scholarly journals Laparoscopic Pyelolithotomy for Recurrent Stone in Previously Operated Ectopic Pelvic Kidney

2021 ◽  
Vol 2 (1) ◽  
pp. 60-62
Author(s):  
Prem Kumar

An ectopic kidney is a rare congenital anomaly that has been associated with complications as reflux, hydronephrosis, nephrolithiasis, and sometimes renal failure. Calculous diseases in the pelvic kidney due to their anatomical characteristics pose a significant challenge to the surgeon. We herein report a case of transperitoneal laparoscopic pyelolithotomy for treatment of renal pelvis stone in an ectopic pelvic kidney who had already undergone open pyelolithotomy in past. A 34 years old man presented to our hospital with pain abdomen for five months and a history of left open pyelolithotomy done almost eleven years back. Computed tomography scan revealed severe hydronephrosis and 3.5 cm calculus in the pelvis of ectopic malrotated left kidney. The patient underwent left laparoscopic pyelolithotomy, complete stone clearance was achieved, 20 fr drain was placed with no DJ (Double J) stent. For two consecutive days there was significant drain output, subsequently cystoscopy with DJ stenting was done then drain output was reduced. On fifth postoperative day the drain was removed and he was discharged. In a patient with a malrotated pelvic kidney with recurrent stone and past surgery, proper pre-operative evaluation & the selection of the most appropriate surgical technique play a crucial role to get the best surgical outcome. Keywords: Ectopic kidney, laparoscopy, pyelolithotomy, renal pelvic calculous.

2019 ◽  
Vol 47 (9) ◽  
pp. 4544-4550
Author(s):  
Chenglu Wang ◽  
Lu Jin ◽  
Xinyang Zhao ◽  
Guobin Li ◽  
Boxin Xue

An ectopic pelvic kidney is a rare congenital anomaly with a high incidence of complications such as reflux, hydronephrosis, nephrolithiasis, and even renal failure. We herein report a case of transperitoneal laparoscopic pyelolithotomy for treatment of a left pelvic kidney stone and discuss various surgical procedures based on the published literature. A 64-year-old woman presented to our hospital with generalized weakness and occasional nonspecific waist pain in October 2017. Computed tomography showed a 2.6-cm renal pelvis stone located in the left ectopic pelvic kidney with severe hydronephrosis. The patient underwent transperitoneal laparoscopic pyelolithotomy and was discharged 7 days after surgery. Various treatment procedures are available for ectopic kidney stones. Proper preoperative assessment and selection of the most suitable surgical procedure play critical roles in successful treatment.


2014 ◽  
Vol 8 (3-4) ◽  
pp. 196 ◽  
Author(s):  
Jeong Ho Kim ◽  
Joo Yeon Song ◽  
Wan Lee

Solitary renal cysts are relatively common. The occurrence of transitional cell carcinoma (TCC) in a renal cyst is rare. We present the case of a 59-year-old man with a medical history of viral hepatitis B. During a workup for his hepatitis, a computed tomography scan revealed a large cystic tumour in the upper region of the left kidney. A radical left nephrectomy was performed. Microscopic examination of the cystic tumour revealed a grade 2 TCC. The cyst was lined by transitional epithelium. This is a case of a TCC growing within a renal calyceal cyst.


2021 ◽  
Vol 2 (2) ◽  
pp. 01-02
Author(s):  
Wei Liu

A 46-year-old man presented to the internal medicine department with a 1-year history of abdominal pain. His medical history was non-obstructive hypertrophic cardiomyopathy. Physical examination was unremarkable. As part of the evaluation, computed tomography of abdomen was performed. Focused assessment with computed tomography confirmed no evidence of ascites, but the left kidney could not be identified. A whole-body computed tomography discovered a pelvic left kidney (Figure 1A). Renal function of the patient was normal with a creatinine level of 0.89 mg per deciliter (77 µmol per liter) (normal range, 0.5 to 1.1 mg per deciliter [48 to 90 µmol per liter]). It is a common incidental finding because the affected persons are commonly asymptomatic. Renal ectopia is commonly caused by failure of mature kidney to reach its natural location in renal fossa


