scholarly journals Obstructed Right Upper Moiety in a Bilateral Partial Duplex Renal System in an Adult

2021 ◽  
Vol 18 (2) ◽  
pp. 119-122
Author(s):  
Solomon Kenechukwu Anyimba ◽  
Ikenna Ifeanyi Nnabugwu ◽  
Chinwe Andrea Nnabugwu
Keyword(s):  
Urinary Tract ◽  
Early Adulthood ◽  
Late Presentation ◽  
Duplex System ◽  
Complete Excision ◽  
Ureter Obstruction ◽  
System A ◽  
History Of ◽  
Renal System ◽  
The Right

Duplex renal system, a common congenital anomaly of the kidney and urinary  tract, is preferably identified through screening. For obstructed symptomatic duplications, prompt relief of obstruction to forestall renal parenchymal loss is recommended. We present a case of neglected obstruction of the right upper moiety in an adult female with discordant bilateral renal duplex system. A 49-year-old female with a 10-year history of recurrent right flank pain and fever presented for clinical evaluation and treatment. She had no such symptoms in early childhood. A diagnosis was made of obstructed right upper renal moiety in bilateral discordant renal duplication with complete moiety parenchymal destruction. She had right renal exploration with complete excision of the hydronephrotic sac and the grossly dilated moiety ureter down to the obstruction at the fusion of both upper and lower moiety ureters. Her postoperative period was uneventful. She is symptomfree and her urinary tract is structurally intact. Hitherto asymptomatic renal duplication can become symptomatic in early adulthood from intrinsic moiety ureter obstruction, suggesting a need for lifetime monitoring of persons with duplex renal systems. Late presentation with neglected symptoms, and consequent renal moiety destruction as seen here, is a result of the absence of such monitoring. Keywords: Duplex renal system, Obstruction 

Laporan Kasus Ureterocele dengan Double Collecting Sistem Bilateral

2020 ◽  
Vol 2 (2) ◽  
Author(s):  
Suci Syamsiah Ramdhini ◽  
Freedy L.P. Tambunan ◽  
Ristaniah D. Soetikno
Keyword(s):  
Complicated Urinary Tract Infection ◽  
External Genitalia ◽  
Surgical Excision ◽  
Cystic Mass ◽  
Duplex System ◽  
System A ◽  
First Child ◽  
History Of ◽  
The Right ◽  
Collecting System

Ureterocele adalah kelainan kongenital pada ureter terminal. Ureterocele berupa massa kistik yang berdilatasi pada segmen ureter intravesikal dapat berkaitan baik dengan ureter tunggal maupun dupleks. Kelainan kongenital berupa obstruksi pada meatus dan timbulnya ureterocele merupakan efek hiperplasia akibat obstruksi ini. Ureter dupleks dapat terjadi pada 75% pasien ureterocele, sementara single ureter hanya 20%. Insidensi ureterocele sebesar 1:4.000 anak dan 4–7 kali lebih sering pada perempuan. Kami melaporkan kasus seorang bayi perempuan berusia lima bulan yang dibawa ke Rumah Sakit Hasan Sadikin tanggal 27 Maret 2019 dengan keluhan utama massa yang tampak menonjol dan hilang timbul pada lubang tempat keluar urine disertai nyeri dan mengedan saat buang air kecil dan demam dalam waktu satu bulan terakhir. Pasien merupakan anak pertama, lahir dari ibu P1A0 riwayat kehamilan cukup bulan. Pada pemeriksaan fisis genitalia eksterna, tampak benjolan berwarna putih dan lunak yang hilang timbul di daerah meatus uretra eksterna. Hasil pemeriksaan BNO-IVP, USG dan CT urologi tampak duplikasi sistem pelvokalises ginjal bilateral dan gambaran berbentuk kantung di daerah vesika urinaria menyokong ureterocele. Berdasar atas hasil anamnesis, pemeriksaan fisis dan pemeriksaan penunjang, pasien didiagnosis ureterocele dekstra, double collecting system bilateral, infeksi saluran kemih komplikata, dan bakteremia. Penatalaksanaan berupa pembedahan eksisi ureterocele dekstra dan reimplantasi ureter. Pencitraan radiologi memiliki peranan penting dalam menegakkan diagnosis ureterocele secara dini untuk menghindari komplikasi dan morbiditas, serta menentukan penatalaksanaan yang tepat. URETEROCELE WITH BILATERAL DOUBLE COLLECTING SYSTEM: A CASE REPORTUreterocele is a congenital abnormality in the terminal ureter. Ureterocele is dilated cystic mass in the intravesical ureteral segment may be associated with a single or duplex system. Duplex ureters occur in 75% of ureterocele patients, while single ureters are only 20%. The incidence of ureterocele is 1: 4,000 children and 4–7 times more common in girls than boys. We are reporting a five month female infant with an intermittent protruding mass from urethra, accompanied by dysuria and fever in the past one month. The baby was the first child, born by P1A0 mother with a history of term pregnancy. External genitalia examination showed protuding soft white lump in the external urethral meatus. The results of BNO-IVP, ultrasound and CT urology revealed duplications of the bilateral renal pelvocalises system and the appearance of sacs inside bladder sugesting an ureterocele. Based on history, physical and medical examination, the patient was diagnosed as right ureterocele, bilateral double collecting system, complicated urinary tract infection and bacteremia, the management was surgical excision of the right uroterocele and ureter reimplantation. Radiological imaging has a important role in obtaining an early diagnosis of ureterocele, to avoid complications and morbidity and determine an appropriate management.

