scholarly journals Urinary Infection and Spontaneous Subcapsular Renal Hematoma

2014 ◽  
Vol 7 (1) ◽  
pp. 102-104
Author(s):  
Jian-Feng Liu ◽  
Yong-Hong Cai ◽  
Ke-Zhong Zhao ◽  
Zhang Lian ◽  
Rui-Hong Han ◽  
...  
Keyword(s):  
Urinary Infection ◽  
Left Kidney ◽  
Acute Onset ◽  
Flank Pain ◽  
Uncontrolled Hypertension ◽  
Resonance Imaging ◽  
Left Flank ◽  
Ultrasound Computed Tomography ◽  
Left Flank Pain

Spontaneous subcapsular renal hematoma is an uncommon entity. We report a 54-year-old lady presenting with high fever, dysuria followed 5 days later by acute onset left flank pain and uncontrolled hypertension. Ultrasound, computed tomography and magnetic resonance imaging showed a subcapsular hematoma in the left kidney. Except urinary tract infection and hypertension, no particular cause for the condition could be found. Symptoms and size of the collection decreased on conservative treatment. The collection disappeared on MRI at 6 weeks follow-up. She was asymptomatic at 23 months follow-up.

scholarly journals CT Findings of Primary Renal Angiosarcoma

2021 ◽  
pp. 212-216
Author(s):  
Hisashi Komoto ◽  
Kazuhiro Kitajima ◽  
Yusuke Kawanaka ◽  
Nahomi Yoshimura ◽  
Ryo Kunimoto ◽  
...  
Keyword(s):  
Left Kidney ◽  
Ct Images ◽  
Flank Pain ◽  
Renal Tumors ◽  
Left Flank ◽  
Contrast Enhanced Ct ◽  
Contrast Enhanced ◽  
Enhanced Ct ◽  
Aggressive Tumors ◽  
Left Flank Pain

Primary angiosarcomas of the kidney are very rare but highly aggressive tumors showing poor prognosis. We present a case of primary renal angiosarcoma occurring in a 60-year-old man with left flank pain. CT images depicted a huge exophytic mass (14 cm in diameter) in the left kidney, exhibiting central extensive hemorrhage or necrosis without contrast enhancement. The mass showed centripetal peripheral nodular enhancement on dynamic contrast-enhanced CT images. We suggest its inclusion in the differential diagnosis of cases of hemorrhagic renal tumors with prominent vasculature.

Case 7.4

2014 ◽  
pp. 314-315
Author(s):  
Christine U. Lee ◽  
James F. Glockner
Keyword(s):  
Posterior Margin ◽  
Renal Stone ◽  
Left Kidney ◽  
Flank Pain ◽  
Left Flank ◽  
Necrotizing Glomerulonephritis ◽  
History Of ◽  
Left Flank Pain ◽  
Noncontrast Enhanced ◽  
New Onset

64-year-old man with a history of necrotizing glomerulonephritis who has new-onset left flank pain Axial images from noncontrast-enhanced renal stone protocol CT (Figure 7.4.1) show hyperdense subcapsular material along the posterior margin of the left kidney. Axial fat-suppressed FSE T2-weighted images (...

scholarly journals Acute Onset of Nausea, Vomiting and Left Flank Pain in a Hemodialysis Patient

Kidney360 ◽  
2021 ◽  
Vol 2 (12) ◽  
pp. 2042-2043
Author(s):  
Jasmeet Gill ◽  
Jesse Diaz ◽  
Harold M. Szerlip
Keyword(s):  
Hemodialysis Patient ◽  
Acute Onset ◽  
Flank Pain ◽  
Left Flank ◽  
Left Flank Pain

scholarly journals Ureteritis cystica associated with xanthogranulom atouspyelonephritis

2015 ◽  
Vol 62 (2) ◽  
pp. 65-69
Author(s):  
Slobodan Ristovski ◽  
A. Sofronievska ◽  
Maja Glavinov
Keyword(s):  
Recurrent Urinary Tract Infection ◽  
Wide Spectrum ◽  
Treatment Options ◽  
Left Kidney ◽  
Flank Pain ◽  
Macroscopic Hematuria ◽  
Left Flank ◽  
History Of ◽  
Renal Infection ◽  
Left Flank Pain

