scholarly journals Late renal vein aneurysm following living related renal transplant

2014 ◽  
Vol 8 (3-4) ◽  
pp. 253 ◽  
Author(s):  
Robert Thomas Dale ◽  
Samir Bidnur ◽  
Christopher YC Nguan
Keyword(s):  
Renal Transplant ◽  
Renal Vein ◽  
Abdominal Ultrasound ◽  
New Right ◽  
Resonance Imaging ◽  
Lower Quadrant ◽  
Management Guidelines ◽  
Living Related ◽  
Ultrasound Investigation ◽  
Right Lower Quadrant

Renal vein aneurysms are rare; there are less than 10 reported cases. As of yet there have been no reported cases of renal vein aneurysm following renal transplantation. We present a case of an incidentally discovered renal vein aneurysm following uncomplicated living related renal transplant. The lesion was discovered 4 years after the transplant through abdominal ultrasound investigation of new right lower quadrant discomfort. Magnetic resonance imaging confirmed the presence of a 2.3-cm thrombosed renal vein aneurysm of the main renal vein. This case report highlights the rare nature of these events, the diagnostic challenges and the lack of satisfactory management guidelines in these cases.

scholarly journals The ‘True’ Splenic Wanderer

1999 ◽  
Vol 13 (2) ◽  
pp. 169-171 ◽  
Author(s):  
R Kanthan ◽  
JM Radhi
Keyword(s):  
Definitive Diagnosis ◽  
Wandering Spleen ◽  
Resonance Imaging ◽  
Pelvic Malignancy ◽  
Abdominal Ultrasonography ◽  
Lower Quadrant ◽  
Intermittent Abdominal Pain ◽  
Cat Scan ◽  
Upper Abdomen ◽  
Right Lower Quadrant

Wandering spleen is an unusual entity and remains an elusive clinical diagnosis. Among the modern imaging modalities including computed tomography, magnetic resonance imaging, nuclear scans and ultrasonography, the latter appears to be the least invasive and the most effective in reaching a definitive diagnosis. A patient with ‘true’ wandering spleen who presented with chronic, intermittent abdominal pain, weight loss and a right lower quadrant mass that was interpreted as a pelvic lymphoma or a primary pelvic malignancy on computed abdominal tomography (CAT) scan is presented. Abdominal ultrasonography conducted a few weeks before the CAT scan showed a normal splenic shadow in the left upper abdomen.

scholarly journals Appendicitis in pregnancy: case report in a navy medical center of Mexico City

2021 ◽  
Vol 7 (6) ◽  
pp. 145-146
Author(s):  
Erika Valencia Mejia ◽  
Cesar Rodriguez Villan ◽  
Yanet Fermin Aldama ◽  
Fernando Martinez Gonzalez ◽  
Jose Eduardo Serratos Garduno ◽  
...  
Keyword(s):  
Case Report ◽  
Mexico City ◽  
Medical Center ◽  
Fetal Loss ◽  
Clinical Feature ◽  
Resonance Imaging ◽  
Imaging Studies ◽  
Lower Quadrant ◽  
The Right ◽  
Right Lower Quadrant

Acute appendicitis represents the most common non-obstetric surgical emergency during pregnancy, the most important clinical feature is abdominal pain in the right lower quadrant. Imaging studies can be used for diagnosis, where ultrasound and magnetic resonance imaging are mostly recommended. Timely diagnosis can prevent complications including fetal loss and preterm delivery. The case report orients the surgeon and obstetrician to make decisions in patients with this pathology

Does Right Lower Quadrant Abdominal Ultrasound Accurately Identify Perforation in Pediatric Acute Appendicitis?

2016 ◽  
Vol 50 (4) ◽  
pp. 638-642 ◽  
Author(s):  
Peggy Tseng ◽  
Carl Berdahl ◽  
Y. Liza Kearl ◽  
Solomon Behar ◽  
John Cooper ◽  
...  
Keyword(s):  
Acute Appendicitis ◽  
Abdominal Ultrasound ◽  
Lower Quadrant ◽  
Right Lower Quadrant

scholarly journals A rare case of iliopsoas hematoma in a patient with von Willebrand disease

2020 ◽  
Vol 7 (3) ◽  
pp. 873
Author(s):  
Vikas Kawarat ◽  
Mohamed Javid ◽  
Shanthi Ponnandai Swaminathan ◽  
Kannan Ross
Keyword(s):  
Femoral Nerve ◽  
Von Willebrand Disease ◽  
Muscle Dysfunction ◽  
Resonance Imaging ◽  
Lower Quadrant ◽  
Magnetic Resonance Imaging Mri ◽  
The Right ◽  
Type 3 ◽  
Von Willebrand ◽  
Right Lower Quadrant