scholarly journals Is the Recurrence of Fibroma of the Tendon Sheath Underestimated? An Instructive Case Report and a Review of the Literature

2020 ◽  
Vol 2020 ◽  
pp. 1-4
Author(s):  
E. Lüdke ◽  
G. Kohut ◽  
H. C. Bäcker ◽  
M. Maniglio
Keyword(s):  
Scientific Literature ◽  
Healthy Woman ◽  
Tendon Sheath ◽  
Gadolinium Enhancement ◽  
Complete Excision ◽  
History Of ◽  
Initial Outcome ◽  
The Right ◽  
Instructive Case

We report a case of a 21-year-old healthy woman with a history of a painful growing mass in the palm of the right hand, with a trigger finger phenomenon. The mass was surgically entirely excised, and the histological findings of the tumor were those of a fibroma of the tendon sheath (FTS) starting from the flexor tendons. Although the initial outcome was good, the patient experienced the same symptoms at the same location 4.5 years later. The MRI demonstrated a 50×10×5 mm mass of low intensity on T1-weighted images and high intensity on T2-weighted images and gadolinium enhancement. A second complete excision of the tumor was performed by the same senior surgeon, and the histology confirmed the recurrence of the FTS. We also reviewed the scientific literature about FTS in the hand. Most recent studies show a low rate or no recurrence at all. We hypothesize that a lot of recurrences are missed because of a short follow-up and that the recurrence rate may be higher than thought.

Inflammatory myofibroblastic tumour of the tonsil: case report and literature review

2010 ◽  
Vol 124 (10) ◽  
pp. 1123-1125 ◽  
Author(s):  
J C Magill ◽  
M S Ferguson ◽  
C R Butler ◽  
A Sandison ◽  
W E Grant
Keyword(s):  
Case Report ◽  
Pregnant Woman ◽  
English Language ◽  
Spindle Cell Carcinoma ◽  
Inflammatory Myofibroblastic Tumour ◽  
Complete Excision ◽  
Recommended Treatment ◽  
History Of ◽  
High Grade Carcinoma ◽  
The Right

