scholarly journals Uretero-transappendix-cystoneostomy as a technique for the reconstruction of the lower part of the ureter

2005 ◽  
Vol 62 (12) ◽  
pp. 931-933
Author(s):  
Novak Milovic ◽  
Pero Janjic ◽  
Vladimir Bancevic ◽  
Srdjan Kupresanin
Keyword(s):  
Renal Function ◽  
Case Report ◽  
Surgical Techniques ◽  
Large Defect ◽  
Boari Flap ◽  
Gun Shot ◽  
Psoas Hitch ◽  
The Right

Background. Any large missing part of the ureter may be replaced by transureteroureterostomy, psoas hitch, Boari flap, nephrectomy, renal autotransplanation or by the implementation of an intestinal graft. Case report. A patient with a defect of the lumbal- pelvic portion of the right ureter, after the management of a penetrating and perforating gun shot wound was presented. The missing part of the ureter was successfully replaced with an appendix. The technique of uretero-transappendixcystoneostomy complete with a Boari flap and a psoas hitch was used. Conclusion. By the use of an original combination of surgical techniques, a large defect of the ureter and the defect of the bladder, as well as the preservation of the renal function was achieved in a more successful manner.

scholarly journals Crossed renal ectopia with fusion in a female feline: case report

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 ◽  
...  
Keyword(s):  
Renal Function ◽  
Case Report ◽  
Diagnostic Imaging ◽  
Final Diagnosis ◽  
Excretory Urography ◽  
Abdominal Ultrasonography ◽  
Renal Ectopia ◽  
Mixed Breed ◽  
Crossed Renal Ectopia ◽  
The Right

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.

scholarly journals Bilateral giant renal angiomyolipoma associated with hepatic lipoma in a patient with tuberous sclerosis

2003 ◽  
Vol 58 (2) ◽  
pp. 103-108 ◽  
Author(s):  
Edison Daniel Schneider-Monteiro ◽  
Antonio Marmo Lucon ◽  
André Avarese de Figueiredo ◽  
Aldo Junqueira Rodrigues Junior ◽  
Sami Arap
Keyword(s):  
Growth Rate ◽  
Renal Function ◽  
Case Report ◽  
Tuberous Sclerosis ◽  
Treatment Method ◽  
Renal Angiomyolipoma ◽  
Post Operative Period ◽  
Nephron Sparing ◽  
The Right ◽  
Risk Of Hemorrhage

OBJECTIVE: To report a case of bilateral giant renal angiomyolipoma associated with tuberous sclerosis, with successful treatment, and to review the literature concerning angiomyolipoma treatment. CASE REPORT: Patient with tuberous sclerosis and angiomyolipoma diagnosed by ultrasonography during her pregnancy. At that time, the angiomyolipoma on the right side was 9 cm in diameter. Conservative management was selected during her pregnancy. The patient returned 7 years later, with a 24.7 x 19.2 x 10.7 cm tumor on the right side and another of 13 x 11.5 x 6.5 cm on the left side, in addition to multiple small angiomyolipomas. A nephron-sparing surgery with tumoral enucleation was performed on the right side, and after 3 months, the tumor on the left side was removed. Renal function in the post-operative period was preserved, and contrast medium progression was uniform and adequate in both kidneys. CONCLUSION: We conclude that an angiomyolipoma larger than 4 cm should be removed surgically, since they have a greater growth rate and pose a risk of hemorrhage. Resection of smaller tumors is safe and has decreased morbidity. Tumoral enucleation is an effective treatment method that preserves kidney function.

Huge peripapillary staphyloma with craniofacial clefts: A case report

2020 ◽  
pp. 112067212094629
Author(s):  
Fei Yu ◽  
Yao Fu
Keyword(s):  
Case Report ◽  
Deep Excavation ◽  
Resonance Imaging ◽  
Large Defect ◽  
Magnetic Resonance Imaging Mri ◽  
The Right ◽  
First Time ◽  
Left Eyelid ◽  
Peripapillary Staphyloma