Author(s):  
Didier Debaise

Process and Reality ends with a warning: ‘[t]he chief danger to philosophy is narrowness in the selection of evidence’ (PR, 337). Although this danger of narrowness might emerge from the ‘idiosyncrasies and timidities of particular authors, of particular social groups, of particular schools of thought, of particular epochs in the history of civilization’ (PR, 337), we should not be mistaken: it occurs within philosophy, in its activity, its method. And the fact that this issue arises at the end of Process and Reality reveals the ambition that has accompanied its composition: Whitehead has resisted this danger through the form and ambition of his speculative construction. The temptation of a narrowness in selection attempts to expel speculative philosophy at the same time as it haunts each part of its system.


2014 ◽  
Vol 3 ◽  
pp. 127-137
Author(s):  
Tatsiana Hiarnovich

The paper explores the displace of Polish archives from the Soviet Union that was performed in 1920s according to the Riga Peace Treaty of 1921 and other international agreements. The aim of the research is to reconstruct the process of displace, based on the archival sources and literature. The object of the research is those documents that were preserved in the archives of Belarus and together with archives from other republics were displaced to Poland. The exploration leads to clarification of the selection of document fonds to be displaced, the actual process of movement and the explanation of the role that the archivists of Belarus performed in the history of cultural relationships between Poland and the Soviet Union. The articles of the Treaty of Riga had been formulated without taking into account the indivisibility of archive fonds that is one of the most important principles of restitution, which caused the failure of the treaty by the Soviet part.


2018 ◽  
pp. 66-70
Author(s):  
F. D. Nasirova

Causes of spinal pain are extremely varying. Sex composition of patients referring with spinal pain at the age of 16 to 35 was 35% and 65% for males and females, respectively. Peak number of complaints was observed in 30-40 years age group of highest work ability. The followings should be considered as precautions in spinal pain: onset of pain at the age of 20 and after 50, family history of oncologic diseases, walking disorders or dysfunctions of sphincters, numbness in extremities, general malaise and rapid loss of weight, pain at rest and primarily at night, as these conditions may be a warning of underlying serious disease. Selection of algorithm for radiologic investigation is decided by the treating physician.


2020 ◽  
Vol 3 (152) ◽  
pp. 92-99
Author(s):  
S. M. Geiko ◽  
◽  
O. D. Lauta

The article provides a philosophical analysis of the tropological theory of the history of H. White. The researcher claims that history is a specific kind of literature, and the historical works is the connection of a certain set of research and narrative operations. The first type of operation answers the question of why the event happened this way and not the other. The second operation is the social description, the narrative of events, the intellectual act of organizing the actual material. According to H. White, this is where the set of ideas and preferences of the researcher begin to work, mainly of a literary and historical nature. Explanations are the main mechanism that becomes the common thread of the narrative. The are implemented through using plot (romantic, satire, comic and tragic) and trope systems – the main stylistic forms of text organization (metaphor, metonymy, synecdoche, irony). The latter decisively influenced for result of the work historians. Historiographical style follows the tropological model, the selection of which is determined by the historian’s individual language practice. When the choice is made, the imagination is ready to create a narrative. Therefore, the historical understanding, according to H. White, can only be tropological. H. White proposes a new methodology for historical research. During the discourse, adequate speech is created to analyze historical phenomena, which the philosopher defines as prefigurative tropological movement. This is how history is revealed through the art of anthropology. Thus, H. White’s tropical history theory offers modern science f meaningful and metatheoretically significant. The structure of concepts on which the classification of historiographical styles can be based and the predictive function of philosophy regarding historical knowledge can be refined.


