Stone Formation on Suture Material Following Laparoscopic Pyeloplasty Causing Recurrent Puj Obstruction: A Case Report

2020 ◽  
Vol 21 (2) ◽  
pp. 164-165
Author(s):  
Md Nasir Uddin ◽  
MM Hasan ◽  
Fahmida Bayes Kakan ◽  
Sarwar Hossain Khan
Keyword(s):  
Case Report ◽  
Suture Material ◽  
Stone Formation ◽  
Flank Pain ◽  
Laparoscopic Pyeloplasty ◽  
Partial Obstruction ◽  
Ct Urogram ◽  
History Of ◽  
Operative Recovery

Male patient 46 years of age presented with history of Laparoscopic A-H pyeloplasty with DJ stenting for left side hydronephrosis due to PUJ obstruction. After stent removed he experienced intermittent flank pain, discomfort with fullness sensation. On examination there was mild left renal angle tenderness. Urinalysis showed RBC. USG revealed moderate left hydronephrosis. CT urogram showed left side gross HDN with 5 mm PUJ stone. Tc-99m DTPA renal scan revealed partial obstruction. After counseled and exploration founded an impacted PUJ stone. During removal of PUJ stone, identified a suture material embedded by the stone. After removed the stone,PUJ still narrowed. Then A- H pyeloplasty done with placed a D-J stent in situ. The patient had a good post-operative recovery. Bangladesh Journal of Urology, Vol. 21, No. 2, July 2018 p.164-165

scholarly journals Retrocaval Ureter: Report of Two Cases

2019 ◽  
Vol 2019 ◽  
pp. 1-3 ◽  
Author(s):  
Henry Atawurah ◽  
Patrick Opoku Manu Maison ◽  
Mohammed Owusu-Ansah ◽  
Alvin Asante-Asamani
Keyword(s):  
Congenital Anomaly ◽  
Vena Cava ◽  
Abdominal Ultrasound ◽  
Flank Pain ◽  
Cape Coast ◽  
Rare Congenital Anomaly ◽  
Retrocaval Ureter ◽  
Ct Urogram ◽  
History Of ◽  
Laboratory Investigations

Retrocaval ureter (RCU) is a rare congenital anomaly in which the ureter passes posterior to the inferior vena cava (IVC). A little over 200 cases have been reported worldwide since Hochstetter’s first report in 1893. We present two cases of retrocaval ureter which were successfully managed at the Cape Coast Teaching Hospital in Ghana. Case 1. A 55-year-old woman presented with a history of dull right flank pain of 2 years duration. Physical examination and basic laboratory investigations performed on her were normal. Abdominal ultrasound showed right hydronephrosis and a retrograde right ureteropyelogram (RPG) showed right hydroureteronephrosis with an “S” shaped proximal ureter. A diagnosis of retrocaval ureter was made and confirmed at surgery. Case 2. A 25-year-old man presented with dull intermittent right flank pain of 1 year duration. Clinical examination and laboratory investigation were normal. Abdominal ultrasound showed right hydronephrosis and a CT urogram made a diagnosis of retrocaval ureter which was confirmed at surgery. Conclusion. Retrocaval ureter is a rare congenital anomaly that is now increasingly being reported. Surgical treatment of symptomatic cases successfully relieves symptoms.

scholarly journals DiGeorge syndrome presenting with seizure in neonatal period: a case report

2021 ◽  
Vol 11 (2) ◽  
pp. 128-132
Author(s):  
Noorjahan Begum ◽  
Fauzia Mohsin ◽  
Abu Sufian ◽  
Nasreen Islam ◽  
Jebun Nahar ◽  
...  
Keyword(s):  
Case Report ◽  
Digeorge Syndrome ◽  
Neonatal Period ◽  
Facial Dysmorphism ◽  
Chromosome 22Q11.2 ◽  
Wide Variability ◽  
History Of ◽  
Cellular Immunodeficiency ◽  
Afebrile Seizure

