scholarly journals Laparoscopic management of misplaced ureteral double J stent into a left branch of duplicated inferior vena cava

2021 ◽  
pp. 01-05
Author(s):  
Houssam Khodor Abtar ◽  
Abbass Shibli ◽  
Mohammad Rida Farhat ◽  
Youssef Hamdan ◽  
Zakaria Dika ◽  
...  

Introduction: Double J Stent is frequently used to preserve urine flow to the kidney in urolithiasis. Migration of double J stent is highly reported in literature. Duplicated inferior Vena Cava is a rare entity that is asymptomatic and usually incidentally diagnosed. Case Presentation: A case of a 46 years old male patient known for multiple episodes of kidney stones presenting for left urolithiasis with hydroureteronephrosis and have underwent a double J stent insertion without fluoroscopic guidance and was discharged home uneventfully, while he returns again for left flank pain. He was diagnosed with Double J stent mispositioning into a duplicated left inferior vena cava. Therefore, a laparoscopic intervention was done to extract the stent and replace it with a new one simultaneously with repair of both the ureter and the vein. Conclusion: Duplicated inferior vena cava is an uncommon finding that has a lot of complications. This is the first reported migration of double J stent into a duplicated inferior vena cava that was Laparoscopically repaired. Keywords: Ureteral stone; Computed tomography scan; Double J stent migration; Duplicated inferior vena cava

2020 ◽  
Vol 26 (1) ◽  
Author(s):  
Tiffany A. Perkins ◽  
Alberic Rogman ◽  
Murali K. Ankem

Abstract Background Emphysematous pyelonephritis (EPN) with gas in the inferior vena cava (IVC) is a rare presentation and to our knowledge, this is the first case report in the urologic literature. Case presentation A 35-Year-old obese diabetic Hispanic female presented to the emergency room with a clinical picture of septic shock. Prompt computerized tomography scan revealed EPN with gas throughout the right renal parenchyma and extending to the right renal vein, IVC, and pulmonary artery. She died before surgical intervention Conclusion This case demonstrates that patients presenting with severe EPN have a high mortality risk and providers should acknowledge that septic shock, endogenous air emboli, or a combination of both could result in cardiovascular collapse and sudden death.


Chirurgia ◽  
2020 ◽  
Vol 115 (5) ◽  
pp. 665
Author(s):  
Cedric Kwizera ◽  
Daniel G. Popa ◽  
Marian Botoncea ◽  
Adrian Tudor ◽  
Gyorgy D. Szava ◽  
...  

2020 ◽  
Vol 4 (2) ◽  
pp. 232-233
Author(s):  
Drew Long ◽  
Brit Long

Case Presentation: A 55 year-old female presented to the emergency department with left sided abdominal pain and hematuria. Computed tomography scan of her abdomen and pelvis demonstrated a large left renal mass with extension into the left ureter, left renal vein, and inferior vena cava. She was admitted and treated for presumed renal cell carcinoma (RCC). Discussion: RCC may present with abdominal or flank pain and hematuria, but more commonly presents with vague symptoms. RCC should be suspected in a patient presenting with hematuria and abdominal or flank pain, especially if vague symptoms such as fatigue or anorexia are also present.


2013 ◽  
Vol 29 (4) ◽  
pp. 353 ◽  
Author(s):  
RavindraB Sabnis ◽  
ArvindP Ganpule ◽  
SanikaA Ganpule

2005 ◽  
Vol 16 (8) ◽  
pp. 1125-1128 ◽  
Author(s):  
Padraig O'Brien ◽  
Peter L. Munk ◽  
Stephen G.F. Ho ◽  
Gerald M. Legiehn ◽  
Laurel O. Marchinkow

2015 ◽  
Vol 0 (0) ◽  
pp. 0
Author(s):  
PankajN Maheshwari ◽  
AjayT Oswal ◽  
VinayakG Wagaskar

2020 ◽  
Vol 54 (5) ◽  
pp. 449-454
Author(s):  
Narendra Choudhary ◽  
Harshit Agarwal ◽  
Soumya Ghoshal ◽  
Madhur Uniyal ◽  
Abhinav Kumar ◽  
...  

Background: Renal artery–inferior vena cava (IVC) fistula is usually caused by penetrating injury to the back. However, it is a very rarely reported entity with only 20 cases reported in the literature. They may present acutely with hemodynamic instability or chronically as congestive heart failure. A thorough examination and adequate imaging are required to avoid missing such injuries. Case Presentation: A 28-year-old gentleman presented after sustaining stab injury to the back. The stab had penetrated the renal artery and IVC, leading to arteriovenous fistula. He was managed surgically, as he went into hemorrhagic shock, with a successful outcome. The case is also unique as an accessory renal artery was also involved in the fistula. Conclusion: Early identification and management of renal artery–IVC fistula is important to ensure a successful outcome. Such fistulas can be managed by either endovascular approach or surgical approach. The decision of approach depends on the level of expertise available and hemodynamic status of the patient.


Medicine ◽  
2019 ◽  
Vol 98 (20) ◽  
pp. e15668 ◽  
Author(s):  
Changyi Jiang ◽  
Shi Fu ◽  
Jian Chen ◽  
Yong Chen ◽  
Deqiang Chen ◽  
...  

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