scholarly journals Ureteral triplication: A case report

2005 ◽  
Vol 58 (11-12) ◽  
pp. 592-595 ◽  
Author(s):  
Dragana Zivkovic ◽  
Jan Varga ◽  
Slobodan Grebeldinger ◽  
Vladimir Borisev

Introduction Of all children born with congenital anomalies, 30-40% have urogenital abnormalities. Most of them are asymptomatic, but if any symptoms occur, they are usually symptoms of urinary infections. Case report A four-year old girl was admitted because of recurrent urinary infections and in order to perform a thorough clinical examination. Clinical examination showed an asymmetrical glutens and presence of a fibroma in the same region. Detailed radiologic examinations (ultrasonography, plain X-ray, excretory urography, voiding urethrocystography) revealed a triplicate ureter on the right side with a vesicoureteral reflux of the fifth grade on the same side. Intraoperatively, type III ureteric triplication according to Smith's classification was established. Ureteral remodeling and reimplantation was done. The postoperative course was good, and follow-up voiding urethrocystography showed absence of reflux. Discussion Ureteral triplication is a consequence of either development of three buds on the mesonephric duct, or development of two buds, one of which further divided into two parts. Most common anomalies associated with ureteral triplication are: ureteral duplication on the other side (37%), ectopy of the ureteric orifice (28%) and kidney dysplasia (8%). Vesicoureteral reflux is very common on affected or on both sides. Symptomatology is the same as in ureteral duplication - dominated by signs of urinary infections. Conclusion Diagnosis of ureteral duplication requires detailed imaging. Treatment of symptomatic abnormalities should be individual, regardless of the applied treatment (conservative or operative).

2020 ◽  
Vol 3 (1) ◽  
pp. 71-74
Author(s):  
Agbeille Mohamed F ◽  
Agossou J ◽  
Gandaho I ◽  
Kpanidja MG ◽  
Noudamadjo A ◽  
...  

Upper urinary tract abnormalities are relatively common and may be diagnosed before or at birth. Some cases will be seen during complications that most often are obstructive. We herein report one case of complete right ureter duplication revealed by sepsis. The case involved one little girl aged 3 years, referred from a peripheral health center for prolonged fever. Physical examination found out a right flank mass connecting with the lumbar spine, renal ballottement, and pain due to a blow to the right flank. Further explorations helped establish the diagnosis of complete duplication of the right ureter with the destruction of the upper renal pelvis. Little girl benefitted from a dual antibiotic therapy combined with partial nephrectomy of the right kidney upper pole. Infectious are serious complications in upper urinary tract obstructions resulting in kidney destruction; therefore, early diagnosis is required.


2019 ◽  
Vol 71 (3) ◽  
pp. 833-836 ◽  
Author(s):  
J.Q. Fulgêncio ◽  
F.G. Miranda ◽  
C.J. Santos ◽  
G.D. Moreira ◽  
R.C.S. Tôrres ◽  
...  

ABSTRACT A 3 year old female feline of mixed breed was sent to the diagnostic imaging sector under suspicion of bleeding due to ovariohysterectomy. An abdominal ultrasonography was performed to confirm the initial suspicion. However, no signs of bleeding were found, instead it was observed that the left renal silhouette had two pelvises and was elongated and larger than normal. The right kidney was not found. Excretory urography was requested to evaluate the condition of the ureters. The final diagnosis was crossed renal ectopia with fusion in an asymptomatic cat with no changes in renal function.


2011 ◽  
Vol 2011 ◽  
pp. 1-3 ◽  
Author(s):  
Dimitrios G. Balatsouras ◽  
Alexandros Fassolis ◽  
George Koukoutsis ◽  
Panayotis Ganelis ◽  
Antonis Kaberos

Benign tumors of the tonsils occur infrequently. Lymphangiomas are rare congenital tumors of the lymphatic system, and tonsillar lymphangioma is an extremely rare occurrence. Its pathogenesis is uncertain, but history, clinical examination, and histological examination should establish the diagnosis. We present a 17-year-old white male with lymphangioma of the right tonsil. The tonsils were excised and biopsy confirmed the diagnosis. Tonsillar lymphangioma is a rare clinical entity, which should be known to the otolaryngologist, in order to diagnose and treat it appropriately and avoid confusion with tonsillar malignancies.


2021 ◽  
pp. 15-16
Author(s):  
Rahmath Unissa ◽  
Amreen Unissa ◽  
M. Bhavani

we report a case of 51 year old lady, presented with complaints of hard lump in the right breast.On clinical examination lump of size 4x3cms in outer lower quadrant was noted. Ultrasonographic imaging showed evidence of 3x2cms ill dened hypoechoic lesion with spiculated margins and microcalcications. Trucut biopsy was done and histopathological report was given as Suspicious for malignancy which was followed by modied radical mastectomy with axillary clearance. Histopathological examination and Immunohistochemistry(IHC) was done.


