accumulation of free lymphatic fluid in a limited space (between tissues and organs), in the place where the lymphadenectomy was performed. They are the most frequent complications in pelvic oncourology. LC are divided into symptomatic and asymptomatic.Purpose of the study. To assess the influence of the anatomical localization of symptomatic lymphatic cysts (sLC) on the clinical appearance.Materials and methods. 203 radical prostatectomies (RPE) and 42 radical cystectomies (RC) were performed with pelvic lymph node dissection (PLND) in the N.I. Pirogov City Clinical Hospital № 1 from January 2017 to March 2020. Of 203 patients, 13 (6.4%) developed SLC, and of 42 patients, 6 (14.3%). All patients who developed complications underwent complex ultrasound studies and multispiral computed tomography (MSCT) of the retroperitoneal space, abdomen, and pelvic area to assess the localization and volume of the sLC.Results. Four anatomical localizations of the sLC can be distinguished after analyzing the clinical picture of 19 patients with sLC and comparing the obtained data with MSCT: paravasal-iliac, paravesical, prevesical, and pelvic-retroperitoneal. The frequency of paravasaliliac sLC was higher, they developed in 13 (68.5%) patients. The clinical picture included: pain in the pelvic area, lymphedema of the lower limb, body temperature ≥ 39.0 °C, due to LC infection and compression of the iliac vessels. Paravesical sLC were found in 2 (10.5%) patients. There was a failure of the urethrovesical anastomosis, according to retrograde cystography, due to displacement of the bladder. Prevesical sLC were found in 2 (10.5%) patients. Patients noted progressive urinary incontinence and pain above the pubic symphysis. Pelvic-retroperitoneal sLC was observed in 2 (10.5%) patients, with the clinical appearance of nagging pain in the lumbar region, body temperature ≥ 38.0 °C, due to ureteral compression and the development of obstructive pyelonephritis, as well as compression of the inferior vena cava by a lymphatic cyst. The repeated intervention was performed in 18 cases: percutaneous drainage of the LC under ultrasound guidance in 12 (63.2%) patients, laparoscopic marsupialization of the LC in 3 (15.7%) patients, an open technique in 3 (15.7%). In 1 patient (5.4%) the treatment was conservative.Conclusion. Symptomatic LC can be classified according to 4 anatomical locations, which define their clinical symptoms. Most sLC require reoperation.

Meetings of medical societies. Surgical Society and Society of Radiologists of the ATSSR. Joint meeting 15/XI.1936

1937 ◽  
Vol 33 (4) ◽  
pp. 518-522
Author(s):  
N. Sokolov ◽  
V. Osipovsky
Keyword(s):  
Left Kidney ◽  
Joint Meeting ◽  
Lumbar Region ◽  
Lower Pole ◽  
Medical Societies ◽  
Left Lumbar Region

Demonstrated b-th T-v, 23 y., Delivered to 1 chir. cl. GIDUV with severe profuse hematuria. Hematuria was preceded by an injury to the left lumbar region. Hematuria lasted 7 days. The diagnosis of neoplasm of the kidney was made on the basis of anamnesis and palpation of the dense, tuberous lower pole of the left kidney, the absence of indigo on this side, and a pyelogram, which showed a deformed pelvis with blurred contours.

Sign in / Sign up

Export Citation Format

Share Document