scholarly journals Pygomelia and True Hermaphroditism in a Nine Week Old Large White Piglet Case Report

2018 ◽  
Vol 62 (3) ◽  
pp. 62-67
Author(s):  
T. A. Ajadi ◽  
M. O. Olaniyi
Keyword(s):  
Left Kidney ◽  
Exploratory Laparotomy ◽  
Pelvic Bone ◽  
Atypical Epithelium ◽  
Large White ◽  
True Hermaphroditism ◽  
Hind Limbs ◽  
Supernumerary Limbs ◽  
The Right ◽  
Normal Architecture

Abstract A nine weeks old female Large White piglet which was presented to the Veterinary Teaching Hospital, Federal University of Agriculture, Abeokuta, with a complaint of extra limbs was diagnosed with pygomelia and concurrent true hermaphroditism based on gross morphologic features, radiography, exploratory laparotomy and histopathology of the malformed organs. The piglet had two well-developed extra hind limbs consisting of the femur, tibia, fibula and the phalanges. Radiographically, the accessory limbs were attached to the ischium through a rudimentary pelvic bone. The supernumerary limbs were smaller than the normal appendages, but contained equal digits. The anal orifice was observed cranial to the right supernumerary limb. Caudal to the left supernumerary limb a rudimentary penis was observed. Two oval shaped fibrous masses were palpated in the inguinal canal of the piglet. In addition, there was a transparent tubular tract measuring 24 cm in length which contained serous fluid. The right kidney was rudimentary measuring 2.10 cm, while the left kidney appeared hypertrophied measuring 6.10 cm. The histology of the left kidney showed dysplastic areas of undifferentiated mesenchymal stroma in the cortex and medulla with the presence of groups of immature glomeruli in the cortex. The tubules in the medulla were scanty in number and had atypical epithelium. The adrenal glands had normal architecture with ectopic adrenal tissue in the adrenal capsule, while the ovaries and uterus were normal. It was concluded that the complex anomalies in the piglet might be as a result of a complex mode of inheritance.

A Case of Parasitic Twinning or Caudal Duplication in a Dog

2018 ◽  
Vol 54 (4) ◽  
pp. 219-225
Author(s):  
Janet A. Grimes ◽  
Adrien-Maxence Hespel ◽  
Robert C. Cole ◽  
A. Ray Dillon
Keyword(s):  
Soft Tissue ◽  
Left Kidney ◽  
Spinal Column ◽  
Abdominal Ultrasound ◽  
Colonic Diverticulum ◽  
Hind Limbs ◽  
History Of ◽  
Soft Tissue Masses ◽  
The Right ◽  
Caudal Duplication

ABSTRACT A 6 mo old 13.5 kg (29.7 lb) male intact American Staffordshire terrier was evaluated for a history of supernumerary pelvic limbs, with malodorous discharge from a supernumerary penis. Imaging (radiographs, abdominal ultrasound, and computed tomography with excretory urogram) showed a supernumerary pelvis with associated pelvic limbs, no osseous continuity with the primary spinal column, a colonic diverticulum extending to the supernumerary pelvis, an enlarged left kidney with a ureter connecting to a single bladder, right renal aplasia, a single descended testicle in the primary scrotum, an intra-abdominal cryptorchid testicle, and two unidentifiable soft tissue masses. At surgery, a single ileum was present with a primary and accessory cecum and colon and the accessory colon entering the supernumerary pelvis. The accessory cecum and colon, right kidney, two unknown soft tissue masses, and the single descended testicle were removed. The right kidney had a ureter that anastomosed with the accessory colon at its entry into the supernumerary pelvis. The supernumerary pelvis and hind limbs were not removed. Five months after surgery, the dog was reported to be doing well clinically. Caudal duplication is extremely rare in veterinary medicine. The appearance of supernumerary external structures may indicate internal connections as well.

scholarly journals The genetics and morphology of two ‘luxoid’ mutants in the house mouse

1964 ◽  
Vol 5 (2) ◽  
pp. 171-197 ◽  
Author(s):  
A. G. Searle
Keyword(s):  
Linkage Group ◽  
Hind Limb ◽  
Left Kidney ◽  
Developmental Studies ◽  
Mouse Mutants ◽  
Hind Limbs ◽  
Skeletal Defects ◽  
Group Xiii ◽  
Mullerian Ducts ◽  
The Right