Iliopsoas hematoma is a serious complication that can occur in bleeding disorders, most commonly hemophillia but it can also be seen in von Willebrand disease (vWD) in less frequency. This can cause muscle pain, muscle dysfunction and sometimes even femoral nerve palsy. Iliopsoas hematomas can be diagnosed by the usage of ultrasonography, computed tomography (CT) or magnetic resonance imaging (MRI). Here we report a case of a 20-year-old boy who presented to us with complaints of pain in the right lower quadrant, flank, and inguinal region for a week. He was diagnosed with vWD type 3 when he was 10 years old. The symptoms started after he had tried to kick start his motorbike vigorously. Clinical examination revealed the patient to be in an anti-pain posture and to have tenderness at sites where he complained of pain. A subsequent CT scan showed that there was an iliopsoas hematoma of size 10×6 cm. The patient was managed conservatively with factor replacement and physiotherapy following which there was amelioration in the symptoms and the patient recovered well.

scholarly journals Elective appendicectomy for chronic right lower quadrant pain: a clinical study

2017 ◽  
Vol 4 (7) ◽  
pp. 2189
Author(s):  
P. Maharaja ◽  
Alok Mohanty ◽  
T. Ganesh ◽  
Tridip Dutta Baruah ◽  
Robinson Smile
Keyword(s):  
Clinical Study ◽  
Primary Outcome ◽  
Histopathological Examination ◽  
Abdominal Ultrasound ◽  
Differential Count ◽  
Quadrant Pain ◽  
Lower Quadrant Pain ◽  
Lower Quadrant ◽  
Right Lower Quadrant Pain ◽  
Right Lower Quadrant

Background: Chronic right-lower-quadrant abdominal pain is a frequent problem among growing population. The purpose of this study is to implement that persistent or recurrent right lower quadrant pain can be treated successfully by elective appendicectomy in properly selected cases. And to detail the outcome of management of these patients with appendectomy.Methods: This observational study was done in Mahatma Gandhi Medical College and Research Institute, Pondicherry, India between 2014-16 in patients with clinical diagnosis of chronic RLQ pain and undergoing appendicectomy. Routine laboratory investigations included hemoglobin percentage, serum leukocyte count and differential count, ESR, urine microscopy, random blood sugar, blood urea, serum creatinine, abdominal ultrasound (USG), and histopathological examination (HPE) of removed the appendix. The primary outcome measure was pain scored by the patient at 6th week and 12th week after surgery. Postoperative histopathology report was compared with the clinical improvement.  The analysis of primary outcome was performed on an intention-to-treat basis. P<0.050 was considered statistically significant.Results: Eighty-two cases of chronic RLQ pain, who met the inclusion criteria, were included in the clinical study. Elective appendicectomy was performed in all 82 patients and sample analysed by HPE.  Out of 82 (100 %) patients who underwent appendicectomy, 45 (54.90 %) were male and 37 (45.10 %) were female. About 79 cases (96.34%) of the patients were completely pain free, and only 3 (3.66%) patients did not improve after elective appendicectomy. There was no mortality. Out of 82 patients, 52 (63.41%) patients had pathological signs of appendicitis and 30 (36.59 %) patients showed the normal appendix.Conclusions: Elective laparoscopic appendicectomy in patients with chronic RLQ pain may be an effective therapeutic procedure in properly selected cases. Histopathology of the removed appendix does not contribute to the diagnosis. However, there appears to be definite scope for a much longer duration of follow-up study of the patients with chronic RLQ pains.

scholarly journals Acute appendicitis: is it a seasonal disease?

2021 ◽  
Vol 8 (11) ◽  
pp. 5196
Author(s):  
Yasir Babiker Elshambaty ◽  
Saleh A. Alzahrani ◽  
Talal A. AlOmari ◽  
Waleed S. Shahwan ◽  
Abdullah A. Alzahrani ◽  
...  
Keyword(s):  
Acute Appendicitis ◽  
Abdominal Ultrasound ◽  
Operative Management ◽  
Rural Hospital ◽  
Histological Diagnosis ◽  
Quadrant Pain ◽  
Lower Quadrant Pain ◽  
Lower Quadrant ◽  
Right Lower Quadrant Pain ◽  
Right Lower Quadrant