AbstractObjective:We present the first reported case in the English language literature of an inflammatory myofibroblastic tumour of the right tonsil in a young, pregnant woman, and we report a management strategy for this enigmatic entity.Case report:A 28-year-old, pregnant woman presented with a 10-day history of odynophagia despite a course of antibiotics. Examination revealed a grade II, erythematous right tonsil with ulceration on the upper pole. A biopsy was arranged, and initial evaluation was suggestive of spindle cell carcinoma. However, this diagnosis was reviewed after immunohistochemical staining confirmed an inflammatory myofibroblastic tumour. Subsequent complete excision was undertaken using CO2laser.Conclusion:Clinically, inflammatory myofibroblastic tumour of the tonsil is known to be locally aggressive and can present in a manner not dissimilar to a high grade carcinoma of the tonsil. As a result, the recommended treatment is complete local excision with careful follow up.

scholarly journals Giant schwannoma of the left maxillary sinus - a rare case report

2020 ◽  
Vol 10 (38) ◽  
pp. 63-65
Author(s):  
Muhammad Adzha Musa ◽  
Ahmad Nordin Affandi ◽  
Prepageran Narayanan ◽  
Tan Shi Nee
Keyword(s):  
Maxillary Sinus ◽  
Good Prognosis ◽  
Deviated Nasal Septum ◽  
Complete Excision ◽  
Giant Schwannoma ◽  
Rare Case Report ◽  
History Of ◽  
Left Maxillary Sinus ◽  
The Right ◽  
Inverted Papillomas

AbstractBACKGROUND. Polyps, cysts and mucocele are the commonest sinonasal tumors present unilaterally, as well as invasive tumors, such as inverted papillomas and squamous cell carcinomas. On the contrary, Schwannomas are rare lesions found in this area.MATERIAL AND METHODS. We present a case of a 48-year-old female who presented with a 2-year progressive history of left nasal obstruction, cranio-facial fullness sensation and pain, with intermittent epistaxis. The CT scan of the nose and paranasal sinuses showed complete opacification of the entire left nasal cavity and maxillary sinus, causing a deviated nasal septum to the right side.RESULTS. The tumor was completely excised endoscopically without any complication. Histopathology was consistent with that of a schwannoma.CONCLUSION. The diagnosis of sinonasal Schwannomas remains challenging, as it is a rare tumor and sometimes its clinical behaviour and imaging may be misleading. The treatment of choice for paranasal sinus schwannoma is complete excision of the tumor with good prognosis.

scholarly journals Vaginal mass caused by a lately recognized congenital bladder diverticulum

2013 ◽  
Vol 7 (9-10) ◽  
pp. 634 ◽  
Author(s):  
Kürşad Zengin ◽  
Serhat Tanik ◽  
Mesut Gurdal ◽  
Aylin Okur ◽  
Betul Zengin
Keyword(s):  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Common Symptom ◽  
Ureteral Orifice ◽  
Vaginal Mass ◽  
Bladder Diverticula ◽  
History Of ◽  
The Right ◽  
Time Of Admission

Congenital bladder diverticula are strongly associated with vesicoureteral reflux (VUR), and are mostly present in childhood. The most common symptom is urinary tract infection at the time of admission. The diverticulum is usually solitary and its locationis near the ureteral orifice, which is probably the main cause of VUR. We report a woman who presented with a vaginal mass located on the right inferior part of the external urethral meatus. The patient had a history of recurrent urinary tract infection and right nephrectomy due to VUR nephropathy. We examined her with cystography, computerized tomography, and cystoscopy. The cystoscopic examination was very diagnostic in our patient. The patient underwent diverticulectomy, and after 6 months of follow-up, her complaints had completely disappeared.

Condense, Authorize, Destabilize: Multiperspectivism and Stratigraphy

2019 ◽  
Vol 29 (5) ◽  
pp. 7-32
Keyword(s):  
Theoretical Foundation ◽  
External World ◽  
Conceptual System ◽  
Philosophical Theory ◽  
Possible World ◽  
System A ◽  
Ability To Act ◽  
History Of ◽  
The Right ◽  
Dark Ecology

