Giant Pyelic Stone: Clinical Image

The management of giant stones of the upper urinary tract remains a challenge for the urologist because of the potential risk of treatment-related complications [1]. We report as a clinical picture the case of a 42-year-old patient received for chronic right lumbar pain in whom the CT scan performed revealed the presence of a giant pyelic stone (Figure 1a and 1b) whose dimensions on the sagittal plane are 43.1mmx41.5mm. The patient underwent an open pyelolithotomy in our department, which allowed the extraction of a giant pyelic calculus of 12cm (Figure 1c). The postoperative course was simple.

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Radical Nephroureterectomy: A Clinical Image

Austin Journal of Urology ◽

10.26420/austinjurol.2021.1069 ◽

2021 ◽

Vol 7 (2) ◽

Author(s):

Mohammed M ◽

◽

Dieudonné ZOJ ◽

Jaafar M ◽

Soufiane E ◽

...

Keyword(s):

Computed Tomography ◽

Prognostic Factors ◽

Gold Standard ◽

Upper Urinary Tract ◽

Lumbar Pain ◽

Clinical Image ◽

Radical Nephroureterectomy ◽

Left Adrenal Gland ◽

Computed Tomography Scanner ◽

Urinary Tract Urothelial Carcinoma

Upper Urinary Tract Urothelial Carcinoma (UTUC) remain rare. Radical Nephroureterectomy (RNU) is the Gold standard for management of these tumours. We are reporting a clinical image of a 45-year-old patient admitted in emergency for left lumbar pain (nephritic colic). The checkups requested computed tomography scanner showed a nephromegaly and left hydronephrosis upstream of a suspicious parietal thickening of the lumbar ureter with cortical and functional repercussion, neighborhood infiltration, and atypical lateral-aortic ganglia. Left lower calicial lithiasis of stasis, pancreatic nodular lesion and the left adrenal gland. The patient was a candidate for an open Radical Left Nephroureterectomy (RNU) (Figure 1). Figure 1: Radical Nephroureterectomy (RNU) picture U (Ureter) R (Renal). There are prognostic factors of tumors of the upper urinary excretory tract, which are the patient’s status, the preoperative, the operation and the anatomopathology [1]. According to current literature data, the oncology outcomes of radical nephrouretrectomy by laparoscopic are lower than those of open RNU surgery [2].

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Transitional cell carcinoma of the upper urinary tract: Our experience with regard to diagnosis

Urologia Journal ◽

10.1177/039156039706400118 ◽

1997 ◽

Vol 64 (1) ◽

pp. 77-79

Author(s):

G. Passavanti ◽

V. Pizzuti ◽

A. Bragaglia ◽

R. Paolini

Keyword(s):

Urinary Tract ◽

Transitional Cell Carcinoma ◽

Ct Scan ◽

Cell Carcinoma ◽

Transitional Cell ◽

Upper Urinary Tract ◽

Urinary Cytology ◽

The Subject ◽

Retrograde Ureteropyelography ◽

Radiological Methods

Transitional cell carcinoma of the upper urinary tract is rare and presents quite interesting diagnostic and therapeutic problems. Available case studies, in accordance with literature on the subject, show how diagnosis relies on the combination of several data obtained from both traditional radiological methods and complementary tests. The importance of urography and retrograde ureteropyelography in providing morphological information is therefore fundamental and should be emphasised. It is advisable, however, to combine these data with those from urinary cytology, ultrasonography and to a lesser extent from CT scan, to be more sure of the nature and the extent of the disease.

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