Purpose: We reported the occurrence of a congenital unilateral huge peripapillary staphyloma in association with craniofacial clefts for the first time. Case report: A 1-year-old boy presented with a large defect on his left eyelid, a wide oblique columella nasi and an atypical wedge-shaped extension of the unilateral anterior hairline. Magnetic resonance imaging (MRI) examinations revealed there were cracks on his nasal septum, palate, and superior alveolar midline. Moreover, we surprisingly uncovered a gourd-shaped eyeball with the compressed optic nerve on the right side, while the right eye seemed normal from appearance. Under anaesthesia, fundus examination of the right eye showed a 15 mm-deep excavation surrounding the optic disc with defective choroid and dysplastic optic papilla. We reconstructed the left eyelid of the patient to protect his cornea and would make other solutions according to the results of follow-up. Conclusion: Peripapillary staphyloma and craniofacial clefts are two dissimilar rare congenital anomalies. In this patient, we firstly observed the co-existence of the two defects, which may provide the experience to the diagnosis and treatment of peripapillary staphyloma and craniofacial clefts. This case also gives us the pathogenic inspiration for further studies of peripapillary staphyloma and craniofacial clefts.

scholarly journals Bouveret Syndrome—The Rarest Variant of Gallstone Ileus: A Case Report and Literature Review

2013 ◽  
Vol 2013 ◽  
pp. 1-6 ◽  
Author(s):  
Vasileios K. Mavroeidis ◽  
Dimitrios I. Matthioudakis ◽  
Nikolaos K. Economou ◽  
Ioannis D. Karanikas
Keyword(s):  
Case Report ◽  
Surgical Treatment ◽  
Gallstone Ileus ◽  
Surgical Techniques ◽  
Outlet Obstruction ◽  
Cholecystoduodenal Fistula ◽  
Endoscopic Techniques ◽  
History Of ◽  
Bouveret Syndrome ◽  
The Right

We present a case report of a patient with Bouveret syndrome with interesting radiological findings and successful surgical treatment after failure of the endoscopic techniques. The report is followed by a review of the literature regarding the diagnostic means and proper treatment of this rare entity. Bouveret syndrome refers to the condition of gastric outlet obstruction caused by the impaction of a large gallstone into the duodenum after passage through a cholecystoduodenal fistula. Many endoscopic and surgical techniques have been described in the management of this syndrome. This is a case of a 78-year-old patient with severe medical history who presented in bad general condition with an 8-day history of nausea, multiple bilious vomiting episodes, anorexia, discomfort in the right hypochondrium and epigastrium, and fever up to 38,5°C. The diagnosis of Bouveret syndrome was set after performing the proper imaging studies. An initial endoscopic effort to resolve the obstruction was performed without success. Surgical treatment managed to extract the impacted gallstone through an enterotomy after removal into the first part of the jejunum.

scholarly journals Non-Hodgkin’s lymphoma in an elderly patient with renal dysfunction: a case report

2020 ◽  
Vol 48 (8) ◽  
pp. 030006052094585
Author(s):  
Cong Ma ◽  
Bingxiang Yu ◽  
Haomin Zhang ◽  
Bo Yang ◽  
Dongwan Li ◽  
...  
Keyword(s):  
Elderly Patient ◽  
Renal Function ◽  
Case Report ◽  
Renal Insufficiency ◽  
Renal Dysfunction ◽  
Chemotherapy Regimen ◽  
B Cell Lymphoma ◽  
Large B Cell Lymphoma ◽  
The Right

Objective This study was performed to examine the treatment regimen used for an elderly patient with diffuse large B-cell lymphoma (DLBCL) complicated with renal dysfunction. Case report An 85-year-old man presented with nasal and sinus disorders in May 2018. He was also found to have renal insufficiency caused by long-term consumption of compound aminopyrine phenacetin tablets. Physical examination revealed irritation of the nasal mucous membrane on the right side and dark red nasal passages with a smooth surface. The right side of the neck contained several small peanut-sized lymph nodes. A biopsy of the right nasal neoplasm revealed germinal center type DLBCL. The mini–rituximab, cyclophosphamide, doxorubicin, vincristine, and prednisone regimen (mini-R-CHOP) was administered as the main chemotherapy regimen. Additionally, the use of thrombopoietin prevented further deterioration in renal function. This individualized treatment program helped the patient to achieve complete remission. The creatinine level decreased and was well maintained. Conclusion The mini-R-CHOP and rituximab cross-use regimen was found to be safe in an elderly patient with chronic renal insufficiency. Thrombopoietin exerted a protective effect on renal function.

scholarly journals Rate of Recurrent Hydronephrosis After Laparoscopic Ureteroneocystostomy for Ureteral Endometriosis

2021 ◽  
Author(s):  
Taihei Yamada ◽  
Tomonori Hada ◽  
Shiori Yanai ◽  
Kiyoshi Kanno ◽  
Shintaro Sakate ◽  
...  
Keyword(s):  
Private Hospital ◽  
Bowel Resection ◽  
Study Objective ◽  
Left Ureter ◽  
Boari Flap ◽  
Ureteral Endometriosis ◽  
Psoas Hitch ◽  
The Right ◽  
Tract Infections