The paper is both an exercise in multiperspectivist analysis of metaphors and an attempt to find a theoretical foundation for the possibility of such a procedure. The concept of speculative realist “decentered thought,” which is most clearly encapsultated in Morton’s dark ecology project, implicitly presupposes a thematization and problematization of the “center” of the conceptual system - a mesh that makes the order reproduced by it a solid and stable picture of a possible world. Appealing to the theory of metaphor allows one to fix on this tension, which arises not between philosophical theory and some “external world” but between the conceptual system and the possible existence of way of ordering its instances. This also solves two problems: first, via reconfiguration of the concept of the “center” of the conceptual system by inscribing a metaphor into it; and second, by invoking and reinterpreting the Ankersmit problem to endow metaphor with the ability to act while highlighting the basic modes of its agency. This interpretation diverges from the classical - perspectivist - conceptualization of metaphor as an operator of unambiguous order in a theory and turns the systems of concepts themselves into clots of multiple and ambiguous interpretations of metaphors that always reserve the right to be something else and not the same as before. The article tests and illustrates this multiperspectivism with the conflict of metaphors involved in the transfer of the concept of Ian Bogost’s alien phenomenology to Levi Bryant’s onto-cartography system. The final part of the article elaborates a multiperspectivist stratigraphy project (an as yet non-existent branch of theory that would turn a metaphor into both an object and instrument of description and explanation) and also maps out points of uncertainty that, once overcome and clarified, would make such a stratigraphy possible. Why does the Other defeat Technology? Where has perspectivism failed? How is a history of metaphors possible if temporal regimes themselves turn out to be an effect of metaphorical operations? How can metaphors act? The article clarifies and details some answers to these and other questions.

Pleomorphic Adenoma of the Lateral Nasal Wall: An Unusual Entity

2016 ◽  
Vol 9 (3) ◽  
pp. 146-148
Author(s):  
Aparna Bhardwaj ◽  
Sonam Rathi
Keyword(s):  
Nasal Cavity ◽  
Pleomorphic Adenoma ◽  
Nasal Obstruction ◽  
Lateral Wall ◽  
Positive Outcome ◽  
Lateral Nasal Wall ◽  
Tissue Mass ◽  
Complete Excision ◽  
History Of ◽  
The Right

ABSTRACT Pleomorphic adenomas occurring in the nasal cavity are rarely encountered; nevertheless, there is abundance of minor seromucinous glands in that region. Most cases present with a painless, slowly progressing unilateral nasal obstruction, a nasal mass, and epistaxis. Herewith, we present an unusual case of pleomorphic adenoma arising from the lateral wall of the right nasal cavity in a 41-year-old male who complained of right nasal obstruction with no history of epistaxis. Rigid nasal endoscopy revealed a swelling continuous with right inferior concha. Computed tomography showed a well-defined, soft tissue mass in the right nasal cavity. The lesion was completely excised endoscopically. Histopathology confirmed a pleomorphic adenoma consisting of epithelial and mesenchymal elements. Wide exposure is crucial for complete excision with negative margins to achieve positive outcome and to prevent recurrence. How to cite this article Pandey AK, Bhardwaj A, Maithani T, Rathi S. Pleomorphic Adenoma of the Lateral Nasal Wall: An Unusual Entity. Clin Rhinol An Int J 2016;9(3):146-148.

Primary Carcinoid Tumor in a Horseshoe Kidney

2005 ◽  
Vol 72 (2) ◽  
pp. 243-245
Author(s):  
C. Cerulli ◽  
A. Sciarra ◽  
L. Mazzone ◽  
AM. Autran Gomez ◽  
S. Salciccia ◽  
...  
Keyword(s):  
Urinary Tract ◽  
Carcinoid Tumor ◽  
Rare Case ◽  
Horseshoe Kidney ◽  
Large Mass ◽  
Lower Pole ◽  
Urinary Tract Stones ◽  
Primary Carcinoid Tumor ◽  
History Of ◽  
The Right

We report on a rare case of primary carcinoid tumor in a horseshoe kidney. A 56-year-old male was referred at our clinic with a history of urinary tract stones. A CT scan revealed a horseshoe kidney with a large mass in the lower pole of the right kidney. The patient was submitted to a partial right nephrectomy with resection of the lower half of the right kidney and isthmectomy The histological and immunohistochemical findings were compatible with a diagnosis of primary carcinoid tumor. After 24 months the patient is still alive without evidence of recurrence or progression.