DiGeorge syndrome is caused by a micro-deletion of chromosome 22q11.2 that disrupts development of the third and fourth pharyngeal pouches during early embryogenesis. Other structures forming at the same period are also frequently affected. So, the phenotypic spectrum shows a wide variability. In this case report, we describe a 1-month and 24-day old male child who presented with history of recurrent afebrile seizure and noisy breathing since early neonatal period. He had history of repeated chest infections. On examination, patient had stridor, facial dysmorphism, pectus excavatum and clinical features of pneumonia. Investigations revealed hypocalcaemia, hypoparathyroidism, consolidation on X-ray chest and cellular immunodeficiency. Echocardiography findings were normal. Fluorescent in situ hybridization (FISH) was performed which confirmed the diagnosis 22q11.2 deletion. Birdem Med J 2021; 11(2): 128-132

scholarly journals Chronic Dysuria Following Ginger (Zingiber officinale) Use: A Case Report

2018 ◽  
Vol 7 ◽  
pp. e1086
Author(s):  
Elham Akbarzadeh ◽  
Mojtaba Heydari ◽  
Fatemeh Atarzadeh ◽  
Amir Mohammad Jaladat
Keyword(s):  
Case Report ◽  
Zingiber Officinale ◽  
Flank Pain ◽  
Herbal Remedies ◽  
High Dose ◽  
Wide Range ◽  
Medical Referrals ◽  
Urinary Stream ◽  
History Of

Background: Although ginger is considered a harmless remedial substance for a wide range of medical complaints, according to Persian medicinal texts, its long-term or high-dose consumption is potentially harmful. Case Report: The case of a 43-year-old man, with a complaint of urinary stream interruption, dysuria, and flank pain, following a non-prescribed use of ginger was reported. The symptoms were reported to persist for four years, despite some medical referrals. Remarkably, the symptoms were attested to be shrinking eight weeks after ginger-intake cessation; besides, no further intervention was asserted. Conclusion: The history of herbal remedies use should be considered in patients with any unexplained urinary symptoms. [GMJ.2018;7:e1086]

scholarly journals Retained plastic biliary stent presenting with obstructive jaundice: a case report

2021 ◽  
Vol 8 (9) ◽  
pp. 2792
Author(s):  
Gayatri Muley ◽  
Waqar Ansari ◽  
Atish Parikh ◽  
Dhiraj Kachare ◽  
Urvashi Jain ◽  
...  
Keyword(s):  
Case Report ◽  
Obstructive Jaundice ◽  
Biliary Obstruction ◽  
Biliary Stent ◽  
Plastic Stent ◽  
History Of ◽  
Lost To Follow Up ◽  
Cbd Exploration

Forgotten stents may lead to serious complications. We present a case report of a forgotten common bile duct (CBD) fully covered plastic stent presenting with Obstructive Jaundice. A 66 years-old female patient presented with features of obstructive jaundice. Further enquiry revealed a history of ERCP guided biliary stent placement 12 years ago, after which she was lost to follow up. An endoscopic attempt to retrieve the old stent and relieve biliary obstruction was unsuccessful, and a fresh stent was placed across the CBD following a sphincterotomy. CT showed evidence of a stent in situ, alongside calcified fragments of the previous stent and multiple CBD stones. Patient was taken up for surgery and Roux-en-y hepaticojejunostomy was performed following CBD exploration and retrieval of the stent-stone complex.

Juvenile Papillomatosis (Swiss-Cheese Disease) of Breast in an Adult Male With Sequential Diagnoses of Ipsilateral Intraductal, Invasive, and Widely Metastatic Carcinoma: A Case Report and Review of the Disease in Males

2017 ◽  
Vol 25 (6) ◽  
pp. 536-542 ◽  
Author(s):  
Kartik Viswanathan ◽  
Brian McMillen ◽  
Esther Cheng ◽  
Timothy D’Alfonso ◽  
Ami Patel ◽  
...  
Keyword(s):  
Case Report ◽  
Invasive Carcinoma ◽  
Metastatic Carcinoma ◽  
Swiss Cheese ◽  
Strong Family History ◽  
Young Females ◽  
History Of ◽  
Papillary Hyperplasia ◽  
Multiple Cysts

Juvenile papillomatosis of the breast (JPB, also known as Swiss cheese disease) is a rare ailment that typically afflicts young females, and presents as a mass-forming lesion. The lesional mass usually comprises multiple cysts and duct stasis, amid a variety of proliferative and nonproliferative epithelial changes. The proliferative changes include papillary hyperplasia, florid hyperplasia, and papillary apocrine hyperplasia. Concurrent carcinoma (either in situ or invasive) is present in approximately 10% of cases at presentation, and subsequent carcinoma (either in situ or invasive) is diagnosed in about 10% of patients. About 20% of patients have a strong family history of breast carcinoma. A total of 10 cases of JPB have been previously reported in males, both children and adults, only one of which, in a 33-year-old, was associated with invasive carcinoma. Here, another case of JPB in a 45-year-old male—one with subsequent sequential diagnoses of ipsilateral intraductal carcinoma, invasive carcinoma, and widely metastatic carcinoma over the course of 15 years—is reported.

