scholarly journals Chylous ascites after laparoscopic donor nephrectomy: First case report in Turkey

2021 ◽  
pp. 190-194
Author(s):  
Selçuk Şahin ◽  
Osman Özdemir ◽  
İsmail Evren ◽  
Serdar Karadağ ◽  
Volkan Tuğcu ◽  
...  

Living-donor kidney transplantation is one of the treatment options of end-stage renal failure. In many transplant centers, laparoscopic live-donor transplantation is recognised as the standard pro- cedure. Chylous ascites (CA) is a very rare complication after laparoscopic donor nephrectomy (LDN). We aimed to present the management of the first case report in Turkey. 62-year-old male patient underwent laparoscopic transperitoneal left donor nephrectomy. One month after discharge, he was admitted with abdominal distention and imaging revealed diffuse free fluid in the abdomen. After diagnosis, milky colored chylous fluid was collected by inserting a percutenous drainage cathe- ter. The patient was treated with combination of percutaneous drainage, somatostatin analogue and total parenteral nutrition. Keywords: chylous ascites; laparoscopic donor nephrectomy; complication

2016 ◽  
Vol 2016 (7) ◽  
pp. rjw118 ◽  
Author(s):  
Shiromani Janki ◽  
Türkan Terkivatan ◽  
Hendrikus J.A.N. Kimenai ◽  
Jan N.M. IJzermans ◽  
T.C. Khé Tran

2021 ◽  
Vol 0 (0) ◽  
pp. 0
Author(s):  
Vaibhav Tiwari ◽  
Gaurav Bhandari ◽  
Anurag Gupta ◽  
Vinant Bhargava ◽  
Manish Malik ◽  
...  

2020 ◽  
Vol 14 (4) ◽  
pp. 374
Author(s):  
SnehaP Simon ◽  
Jose Thomas ◽  
BalagopalNair Tidayath ◽  
SanjayH Bhat

2013 ◽  
pp. 49-54
Author(s):  
Roberto Boni ◽  
Pier G. Rabitti

Introduction: De Quervain’s subacute thyroiditis is a self-limiting granulomatous inflammatory disorder, which is thought to be virally induced in genetically predisposed individuals. It is characterized by thyroid pain and thyrotoxicosis, as well as by systemic symptoms like fever, hepatic cytolysis, and an elevated erythrocyte sedimentation rate. It is often mistaken for an upper respiratory tract infection. Materials and methods: The authors review recent advances in the understanding of the pathogenesis and pathophysiology of De Quervain’s subacute thyroiditis; risk factors for complications, with emphasis on relapses and end-stage hypothyroidism; differential diagnosis and the exclusion of other subtypes of thyroiditis; and current treatment options. Four cases of De Quervain’s thyroiditis are then analyzed and compared with cases in the literature. Discussion: In three of the patients, onset occurred in June and was probably related to a small, seasonal epidemic cluster. These cases were quite different from the fourth one, which occurred in October, suggesting that two distinct viruses might be involved. One of the patients presented a very rare complication, vocal-cord paralysis, which responded well to glucocorticoid therapy. Another presented with an even rarer post-partum form of painful thyroiditis.


2019 ◽  
Vol 2019 ◽  
pp. 1-6
Author(s):  
Eduardo Lozano-Melendez ◽  
Mercedes Aguilar-Soto ◽  
Luis Eugenio Graniel-Palafox ◽  
Laura Elena Ceceña-Martínez ◽  
Rafael Valdez-Ortiz ◽  
...  

Context. Nesidioblastosis is a rare cause of hyperinsulinemic hypoglycemia in adults. The diagnosis is further complicated in patients with kidney failure, since impaired renal function can cause hypoglycemia by itself and diagnostic criteria for this clinical scenario have not been developed yet. Case Description. We present the case report of a 36-year-old patient with end stage chronic kidney disease who presented to the emergency department because of hypoglycemia. However, the patient’s hypoglycemia did not respond well to medical treatment; the diagnosis of hyperinsulinemic hypoglycemia was made due to the presence of inappropriately high levels of insulin, proinsulin, and C-peptide during an episode of hypoglycemia. Imaging studies were performed without any conclusive findings; so selective intra-arterial pancreatic stimulation with hepatic venous sampling (SACTS) was done. Based on the results of this study the patient was referred for subtotal pancreatectomy. Classic criteria for the diagnosis of insulinoma with SACTS required a 2-fold increase in insulin levels but newer criteria suggest thresholds that are useful in the differential diagnosis of insulinoma and nesidioblastosis. In our patient, the former criteria were positive; however, the new criteria were not compatible with insulinoma but with nesidioblastosis, which was the final histopathological diagnosis. Conclusion. This seems to be the first case report of a patient with end stage chronic kidney disease and nesidioblastosis, as well as the first case of hyperinsulinemic hypoglycemia in the context of kidney failure diagnosed by SACTS. We consider this method to be very useful in patients with renal impairment because peripancreatic insulin levels do not depend on the renal function.


2013 ◽  
Vol 7 (3) ◽  
pp. 94-96 ◽  
Author(s):  
Chinnamuthu Murugesan ◽  
Bandlapally Ramanjaneya Gupta Harish ◽  
Surjya Kanta Mohanty ◽  
Prashanth Kulkarni

Rare Tumors ◽  
2013 ◽  
Vol 5 (4) ◽  
pp. 185-188 ◽  
Author(s):  
Max Xiangtian Kong ◽  
Christopher Hale ◽  
Antonio Subietas-Mayol ◽  
Peng Lee ◽  
Nicholas D. Cassai ◽  
...  

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