scholarly journals 55 year-old Female with Hematuria

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.

2017 ◽  
Vol 4 (4) ◽  
pp. 140-143
Author(s):  
Mohd Yusof Mubarak ◽  
Ismail Izyan ◽  
Paiman Najwa

Inferior vena cava anomaly is usually asymptomatic. It is rare and commonly detected while performing abdominal imaging for other clinical situations. The anomalies can mimic normal anatomical structures. Thus, the identification of the anomalies is important to avoid complication during abdominal procedures. We report two cases of inferior vena cava anomalies found during Computed Tomography scan of our elective cases.


Author(s):  
NAMALA VENKATA YASESWI ◽  
VINAY KUMAR T ◽  
KOMMURI VYDURYAM ◽  
ZAKIRA BEGUM KOMMURI JOY SHALEM

A 64-year-old woman was referred to the hospital with complaints of abdomen right side tightness with discomfort for 1 month. Computed tomography scan of abdomen investigation revealed large retroperitoneal mass measuring 18.9 cm × 12.1 cm displacing the inferior vena cava right kidney and renal vessels in right hypochondriac and lumbar regions of the abdomen with large fat components. She underwent surgery, which involves the resection of tumor mass with non-affected surgical margins. These tumors tend to be resistant to radiotherapy or chemotherapy. Among the most important prognostic factor related to survival is surgery with non-affected margins. A review on etiology, pathophysiology, pathological classification, and grading is explained in literature review.


2014 ◽  
Vol 73 (2) ◽  
pp. 159-163 ◽  
Author(s):  
N. Boyaci ◽  
E. Karakas ◽  
D. S. Dokumacı ◽  
S. Yildiz ◽  
H. Cece

2021 ◽  
pp. FSO718
Author(s):  
Myriam Jerbaka ◽  
Tracy Slaiby ◽  
Zahraa Farhat ◽  
Yara Diab ◽  
Nawal Toufayli ◽  
...  

Abdominal pain is the most presenting complaint during pregnancy with multiple etiologies. The diagnosis could be unpredictable. We present a case of 36-year-old pregnant woman gravida 10 para 7 abortus 2 at 36 + 5 weeks of gestation presenting twice for an increasing left abdominal pain, not relieved despite analgesics. She was delivered for severe oligohydramnios. After delivery, she was found to have a left adrenal infarction on computed tomography scan. She was found to have two mutations of the gene  MTHFR 677CC. Our presented case should remind physicians to consider the presence of thromboembolic state during pregnancy. The diagnosis of adrenal infarction should be among the differentials of an ambiguous flank pain that is resilient to medical therapy. Diagnosis in a pregnant patient can be easily confirmed with MRI, after which anticoagulation should be started and the workup for hypercoagulable state investigated.


2021 ◽  
Vol 23 (09) ◽  
pp. 688-711
Author(s):  
Dr. Praveen Sharma K MDRD ◽  
◽  
Dr. Ashwini Govisetty ◽  
Dr. Prajwal M N ◽  
Dr. Nanthithaa Karthikeyan ◽  
...  

RETROCAVAL URETER (or PRE-URETERAL VENA CAVA) is a rare congenital abnormality arising from dysgenesis of the inferior vena cava (IVC) that results in the right ureter coursing posterior and medial to the inferior vena cava (IVC), causing varying degrees of obstructive proximal hydroureteronephrosis, a rare cause of long-standing cyclical flank pain. Retrocaval ureter (or Pre-ureteral vena cava) is asymptomatic until the 3rd and 4th decades of life from resulting hydronephrosis. Ultrasonography (USG), Intravenous urography (IVU), nuclear scintigraphy, Computed tomography urography (CTU), and Magnetic resonance urography (MRU) have been used in the diagnosis of this abnormality. Computed tomography urography (CTU) depicts the findings in three dimensions gives the most “wholesome” solution to its diagnosis. This condition is differentiated from other urinary tract obstruction causes, especially urolithiasis, essential for successful surgical management. When symptomatic, the situation is treated surgically, either by laparoscopic or open surgery. We report a case of a 50 years old male both with right flank pain and associated hydronephrosis.


2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Soheila Aminimoghaddam ◽  
Narjes Afrooz ◽  
Setare Nasiri ◽  
Ozra Motaghi Nejad ◽  
Fatemeh Mahmoudzadeh

Abstract Background Pregnancy seems to increase the risk of thrombotic thrombocytopenic purpura (TTP) relapses and make the TTP more severe in any of the pregnancy trimesters, or even during the postpartum period. Case presentation This study highlights details of treating a COVID-19 pregnant patient who survived. This 21-year addicted White woman was admitted at her 29th week and delivered a stillbirth. She was transferred to another hospital after showing signs of TTP, which was caused by a viral infection. Conclusion This viral infection caused fever and dyspnea, and the patient was tested positive for COVID-19 infection. A chest computed tomography scan showed diffuse multiple bilateral consolidations and interlobar septal thickening. She stayed at the Intensive Care Unit for 20 days and treated with plasmapheresis. As far as we know, this is the first report of a TTP pregnant patient with COVID-19 infection.


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