scholarly journals Late Oesteoradionecrosis of Mandible Five Years after Radiotherapy for Carcinoma Base of Tongue

2018 ◽  
Vol 26 (2) ◽  
pp. 137-140
Author(s):  
Somesh Mozumder ◽  
Shirish Dubey ◽  
Aniruddha Dam ◽  
Anup Kumar Bhowmick
Keyword(s):  
Soft Tissue ◽  
Tissue Injury ◽  
External Beam Radiotherapy ◽  
Late Presentation ◽  
Nodal Metastasis ◽  
High Dose ◽  
Invasive Squamous Cell Carcinoma ◽  
Early Presentation ◽  
History Of ◽  
The Right

Introduction Osteoradionecrosis (ORN) is a process where irradiated bone undergoes necrosis and becomes exposed through soft-tissue. It is a late effect of radiotherapy. Early presentation within 2 years, is thought to be related to high dose of Radiation therapy, whereas late presentation is usually secondary to trauma and delayed wound healing with in compromised tissue. We present a case of late presentation where there was no history of trauma to the associated region; therefore making the case unique. Case report                                              50 years old male patient from rural Bengal presented with history of invasive squamous cell carcinoma (SCC) of right base tongue with bilateral cervical nodal metastasis treated with external beam radiotherapy of 70 Gy in 35 fractions in 2009. In April 2014 he developed pain in the right side of lower jaw with foul breath and progressive difficulty and pain while opening mouth. Biopsy established the diagnosis of oesteoradionecrosis. Discussion ORN can be spontaneous, but most commonly results from tissue injury. The absence of reserve reparative capacity is a result of the prior radiation injury. The irradiated mandible, periosteum, and overlying soft tissue undergo hyperemia, inflammation, and endarteritis. Conclusion During follow up any lesion suspicious of recurrence or second malignancy with clinical features of pain, swelling, trismus, halitosis, mucosal ulceration, bare bone etc a differential diagnosis of oesteoradionecrosis should be kept in mind, even long time after radiotherapy & absence of trauma.

scholarly journals Evaluation of Temporomandibular Joint Dysfunction by A Mandibular Tracing System: A Case Report

2020 ◽  
pp. 8-12
Author(s):  
Peixi Liao ◽  
Keyword(s):  
Case Report ◽  
Temporomandibular Joint ◽  
Treatment Plan ◽  
Gingival Recession ◽  
Occlusal Plane ◽  
Temporomandibular Joint Dysfunction ◽  
Recommended Treatment ◽  
System A ◽  
History Of ◽  
The Right

Objective. The purpose of this case report is to present a digital mandibular tracing technique used to evaluate a patient with temporomandibular joint dysfunction (TMD). Clinical features. A 65-year-old Caucasian female patient presented with chronical jaw pain in her temporomandibular joint (TMJ) area. The patient describes a dental history of orthodontic and prosthodontic treatment. Orally patient exhibits super erupted teeth, multiply fractured restorations, facial gingival recession, and rotated teeth. The patient also had an uneven occlusal plane and non-working side contact at maxillary first and mandibular second molars. Evaluation and outcome. A digital mandibular tracing technique, cone beam computed tomography, and full-arch optical impressions were used to evaluate the patient's condition. The left condyle was slightly flat compared to the right one on the anterior surface. Limited protrusion and lateral movements and asymmetric border movements were detected. Apparently, an incomplete orthodontic treatment at the patient's early age, iatrogenic mandibular anterior restorations, and hit and slight effect are considered as causes for Temporo-mandibular joint problems. The recommended treatment plan sequence for this patient is an occlusal adjustment, replacement of defective restorations and fabrication of an occlusal guard for one of the arches. Conclusion. Digital mandibular tracing system can help the dentist to diagnose and analyze the causes of TMD patient specifically and individually. It also provides quick resolution and management for patients with TMD.

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