2016 ◽  
Vol 9 (3) ◽  
pp. 156
Author(s):  
Rafeza Sultana ◽  
Md. Shamsul Alam

<p>This case report represents the clinical management of tooth with palato-gingival groove in a right maxillary lateral incisor with endo-perio lesion leading to dento-alveolar abscess and sinus tract. The right maxillary lateral incisor was examined clinico-radiographically. On clinical examination, the offending tooth revealed localized swelling and an intraoral draining sinus pointing on the labial gingiva without any evidence of caries, discoloration and trauma. The palatal surface of lateral incisor showed a groove with mild calculus embedded in it. The radiographic examination revealed periapical radiolucency. This case provides an evidence of morphological defect of tooth. Complete clinical and radiological examination and adequate knowledge of such morphological/ developmental defects of teeth are necessary for recognition and identification especially because of their diagnostic complexity and further consequences.</p><p> </p>


2019 ◽  
Vol 9 (1) ◽  
pp. 42-45
Author(s):  
Fahd AA Karim ◽  
Kazi Hossain Mahmud ◽  
Asma Sultana ◽  
Shirin Sultana Chawdhari ◽  
Moktadir Hossain ◽  
...  

A 15 year old boy was presented with pain in his upper anterior teeth. On clinical examination both the maxillary central incisor revealed slight discoloration and fracture of the crown. Radiographic evaluation revealed open apex of the left central incisor and apex of the right central incisor was fully developed. Apexification with MTA apical plug was carried out in left central incisor and conventional root canal treatment was done in right central incisor. In two months follow up both the tooth were clinically and radiographically asymptomatic and the healing of the apical area of the left central incisor was continued. These finding suggests that MTA can induce formation of apical barrier in the case of non-vital tooth with open apex. Update Dent. Coll. j: 2019; 9 (1): 42-45


2020 ◽  
Vol 48 (8) ◽  
pp. 030006052095101
Author(s):  
Tolga Ersözlü ◽  
Erdogan Gültekin

The presence of a rhinolith is a rare condition, which can cause long-standing symptoms, such as rhinorrhea, foul-smelling discharge, nasal obstruction, and headache. A rhinolith is usually easily diagnosed by a clinical examination and a paranasal computed tomographic scan. Rhinoliths are usually found in nasal cavities, but rare locations are also possible. We report a patient who was evaluated in our clinic for nasal obstruction, headache, and snoring symptoms. A clinical examination showed no major findings, but a paranasal computed tomographic scan of coronal sections showed a hyperdense mass within the right concha bullosa. A rhinolith in the concha bullosa is a rare condition. Our case is the third case of a rhinolith in the concha bullosa to be reported in the literature.


2013 ◽  
Vol 58 (No. 12) ◽  
pp. 628-632 ◽  
Author(s):  
O. Turna Yilmaz ◽  
M. Ucmak ◽  
Z. Gunay ◽  
I. Kirsan

A four-year-old cross-breed and neutered bitch weighing 24 kg, was presented with vaginal bleeding for one month and a vaginal mass identified two previously. An ovariohysterectomy operation was performed at two years of age; however, mating subsequently continued. Vaginal bleeding and an irregular-shaped, oedematous vaginal mass (12 &times; 9 &times; 7 cm) were detected on clinical examination. The bitch also exhibited leukocytosis and erythrocytopenia. Abundant erythrocytes together with neutrophils, lymphocytes, intermedier cells and transmissible venereal tumour cells were observed in vaginal cytology. Abdominal ultrasonography showed cystic ovarian tissue (2.42 &times; 1.36 cm) next to the right kidney. Chemotherapy was performed once a week for six weeks leading to a gradual declined in the size and oedema of the mass and to a stop in bleeding. Subsequently, the vaginal mass was extirpated and the ovarian remnant tissue was removed via laparotomy on the same day. The bitch was found to be healthy on examination fourmonths later.


F1000Research ◽  
2018 ◽  
Vol 7 ◽  
pp. 273
Author(s):  
Raquel Catarino ◽  
André Cardoso ◽  
Carlos Ferreira ◽  
Diogo Pereira ◽  
Tiago Correia ◽  
...  

Ileal substitution of the ureter is a complex procedure, considered a surgery of the last resort in ureteral repair and is useful in the presence of an extensive ureteral stricture. It is indicated in cases of long or multiple ureteral stenosis. There are few large studies in the literature reporting the outcome of this procedure. We present a case report of a patient with long ureteral stenosis surgically treated with ileal substitution of the right ureter, with an isoperistaltic ileal segment of 22 cm, with no detubularization. The patient had no perioperative complications and presented normal renal function. Currently, after 20 months of follow-up, the patient is asymptomatic, presents no urinary infections, no relapse of stenosis and has preserved renal function. In conclusion, ileal substitution of the ureter is a surgical technique that should be considered in cases of long, proximal or multiple ureteral stenosis, when there is no other surgical option.


VASA ◽  
2011 ◽  
Vol 40 (3) ◽  
pp. 251-255 ◽  
Author(s):  
Gruber-Szydlo ◽  
Poreba ◽  
Belowska-Bien ◽  
Derkacz ◽  
Badowski ◽  
...  

Popliteal artery thrombosis may present as a complication of an osteochondroma located in the vicinity of the knee joint. This is a case report of a 26-year-old man with symptoms of the right lower extremity ischaemia without a previous history of vascular disease or trauma. Plain radiography, magnetic resonance angiography and Doppler ultrasonography documented the presence of an osteochondrous structure of the proximal tibial metaphysis, which displaced and compressed the popliteal artery, causing its occlusion due to intraluminal thrombosis..The patient was operated and histopathological examination confirmed the diagnosis of osteochondroma.


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