1. Dominant hemimelia (Dh) and postaxial hemimelia (px) both belong to the luxoid group of mouse mutants, tending to cause luxation of limb-bones associated with hemimelia and polydactyly or oligodactyly.2. Dh is about 4·8 units from leaden in linkage group XIII, while px is about 2·9 units from the microphthalmia locus in linkage group XI.3. The nature and range of skeletal anomalies found in Dh heterozygotes closely mimic those found in luxate heterozygotes and homozygotes. As in luxate, only the preaxial side of the hind-limb is affected, with (i) polydactyly or oligodactyly (sometimes also syndactyly), (ii) tibial hemimelia, (iii) reduction and fragmentation of the femur, (iv) reduction of the pubis. The more proximal the anomaly the less frequently does it occur; about 4% of Dh/ + mice show no limb anomaly. The defects in Dh homozygotes are similar but usually more extreme, with severe oligodactyly, loss of tibia, fragmentation of femur and reduction of pubis.4. All mice carrying Dh lack the spleen. Stomach size is reduced slightly in Dh/ + and greatly in Dh/Dh mice. In Dh/ + mice, the left kidney is either flattened antero-ventrally or (less frequently) hydropic; the right seems normal. Dh/Dh mice nearly always have severe hydronephrosis, as well as posterior visceral defects similar to those of the ‘uro-recto-caudal syndrome’. They usually die before weaning, but a few survive to maturity and a female has even bred.5. Preliminary developmental studies show that Dh/Dh skeletal defects can be traced back to the precartilaginous stage.6. When homozygous, px affects the postaxial side of the fore-limb and sometimes of the hind-limb also; a large ‘foramen infraspinatum’ is always present in the scapula. There may also be (i) oligodactyly and occasional syndactyly, (ii) ulnar hemimelia, (iii) distal reduction and distortion of the femur. Fore-limbs tend to be more severely affected on the right, but hind-limbs on the left. Extra sesamoid bones occur on the extensor side of digits in all four feet and are associated with extra tendons.7. Both sexes are sterile and show anomalies of the paramesonephric (Müllerian) ducts. In the female, the vagina is wholly or partly double and the uterine tubes uncoiled, with an abnormal relationship to the ovary. In the male the paramesonephric duct persists in the adult, while the vas deferens runs into the distal end of the vesicular gland instead of into the urethra. The epidermis of manus and pes shows abnormal dark papillae on the extensor side.8. The mean number of presacral vertebrae is reduced by 0·8 in Dh/ + and 1·6 in Dh/Dh mice. It is also reduced in high-grade postaxial hemimelics.9. The relationships of these two genes to other luxoid mutants are discussed.

Ventral horn cell counts in a Xenopus with naturally occurring supernumerary hind limbs

Development ◽  
1979 ◽  
Vol 49 (1) ◽  
pp. 13-16
Author(s):  
Alan H. Lamb
Keyword(s):  
Spinal Cord ◽  
Ventral Horn ◽  
Ipsilateral Side ◽  
Cell Counts ◽  
Naturally Occurring ◽  
Hind Limbs ◽  
Supernumerary Limbs ◽  
The Right

In a Xenopus toad, two partially functioning supernumerary hind limbs developed naturallyon the right side and were innervated by the ipsilateral side of the spinal cord. The number ofventral horn cells on the right was 18% higher than on the left while the combined mass oflimb muscle on the right was estimated to be a 100% greater. This result corroborates studieswith transplanted supernumerary limbs.

STUDY OF RADIATION CHARACTERISTICS THE RENAL FUNCTION IN PATIENTS WITH TYPE 2 DIABETES

2014 ◽  
pp. 73-77
Author(s):  
Van Chuong Nguyen ◽  
Thi Kim Anh Nguyen
Keyword(s):  
Type 2 Diabetes ◽  
Renal Function ◽  
Glomerular Filtration Rate ◽  
Glomerular Filtration ◽  
Filtration Rate ◽  
Disease Duration ◽  
Left Kidney ◽  
Cross Sectional ◽  
The Right