Ureteritis cystica (UC) and xanthogranulomatous pyelonephritis (XP) are rare, benign conditions that uncommonly appear together. The first one has not well established etiology yet and can affect ureter, renal pelvis and bladder. The second one is a chronic renal infection resulting in severe kidney deterioration and destruction. Both of these entities are usually unilateral. They both cause wide spectrum of symtoms so the diagnose can be difficult to establish. We report the case of a 68 year old male with a history of intermittent macroscopic hematuria, left flank pain, recurrent urinary tract infection and calculosis of left kidney. We describe the imaging and endoscopic investigations leading to the diagnosis of ureteritis cystica as well as the treatment options.

scholarly journals Rare Encounter of Renal Hydatid Cyst: A Case Report

2021 ◽  
Vol 59 (239) ◽  
Author(s):  
Prabina Basnet ◽  
Sudeep Chapagain ◽  
Rasik Neupane ◽  
Abishkar Thapa
Keyword(s):  
Central Nervous System ◽  
Urinary Tract Infection ◽  
Hydatid Cyst ◽  
Left Kidney ◽  
Flank Pain ◽  
Lower Pole ◽  
Normal Kidney ◽  
Healthy Life ◽  
Left Flank ◽  
Left Flank Pain

Cystic Echinococcosis (CE) or Hydatid disease is caused by the infection with the larval stage of long tapeworm, Echinococcus granulosus. This condition often remains asymptomatic for years before the cyst grows large enough to cause symptoms in affected organs. The most common organs involved are liver and lungs although the heart, brain, bone, central nervous system, and kidney may also be involved. This case is about a young woman who presented with left flank pain and urinary tract infection who was later diagnosed as having left renal hydatid cyst. The cyst was approximately 7.8×6.6×8cm with internal multiple septations at the lower pole cortex of the left kidney. Laparoscopic pericystectomy was performed and with no postoperative complications, she was discharged on albendazole and other supportive medication. With timely management using combination therapy, this condition is curable and the patient can live a healthy life with normal kidney function.

scholarly journals Ostéosarcome primitif du rein avec évolution métastatique au foie.Étude de cas et revue de la littérature

2013 ◽  
Vol 3 (2) ◽  
pp. 163 ◽  
Author(s):  
Olfa Gharbi ◽  
Amel Trabelsi ◽  
Makram Hochlef ◽  
Soulef Kriaa ◽  
Sami Limam ◽  
...  
Keyword(s):  
Weight Loss ◽  
Local Recurrence ◽  
Bone Scan ◽  
Clinical Findings ◽  
Flank Pain ◽  
Left Flank ◽  
Atypical Cells ◽  
Tomodensitométrie Abdominale ◽  
Left Flank Pain

L’ostéosarcome primitif du rein est une pathologie très rare dontl’histogénèse n’est pas claire. Les récidives locales et les métastasessont fréquentes et le pronostic est très mauvais. Nous décrivons icile cas d’une patiente de 59 ans qui présentait des douleurs lombairesgauches et un amaigrissement. Une échographie abdominaleet une tomodensitométrie abdominale ont révélé une masserétropéritonéale de 13 × 8 × 9 cm avec macrocalcifications. Lebilan d’extension n’a pas révélé d’autres lésions. On a procédé àune néphrectomie élargie gauche; l’examen histologique a révéléune prolifération tumorale constituée de cellules fusiformes de taillevariable, ces cellules manifestement atypiques produisant directementdu tissu ostéoïde évoquant un ostéosarcome rénal. Dix moisplus tard, la patiente présentait des lésions métastatiques au niveauhépatique sans autre lésion secondaire ni récidive locale. La patienteest actuellement en cours de traitement par chimiothérapie pardoxorubicine et cisplatine avec un recul de 17 mois. Les caractéristiquesanatomocliniques et les modalités thérapeutiques decette pathologie rare sont discutées ci-dessous.Primary osteosarcoma of the kidney is very rare. Its exact histogenesisremains unclear. It has a tendency to recur locally and metastasize,and the prognosis is very poor. We present a case of a59-year-old woman with left flank pain and weight loss. Abdominalultrasonography and bone scan revealed a large solid retroperitonealmass with calcifications. The patient underwent radicalnephrectomy; microscopic examination showed atypical cells withthe characteristic pattern of classic osteosarcoma with immatureneoplastic osteoid. Ten months later, the patient developedmetastatic lesions in the liver, without local recurrence or othersites of metastases. The patient is currently receiving chemotherapywith doxorubicin and cisplatin, with a follow-up in 17 months.The most important clinical findings, the pathogenesis and thetreatment modalities of this rare neoplasm are discussed.