Author(s):  
Reumah Suhail

The paper addresses the different aspects of the politics of immigration, the underlying factors that motivate, force or pressurize people to move from their country of origin to new abodes in foreign nations. In the introduction the paper discusses different theories playing their due role in the immigration process, namely Realism and Constructivism. The paper examines the history of immigration and post-World War II resettlement followed by an analysis of how immigration policies are now centered towards securitization as opposed to humanitarianism after 9/11, within the scenario of globalization. Muslim migrant issues and more stringent immigration policies are also weighed in on, followed by a look at immigration in regions which are not hotspot settlement destinations. Lastly an analysis is presented about the selection of a host country a person opts for when contemplating relocation; a new concept is also discussed and determined whereby an individual can opt for “citizenship by investment” and if such a plan is an accepted means of taking on a new nationality.


GEOgraphia ◽  
2018 ◽  
Vol 20 (42) ◽  
pp. 38
Author(s):  
Lucas Labigalini Fuini

Resumo: O objetivo deste artigo é reconhecer, através de uma seleção de autores e obras, as características principais da abordagem territorial na Geografia brasileira desenvolvida desde fins dos anos 1970, quando se reconhece um verdadeiro interesse na sistematização e no conhecimento teórico sobre o conceito em nossa ciência. No perpassar por autores, objetiva-se identificar a crescente multidimensionalidade e transescalaridade que o conceito adquire nos seus conteúdos e aplicações e a mudança de sentido explicativo que assume no avançar dos anos 2000.Palavras-chave: Território. Territorialidade. História do pensamento. Político. Geografia brasileira. THE APPROACH TO THE TERRITORY IN AUTHORS OF THE BRAZILIAN GEOGRAPHY: MUTATIONS OF A CONCEPTAbstract: The purpose of this article is to recognize, through a selection of authors and works, the main features of the territorial approach in the Brazilian Geography developed since the late 1970s, when it recognizes a real interest in the systematization and theoretical knowledge about the concept in our science. In pervade by authors, aims to identify the increasing multidimensionality and transescalarity that the concept gets in their content and applications and the change in explanatory sense that assumes in advance the years 2000.Keywords: Territory. Territoriality. History of thought. Political. Brazilian geography. EL ENFOQUE SOBRE EL TERRITORIO EN AUTORES DE GEOGRAFÍA BRASILEÑA: MUTACIONES DE UN CONCEPTOResumen: El objetivo de este artículo es reconocer, a través de una selección de autores y obras, las características principales del abordaje territorial en la Geografía brasileña desarrollada desde fines de los años 1970, cuando se reconoce un verdadero interés en la sistematización y en el conocimiento teórico sobre el concepto en nuestra ciencia . En el traspaso por autores, se objetiva identificar la creciente multidimensionalidad y transescalaridad que el concepto adquiere en sus contenidos y aplicaciones y el cambio de sentido explicativo que asume a lo largo de los años 2000.Palabras-clave: Territorio. Territorialidad. Historia del pensamiento. Político. Geografía brasileña.


2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Resul Nusretoğlu ◽  
Yunus Dönder

Abstract Background Diaphragmatic hernias may occur as either congenital or acquired. The most important cause of acquired diaphragmatic hernias is trauma, and the trauma can be due to blunt or penetrating injury. Diaphragmatic hernia may rarely be seen after thoracoabdominal trauma. Case presentation A 54-year-old Turkish male patient admitted to the emergency department with abdominal pain and dyspnea ongoing for 2 days. He had general abdominal tenderness in all quadrants. He had a history of a stabbing incident in his left subcostal region 3 months ago without any pathological findings in thoracoabdominal computed tomography scan. New thoracoabdominal computed tomography showed a diaphragmatic hernia and fluid in the hernia sac. Due to respiratory distress and general abdominal tenderness, the decision to perform an emergency laparotomy was made. There was a 6 cm defect in the diaphragm. There were also necrotic fluids and stool in the hernia sac in the thorax colon resection, and an anastomosis was performed. The defect in the diaphragm was sutured. The oral regimen was started, and when it was tolerated, the regimen was gradually increased. The patient was discharged on the postoperative 11th day. Conclusions Acquired diaphragmatic hernia may be asymptomatic or may present with complications leading to sepsis. In this report, acquired diaphragmatic hernia and associated colonic perforation of a patient with a history of stab wounds was presented.


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