Background: A Research glomerular filtration rate (GFR) of 61 patients with type 2 diabetes mellitus with renal scanning 99mTc-DTPA glomerular filtration rate at the hospital 175. Objective: (1) To study characteristics of imaging of renal function. (2) Understanding the relationship between GFR with blood sugar, HbA1c, blood pressure and albuminuria in patients with type 2 diabetes. Methods: Descriptive, prospective, cross-sectional study. Clinical examination, Clinical tests and 99mTc-DTPA GFR gamma - camera renography for patients. Result: GFR of the study group was 75,4 ± 22,3 ml/phut/1,73m2, the left kidney was 35,0 ± 13,0 is lower than the right kidney and 39,8 ± 11,9; p <0,01. There is no correlation between GFR with blood glucose and HbA1c, the risk of reduced GFR in hypertensive group associated is OR = 6,5 with p<0,01; albuminuria (+) is OR = 4,2 with p <0,01; and disease duration > 10 years is OR = 3,5 with p <0.01. Conclusion: GFR of the left kidneys is lower than the right kidney; correlation decreased GFR associated with hypertension, albuminuria and disease duration. Keywords: GFR, diabetes, albuminuria

scholarly journals 1003 A Case of Tunnel-Vision in Upper Renal Tract Imaging: The Invisible Gorilla

2021 ◽  
Vol 108 (Supplement_2) ◽  
Author(s):  
M Swamad ◽  
M K Quraishi ◽  
S Ahmed
Keyword(s):  
Renal Mass ◽  
Left Kidney ◽  
Interesting Case ◽  
Ct Scans ◽  
Renal Ultrasound ◽  
Ultrasound Scan ◽  
Surgical Team ◽  
Tunnel Vision ◽  
Impact Patient Care ◽  
The Right

Abstract We present an interesting case of a 70-year-old female who presented with haematuria on the suspected cancer pathway. Renal ultrasound showed a vascular renal mass on her right kidney measuring 8x7cm with an unremarkable left kidney. She underwent a laparoscopic radical nephrectomy following confirmation of an 8cm renal mass in the right kidney on the contrasted staging CT scan with a repeat review at the multidisciplinary meeting. Post-operatively a subsequent review of the pre-operative CT and ultrasound scan, showed an incidental large left(contralateral) upper quadrant retroperitoneal fatty mass sized 15x10cm, displacing the stomach and spleen. Further investigation in the form of an MRI Abdomen excluded features of a liposarcoma, resulting in the diagnosis of a large retroperitoneal lipoma. This case highlights the significance of selective attention in imaging interpretation. We believe this to be a prime example of the level of meticulousness required as fat-rich tissues have low attenuation on CT-scans, which can be easily missed out. A cautious multi-clinician interpretation of scans should be performed to avoid missing potentially sinister pathology which would impact patient care dramatically. This case has led to more thorough review of future pre-operative imaging by the operating surgical team.

Ex Vivo Repair of a Renal Artery Saccular Aneurysm in a Living-Nonrelated Donor and Subsequent Successful Kidney Transplantation

2018 ◽  
Vol 52 (6) ◽  
pp. 455-458
Author(s):  
Rogerio A. Muñoz-Vigna ◽  
Javier E. Anaya-Ayala ◽  
Juan N. Ramirez-Robles ◽  
Daniel Nuño-Diaz ◽  
Sandra Olivares-Cruz
Keyword(s):  
Kidney Transplantation ◽  
Renal Artery ◽  
Ex Vivo ◽  
Incidental Finding ◽  
Left Kidney ◽  
Renal Arteries ◽  
Saccular Aneurysm ◽  
Preoperative Imaging ◽  
The Right ◽  
Stage Renal Disease

The use of kidney grafts with aneurysmal disease involving the renal arteries for transplantation is very uncommon and relatively controversial. We herein present the case of a 52-year-old woman who volunteered to become a living-nonrelated donor; during the preoperative imaging workup, a computed tomography angiography revealed a 1.5-cm saccular aneurysm in the left kidney, while the contralateral renal artery was normal. We decided to utilize the left kidney for a 25-year-old male patient with end-stage renal disease, and following the ex vivo repair using the recipient epigastric vessels and saphenous veins, we completed the transplantation in the right pelvic fossa. The postoperative period was uneventful, and at 8 months from the surgery, the graft remains functional. The surgical repair of renal artery aneurysms followed by immediate kidney transplantation is a safe technique and an effective replacement therapy for recipients. The incidental finding of isolated aneurysmal disease in renal arteries should not exclude graft potential availability for transplantation following repair.