scholarly journals An Unusual Presentation of CLL/SLL on Mammography: Case Report

2020 ◽  
Author(s):  
Anas Mohamed ◽  
Ahmed Younes ◽  
John Stephen Stalls ◽  
Aisha Kousar ◽  
Tian Li
Keyword(s):  
Case Report ◽  
Chronic Lymphocytic Leukemia ◽  
Ductal Carcinoma In Situ ◽  
Carcinoma In Situ ◽  
Ductal Carcinoma ◽  
Contralateral Breast ◽  
Lymphocytic Leukemia ◽  
Small Lymphocytic Lymphoma ◽  
History Of

Chronic lymphocytic leukemia/small lymphocytic lymphoma (CLL/SLL) of the breast is rare. We report a 59-year-old female with remote history of ductal carcinoma in situ treated with radiation and tamoxifen, who was recently diagnosed with CLL/SLL of contralateral breast after a localized suspicious cluster of masses was detected on routine mammography.

scholarly journals Renal calyceal diverticulum mimicking a large renal cyst-A case report

Biomedicine ◽  
2020 ◽  
Vol 40 (3) ◽  
pp. 409-411
Author(s):  
Ravirajendran Samson ◽  
Ramasamy Neelakandan ◽  
Thirunavukkarasu Chandru ◽  
Kumaresan Natarajan
Keyword(s):  
Case Report ◽  
Renal Cyst ◽  
Transitional Cell ◽  
Renal Cysts ◽  
Retrograde Pyelogram ◽  
Calyceal Diverticulum ◽  
Ct Urogram ◽  
History Of ◽  
Loin Pain ◽  
Ct Finding

Renal calyceal diverticulum are outpouching from renal calyx or pelvis into the renal cortex lined by transitional cell epithelium. We report a case of 35 years old male with history of accidental fall from bike, who presented with persistent right loin pain and hematuria. CT Urogram showed multiple large right renal cysts (BOSNIAK II). Patient was planned laparoscopic renal cyst deroofing. Due to suspicion of calyceal diverticulum, an intraoperative Retrograde Pyelogram (RGP) was done which showed calyceal diverticulum. Laparoscopic calyceal diverticulotomy with closure of communication was done. If only a cyst deroofing was done considering the CT finding alone, it would have ended up in post-operative complication of urinoma which may require a re-surgery. This case report emphasizes the importance of anticipating calyceal diverticulum and intraoperative attempts in the form of doing RGP to identify calyceal diverticulum which mimic renal cyst regardless of CT finding in suspected cases. Keywords: Calyceal diverticulum; large renal cyst; retrograde pyelogram; laparoscopic calyceal; Diverticulotomy.

scholarly journals Giant renal leiomyoma: a case report and brief review of the literature

2013 ◽  
Vol 3 (5) ◽  
pp. 58 ◽  
Author(s):  
Matei Andreoiu ◽  
Darrel Drachenberg ◽  
Ross MacMahon
Keyword(s):  
Case Report ◽  
Renal Cell ◽  
Abdominal Mass ◽  
Histochemical Staining ◽  
Flank Pain ◽  
Review Of The Literature ◽  
Lower Back ◽  
History Of

We report on a very large renal leiomyoma in a man presentingwith a 1-year history of lower back and flank pain and a rapidlygrowing abdominal mass. Since a cystic renal cell carcinomacould not be ruled out, a postembolization right radical nephrectomywas performed. Diagnosis was confirmed by pathologic andhistologic analysis. Renal leiomyomas are very rare benign tumoursthat are nearly indistinguishable from leiomyosarcoma or renalcell carcinoma preoperatively. This case represents the secondlargest such entity reported and demonstrates the limited abilityof accurate diagnostic determination preoperatively, with pathologicexamination and immune-histochemical staining postnephrectomyrepresenting the only definitive means of diagnosis. A briefreview of the literature and an outline of typical clinical and pathologicfeatures of renal leiomyomas are also presented.

Sign in / Sign up

Export Citation Format

Share Document