Abstract Study Objective: To investigate the short-term outcomes of laparoscopic ureteroneocystostomy in patients with ureteral endometriosis (UE).Design: Retrospective cohort study of consecutive patients who underwent surgery for the ureter endometriosis with hydronephrosis.Setting: A private hospital that provide primary, secondary and tertiary care.Patients: 30 consecutive patients with UE who underwent laparoscopic ureteroneocystostomy at our institution between May 2008 and April 2020. Interventions: Laparoscopic ureteroneocystostomy, if necessary, hysterectomy, salpingo-oophorectomy, cystectomy, partial bladder resection, or partial bowel resection were performed.Measurements and Main Results: The most common chief complaint was pelvic pain (40%). Endometriosis affected only the left ureter in 56.7% of patients, only the right ureter in 33.3%, and both ureters in 6.7%. Involvement of the ipsilateral ovary was confirmed in 64.3%. The most frequent location of UE was 1 to 3 cm above the UVJ (46.7%). A psoas hitch was performed in 7 patients (23.3%), and the Boari flap was used in 9 patients (30%). Hysterectomy was performed in 12 patients (40%), and 6 of them had a concomitant bilateral salpingo-oophorectomy (20%). In addition, 3 patients (10%) underwent partial bowel resection, and 2 patients (6.7%) underwent partial bladder resection. After surgery, 24 of 27 patients (80.0%) were free of sever hydronephrosis after surgery. Hydronephrosis recurred in a single patient (3.3%), but the grade of hydronephrosis improved significantly after surgery (P<.001). At 6 months of follow up, 4 patients (13.3%) experienced urinary tract infections and 2 patients (6.7%) reported dysuria. Patients reported a regression of dysmenorrhea symptoms (P<.001). Conclusion: This study shows that ureteroneocystostomy provides good results in terms of relapses and symptoms’ control in patients with ureteral endometriosis.

scholarly journals Case Report: Complex ureteral stenosis treated with ileal substitution

F1000Research ◽  
2018 ◽  
Vol 7 ◽  
pp. 273
Author(s):  
Raquel Catarino ◽  
André Cardoso ◽  
Carlos Ferreira ◽  
Diogo Pereira ◽  
Tiago Correia ◽  
...  
Keyword(s):  
Renal Function ◽  
Case Report ◽  
Perioperative Complications ◽  
Ureteral Stricture ◽  
Ureteral Stenosis ◽  
Urinary Infections ◽  
Complex Procedure ◽  
The Right ◽  
Surgical Option

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.

scholarly journals Retrocaval Ureter – A Case Report

2015 ◽  
Vol 23 (2) ◽  
pp. 259-261 ◽  
Author(s):  
Md Shafiqul Alam Chowdhury ◽  
Md Mostafizur Rahman ◽  
Uttam Karmaker ◽  
Md Towhid Belal ◽  
Md Humayun Kabir Bhuiyun
Keyword(s):  
Renal Function ◽  
Case Report ◽  
Ct Imaging ◽  
Definitive Diagnosis ◽  
Retrograde Pyelography ◽  
Retrocaval Ureter ◽  
Medical College ◽  
Embryologic Development ◽  
The Right

Retrocaval ureter is a rare congenital urologic anomaly. It occurs due to the persistence of the right subcardinal veins during embryologic development. Its presence should be suspected with the finding of a characteristic S-shaped deformity on intravenous or retrograde pyelography. Today, a definitive diagnosis can be made noninvasively using multi-slice CT imaging or MRI. Intervention is indicated in the presence of functionally significant obstruction leading to pain or renal function deterioration.J Dhaka Medical College, Vol. 23, No.2, October, 2014, Page 259-261

Popliteal artery thrombosis secondary to a tibial osteochondroma

VASA ◽  
2011 ◽  
Vol 40 (3) ◽  
pp. 251-255 ◽  
Author(s):  
Gruber-Szydlo ◽  
Poreba ◽  
Belowska-Bien ◽  
Derkacz ◽  
Badowski ◽  
...  
Keyword(s):  
Case Report ◽  
Magnetic Resonance Angiography ◽  
Popliteal Artery ◽  
Doppler Ultrasonography ◽  
Histopathological Examination ◽  
Previous History ◽  
Plain Radiography ◽  
Artery Thrombosis ◽  
History Of ◽  
The Right

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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