scholarly journals Laparoscopic transposition for crossing vessels (vascular hitch) in pure extrinsic pelvic-ureteric junction obstruction: a successful case report of a 2-year-old infant with horseshoe kidney

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Satoshi Ieiri ◽  
Kouji Nagata
Keyword(s):  
Laparoscopic Surgery ◽  
Left Kidney ◽  
Horseshoe Kidney ◽  
Renal Scintigraphy ◽  
Multicystic Dysplastic Kidney ◽  
Extrinsic Compression ◽  
Dysplastic Kidney ◽  
Renal Vessels ◽  
The Right ◽  
Crossing Vessels

Abstract Background Pediatric hydronephrosis induced by pelvic-ureteric junction obstruction (PUJO) is treated by dismembered pyeloplasty (DP) via open and laparoscopic surgery. The etiology of PUJO involves both intrinsic stenosis and extrinsic compression of crossing vessels (CVs). PUJO owing to CVs is also treated by DP, as there is no consensus concerning this vascular condition. We encountered a 2-year-old infant with pure extrinsic PUJO combined with horseshoe kidney who successfully underwent laparoscopic transposition for CVs (vascular hitch). Case presentation A 2-year-old boy was prenatally diagnosed with left multicystic dysplastic kidney (MDCK) and right hydronephrosis and received a definitive diagnosis after birth. At 6 months old, renal scintigraphy revealed a non-functioning pattern in the left kidney and an obstructive pattern in the right, showing no response to furosemide loading. The patient also had recurrent urinary tract infection, and his right hydronephrosis gradually worsened. We decided to perform surgery for the right PUJO. Preoperative enhanced computed tomography detected three right renal vessels independently branching from the abdominal aorta. The middle renal vessels were located at the ventral side of the pelvis and coincident with the site of PUJO. These vessels were suspected of being CVs. The patient underwent laparoscopic surgery electively. A 5-mm trocar was inserted at the umbilicus for a 5-mm, 30° rigid scope. Two additional ports were then inserted under laparoscope inspection. The dilated right pelvis and CVs were detected after ascending colon mobilization. To confirm the pathogenesis of PUJO, the CVs were dissected and taped. After taping the CVs, an intraoperative diuretic test was performed using furosemide loading. Peristalsis of the right ureter was recognized, and the extrinsic PUJO owing to the CVs was definitively confirmed. We therefore performed transposition for the CVs (vascular hitch procedure). The CVs were mobilized in the cranial direction and those were wrapped by dilated pelvis. The post-operative course was uneventful. The renal scintigraphy findings improved and showed a favorable response of furosemide loading. Conclusions The laparoscopic vascular hitch procedure is minimally invasive and effective for extrinsic PUJO due to CVs. Anastomotic stricture after Anderson and Hynes DP can be prevented by appropriate patient selection.

Morphoconstitutional analysis of a series of 166 urinary stones in Western Algeria for a period of two years (2015-2017)

2018 ◽  
Vol 7 (3) ◽  
pp. 107-112
Author(s):  
Bouzana Fatima ◽  
Sbahi Khayra ◽  
Kerroumi Slimane ◽  
Attar Abderahmane ◽  
Seghir Madjhouda Omar ◽  
...  
Keyword(s):  
Urinary Tract ◽  
Sequential Analysis ◽  
Left Kidney ◽  
Urinary Stones ◽  
Female Ratio ◽  
Composition And Structure ◽  
Male Female Ratio ◽  
Anatomical Localization ◽  
Western Algeria ◽  
The Right

A stone is not only an obstacle, sometimes painful, on the urinary tract justifying an emergency urological gesture to restore their permeability. It is primarily a symptom of crystallogenic pathologies or urinary imbalances of nu-tritional origin whose recurrence is the rule if the cause has not been correctly identified. It is therefore recommended in the patient's interest; analyze the calcul or its fragments to determine its composition and structure, one and / or the other orienting towards the pathology in question. A series of 166 urinary stones were collected nearby the hospitals of western Algeria after urological intervention or spontaneous expulsion and sequential analysis of the nucleus at the surface by Fourier transform infrared spectrophotometry. The male / female ratio was 1.78. The study of the anatomical localization of the stones showed a predominance of the high urinary tract with a rate of 76.9%. 27.3% of the stones were located in the left kidney compared to 25.7% in the right kidney. Analysis of the crystalline composition showed that calcium oxalate was predominant in 65.8% of the calculs and in 58.5% of the nuclei. In all, whewellite was present in 46.9% of cases and weddellite in 18.9%. uric acid anhydrous was the major component of 12.2% of the calculations analyzed. It was present in 23.3% of cases with predominance in subjects over 60 years. Our results show that the lithiasis of the urinary tree in western Algeria tends to evolve in the same direction as that of the industri-alized countries.