scholarly journals Wunderlich’s syndrome in pregnancy: a shocking triad

2019 ◽  
Vol 12 (5) ◽  
pp. e229219
Author(s):  
Daniel Kane ◽  
Mona Abdelrahman ◽  
Aisling T Looney ◽  
Maeve Eogan
Keyword(s):  
Left Kidney ◽  
Sudden Onset ◽  
Flank Pain ◽  
Rare Clinical Entity ◽  
Left Flank ◽  
Perinephric Space ◽  
Acute Flank Pain ◽  
Uneventful Pregnancy ◽  
Left Flank Pain ◽  
In Pregnancy

Wunderlich’s syndrome, non-traumatic renal haemorrhage into the subscapular and perinephric space, in pregnancy, is a very rare clinical entity. We describe a case of Wunderlich’s syndrome in a 29-year-old gravida 5 para 4 who presented to our emergency department with sudden onset severe left flank pain. On assessment, she was clinically shocked—hypotensive, tachycardic and perfused poorly peripherally. Ultrasound of the abdomen and pelvis and subsequent MRI of the left kidney revealed a large hypervascular exophytic lesion arising from the left renal pole—appearance consistent with an angiomyolipoma. This specific presentation is clinically characterised as Lenk’s triad—acute flank pain, flank mass and hypovolaemic shock. The patient was adequately resuscitated and interventional radiological embolisation of the mass was performed. She went on to have an uneventful pregnancy and delivered vaginally after induction at 38 weeks of gestation.

scholarly journals Parenchymal mucinous cystadenoma of the kidney: a case report and literature review

2021 ◽  
Vol 27 (1) ◽  
Author(s):  
Mahmoudreza Kalantari ◽  
Shakiba Kalantari ◽  
Mahdi Mottaghi ◽  
Atena Aghaee ◽  
Salman Soltani ◽  
...  
Keyword(s):  
Renal Cyst ◽  
Left Kidney ◽  
Previous History ◽  
Mucinous Cystadenoma ◽  
Single Layer ◽  
Renal Cysts ◽  
Cystic Mass ◽  
Flank Pain ◽  
History Of

Abstract Background Mucinous cystadenoma (MC) of the kidney is exceedingly rare. We found 22 similar cases in the literature. These masses are underdiagnosed due to radiologic similarities with simple renal cysts. Case presentation A 66-year-old man with a previous history of hypertension and anxiety was referred to our tertiary clinic with left flank pain. Ultrasound revealed a 60 mm-sized, complex cystic mass with irregular septa in the lower pole of the left kidney (different from last year's sonographic findings of a simple benign cyst with delicate septa). CT scan showed the same results plus calcification. Due to suspected renal cell carcinoma, a radical nephrectomy was performed. Postoperative histopathologic examination revealed a cyst lined by a single layer of columnar mucin-producing cells with small foci of pseudo-stratification, consistent with the MC’s diagnosis. The first follow-up visit showed normal blood pressure without medication and no flank pain and anxiety after a month. Conclusion It is quite challenging to distinguish the primary MC of the kidney from a simple renal cyst based on clinical and imaging findings. The radiologic features of these entities overlap significantly. Thus, complex renal cyst and renal cysts with mural nodules should be followed closely to detect malignancy earlier.

scholarly journals Mucinous Neoplasm of the Appendix as a Mimic of Cystic Adnexal Pathology

2018 ◽  
Vol 8 ◽  
pp. 32 ◽  
Author(s):  
Chris Hutchinson ◽  
Jonathan Lyske ◽  
Vimal Patel ◽  
Gavin Low
Keyword(s):  
Magnetic Resonance Imaging ◽  
Computed Tomography ◽  
Mucinous Tumor ◽  
Imaging Findings ◽  
Resonance Imaging ◽  
Mucinous Neoplasm ◽  
Ultrasound Computed Tomography ◽  
Adnexal Pathology

Pelvic pain presents a common diagnostic conundrum with a myriad of causes ranging from benign and trivial to malignant and emergent. We present a case where a mucinous neoplasm of the appendix acted as a mimic for tubular adnexal pathology on imaging. With the associated imaging findings on ultrasound, computed tomography, and magnetic resonance imaging, we wish to raise awareness of mucinous tumors of the appendix when tubular right adnexal pathology is present both in the presence of pelvic or abdominal pain or when noted incidentally. Tubular pathology such as uncomplicated paraovarian cysts or hydrosalpinx is frequently treated conservatively with long-interval follow-up imaging or left to clinical follow-up. Thus, if incorrectly diagnosed as tubular pathology, an appendix mucocele or mucinous neoplasm of the appendix is likely to be undertreated. We wish to clarify some of the confusion around nomenclature and classification of the multiple entities that are comprised by the terms mucocele and mucinous tumor of the appendix.

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