Background: The aim of this study was to review the management of acute appendicitis in a rural hospital. It was generally reported to be more common in men. Appendicitis is the most common surgical cause of abdominal pain worldwide. Appendectomy is the lonely curative treatment of appendicitis.Methods: This was a retrospective study in which we reviewed the records of the patients who had been diagnosed and operated on for appendicectomy from January to December 2017 in a rural hospital. The data were analyzed with SPSS version 25.Results: The total number of the patients was 114. About 69.3% are males. The mean age was 25.11 years. About (39.5%) were above 20 years old. Most of the cases presented in the period between January and March (27.3%). Right lower quadrant pain was the most common presenting symptom (93.9%). Nausea and vomiting mentioned by 57 (50%) and 74 (64.9%) of the participants respectively, fever in 42 (36.8%), muscle guarding in 0.9%, tenderness in 44 (38.6%), abdominal ultrasound was requested in 96 (84%). The most common histological diagnosis was acute suppurative appendicitis with peri-appendicitis in 15 (13.2%). All the cases were treated with open appendicectomy.Conclusions: We concluded that male are more affected with acute appendicitis. The most common presenting symptom was right lower quadrant pain. The vast majority of the cases were in the winter. Ultrasound has been used in the most cases particularly in male more than in females. The most common histological diagnosis was acute suppurative appendicitis. Open appendicectomy is the main operative management in our pts.

Case 7.31

2014 ◽  
pp. 364-365
Author(s):  
Christine U. Lee ◽  
James F. Glockner
Keyword(s):  
Renal Function ◽  
Renal Transplantation ◽  
Renal Transplant ◽  
Cardiac Function ◽  
Focal Segmental Glomerulosclerosis ◽  
Signal Intensity ◽  
Diffuse Alveolar Hemorrhage ◽  
Lower Quadrant ◽  
Right Lower Quadrant ◽  
New Onset

19-year-old man with recent renal transplantation for focal segmental glomerulosclerosis who now has declining renal function and new-onset diffuse alveolar hemorrhage and reduced cardiac function Axial SSFSE images (Figure 7.31.1) reveal diffuse increased signal intensity throughout the featureless right lower quadrant renal transplant. Axial postgadolinium 2D SPGR images (...

scholarly journals Posttransplant Intrarenal Lymphangiectasia

2020 ◽  
Vol 2020 ◽  
pp. 1-3
Author(s):  
Ali Kord ◽  
Enrico Benedetti ◽  
James T. Bui
Keyword(s):  
Resonance Imaging ◽  
Quadrant Pain ◽  
Lower Quadrant Pain ◽  
Lower Quadrant ◽  
Benign Condition ◽  
Right Lower Quadrant Pain ◽  
History Of ◽  
Magnetic Resonance Imaging Mri ◽  
Transplanted Kidneys ◽  
Right Lower Quadrant

Renal lymphangiectasia is an extremely rare benign condition in the setting of transplanted kidneys. We describe a 50-year-old female with a past medical history of lupus nephritis and renal transplants who presented with right lower quadrant pain and was found to have intrarenal lymphangiectasia on imaging and laboratory tests. The patient was treated with percutaneous drainage initially and then wide peritoneal fenestration and omentoplasty. An extremely rare adult case with intrarenal lymphangiectasia thirteen months after kidney transplant was described in this study. Imaging, particularly computed tomography (CT) and magnetic resonance imaging (MRI), plays a key role in the diagnosis of renal lymphangiectasia.

scholarly journals Mesenteric Adenitis Caused by Salmonella Typhi: A Case Report

2021 ◽  
Vol 20 (2) ◽  
Author(s):  
Nik Haszroel Hysham Nik Hashim ◽  
Nur Ain Che Azmi
Keyword(s):  
Abdominal Ultrasound ◽  
Salmonella Typhi ◽  
Full Blood Count ◽  
Quadrant Pain ◽  
Lower Quadrant Pain ◽  
Lower Quadrant ◽  
Right Lower Quadrant Pain ◽  
Mesenteric Adenitis ◽  
Loss Of Appetite ◽  
Right Lower Quadrant

Both mesenteric adenitis and acute appendicitis may present with fever and right lower quadrant pain. This presentation makes it challenging to provide a timely and accurate diagnosis to avoid unnecessary surgery. We report a case of an 8-year-old who was admitted with fever and right lower quadrant pain, loss of appetite, and diarrhoea. There were tenderness and rigidity in the right lower quadrant of the abdomen. Hepatomegaly was present. Full blood count showed pancytopenia, and serum transaminases were mildly elevated. The clinical features in typhoid fever are not specific, making it difficult to differentiate from other infectious causes such as malaria, dengue, or leptospirosis, common in the region. This report illustrates a rare case of mesenteric adenitis caused by Salmonella serotype Typhi. It also shows the benefit of doing an abdominal ultrasound to help the surgeon decide whether surgery is necessary.

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