HETEROTOPIC PREGNANCY WITH INEVITABLE ABORTION (RIGHT ADNEXAL LIVE ECTOPIC AND COEXISTING INTRAUTERINE TRIPLETS WITH ABSENT FETAL CARDIAC ACTIVITY)

2021 ◽  
pp. 58-59
Author(s):  
Jayanta Sarkar ◽  
Mini Sengupta
Keyword(s):  
Ectopic Pregnancy ◽  
Abdominal Cavity ◽  
Lower Abdominal Pain ◽  
Cardiac Activity ◽  
Exploratory Laparotomy ◽  
Sudden Onset ◽  
Heterotopic Pregnancy ◽  
Intrauterine Pregnancy ◽  
Short Period ◽  
The Right

Heterotopic pregnancy describes the occurrence of two or more pregnancies in different implantation sites simultaneously, intrauterine pregnancy coexists withectopic pregnancies (ampullary in 80%). A 27-year-old women (P ,L1) presented to the emergency department with a complaint of sudden onset of right-sided lower abdominal pain with 1+1 vaginal bleeding and had a short period of Amenorrhea. Ultrasonography demonstrated three intrauterine gestational sacwith foetal pole noted but Cardiac activity was absent . The right adnexa showed a heteroechoic area andmoderate amount of free uid was present in the lower abdominal cavity. Ectopic pregnancy was disturbed. An emergency exploratory laparotomy was performed under general anesthesia. Haemoperitoneum was found with a ruptured righttubal ectopic pregnancy as well. Both the ovaries appeared normaland a corpus luteal cyst was presentin right ovary. Right sided salpingectomy was performed with removal of the ectopic mass,heamostasis secured ,on table blood transfusion had been given.Suction evacuation had also been performed by manual vacuum aspirationon same sitting.Both the specimen send for histopathology. Histology conrmedGestational sac suggestive of an intra uterine pregnancy coexists with ectopic pregnancy. Left tube and both ovaries were found healthy. Episodes of PID also have a strong correlation with occurrence of ectopic gestation. Once diagnosis of heterotrophic pregnancy has been made the management is essentially surgical.

EMBRYOMA OF KIDNEY (WILMS' TUMOR) IN CHILDREN

PEDIATRICS ◽  
1949 ◽  
Vol 4 (2) ◽  
pp. 197-200
Author(s):  
LLOYD B. DICKEY ◽  
L. R. CHANDLER
Keyword(s):  
Survival Rate ◽  
Physical Examination ◽  
Wilms Tumor ◽  
Left Kidney ◽  
Bottle Feeding ◽  
Postoperative Radiation ◽  
History Of ◽  
The Right ◽  
Infants And Young Children ◽  
Careful Physical Examination

A series of 12 cases of Wilms' tumor, in which the diagnosis was confirmed in all instances by examination of the gross or microscopic tissue, is reported, with a survival rate of 33.3%. Four patients are living and well, 4, 8, 10, and 15 years, respectively, after treatment. All recurrences appeared less than 10 months after treatment. The sex incidence, and the sex survival incidence were exactly equal. Six tumors were in the left kidney, and six in the right. Eight of the patients were under 2 years of age when first diagnosed and treated, and all were under 7 years. The history of breast or bottle feeding was irrelevant. In a large number of these and reported cases, the presence of the tumor was the first symptom, and in a considerable number the only symptom. This fact stresses the importance of careful physical examination of infants and young children, regardless of complaint, or of lack of it. The finding of calcification in the tumor is possibly a good prognostic sign. All three patients in whom calcification was noted in the tumor are living and well. Immediate removal of the tumor by transperitoneal nephrectomy, with postoperative radiation to the area, seems to be the advisable treatment.

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