Case 7.7

2014 ◽  
pp. 320-321
Author(s):  
Christine U. Lee ◽  
James F. Glockner
Keyword(s):  
Weight Loss ◽  
Flank Pain ◽  
Lower Pole ◽  
The Right ◽  
T2 Weighted Images

72-year-old man with hematuria, right flank pain, and weight loss Axial fat-suppressed FSE T2-weighted images (Figure 7.7.1) and coronal nephrogenic phase postgadolinium 3D SPGR images (Figure 7.7.2) reveal an infiltrative hypoenhancing and mildly T2 hypointense mass in the lower pole of the right kidney....

Case 7.9

2014 ◽  
pp. 324-325
Author(s):  
Christine U. Lee ◽  
James F. Glockner
Keyword(s):  
Weight Loss ◽  
Abdominal Wall ◽  
Left Kidney ◽  
Flank Pain ◽  
Lateral Abdominal Wall ◽  
History Of ◽  
Venous Phase ◽  
T2 Weighted Images

57-year-old man with a 2-month history of fatigue, weight loss, and left-sided flank pain Coronal SSFSE images (Figure 7.9.1), axial fat-suppressed FSE T2-weighted images (Figure 7.9.2), and axial venous phase postgadolinium 3D SPGR images (Figure 7.9.3) demonstrate a large, heterogeneously enhancing exophytic mass in the left kidney abutting and possibly invading the left lateral abdominal wall....

scholarly journals Laparoscopic Resection of Renal Capsular Endometriosis in a Woman with Menstrual-Related Flank Pain: Case Report

2021 ◽  
Vol 27 (1) ◽  
Author(s):  
Abbas Basiri ◽  
Iman Ghanaat ◽  
Hamidreza Akbari Gilani
Keyword(s):  
Flank Pain ◽  
Pathological Examination ◽  
Histologic Evaluation ◽  
Normal Renal Parenchyma ◽  
Perinephric Space ◽  
Superior Portion ◽  
The Right ◽  
First Time ◽  
Laparoscopic Removal

Abstract Background Although involvement of the urinary system is not uncommon, endometriosis in the kidneys is rare. To date, laparoscopic partial nephrectomy has been the preferred approach for managing renal endometriosis. Here, we report for the first time the results of laparoscopic removal of a renal capsular endometriosis in a malrotated kidney in an attempt to save the whole kidney parenchyma, in terms of feasibility and safety. Case presentation A 37-year-old female presented with periodic right flank pain associated with her menstrual cycle. On imaging, a malrotated right kidney and a hypodense irregular-shaped lesion measuring 30 * 20 * 15 mm were seen in the superior portion of the right perinephric space. Histologic evaluation of the ultrasound-guided biopsy was consistent with renal capsular endometriosis. The patient underwent laparoscopic surgery to remove the capsular mass while preserving the normal renal parenchyma. Pathological examination of the biopsy obtained during surgery was in favor of renal endometriosis. At 6-month follow-up, the patient’s pain had completely disappeared and no complications had occurred. In addition, imaging did not show any remarkable recurrence. Conclusion Renal endometriosis should be strongly considered as a differential diagnosis in female patients with a renal capsular mass and exacerbation of flank pain during menstruation. Based on our experience, with preoperative needle biopsy and clearing the pathology, laparoscopic removal of the mass in spite of renal anatomic abnormality is feasible and safe and thus could be considered as a possible treatment option.

scholarly journals Platypnoea–orthodeoxia syndrome induced by short-term weight loss: a case series

2020 ◽  
Author(s):  
Yudai Tamura ◽  
Tomohiro Sakamoto
Keyword(s):  
Weight Loss ◽  
Septal Defect ◽  
Case Series ◽  
Transoesophageal Echocardiography ◽  
Sitting Position ◽  
Short Time Period ◽  
Time Period ◽  
Uncommon Condition ◽  
The Right ◽  
Short Time

Abstract Background Platypnoea–orthodeoxia syndrome (POS) is an uncommon condition characterized by dyspnoea and arterial desaturation in the standing or sitting position that improves in the supine position. Case summary We report two cases of POS caused by an atrial septal defect (ASD) and a patent foramen ovale (PFO). Both cases reported a recent decrease in body weight of more than 10 kg in a short time period. Transoesophageal echocardiography (TOE) with agitated saline bubble study revealed and a large amount of contrast bubble through the ASD (Patient 1) or the PFO (Patient 2) from the right atrium to the left atrium in the sitting position. Both patients were diagnosed by the finding of positional dyspnoea and the results of TOE using agitated saline bubble contrast. Discussion Taken together, their presentations suggest that weight loss in a short time period could be a pathogenic factor for POS.

Spontaneous renal artery dissection: an elusive diagnosis

2021 ◽  
Vol 14 (9) ◽  
pp. e245949
Author(s):  
Catherine Mary Henry ◽  
Peter MacEneaney ◽  
Gemma Browne
Keyword(s):  
Renal Artery ◽  
Antihypertensive Treatment ◽  
Rare Condition ◽  
Acute Onset ◽  
Flank Pain ◽  
Artery Dissection ◽  
Renal Infarction ◽  
Ct Angiogram ◽  
Systemic Anticoagulation ◽  
The Right

Spontaneous renal artery dissection is a rare condition with an often non-specific presentation, resulting in a challenging diagnosis for clinicians. This is the case of a 39-year-old man who presented with an acute-onset right flank pain, mild neutrophilia and sterile urine. CT of abdomen and pelvis showed a patchy hypodense area in the right kidney originally thought to represent infection. He was treated as an atypical pyelonephritis with antibiotics and fluids. When his symptoms failed to improve, a diagnosis of renal infarction was considered and CT angiogram of the aorta revealed a spontaneous renal artery dissection. He was managed conservatively with systemic anticoagulation, antihypertensive treatment and analgesia and discharged home with resolution of his symptoms and normal renal function.

scholarly journals WT1 gene mutation in exone 7 in boy with disturbance of the sex formation and the bilateral nephroblastoma

2020 ◽  
Vol 64 (6) ◽  
pp. 94-97
Author(s):  
N. R. Akramov ◽  
I. V. Osipova ◽  
A. M. Zakirova ◽  
E. I. Khaertdinov ◽  
E. L. Rashitova
Keyword(s):  
Gene Mutation ◽  
Genetic Study ◽  
Molecular Genetic ◽  
Lower Pole ◽  
Molecular Genetic Study ◽  
Metachronous Tumor ◽  
The Right ◽  
Surgical Operations ◽  
I Gene ◽  
Final Operation

The case of observing a patient with WT1 gene mutation in exone 7 with bilateral Wilms metachronous tumor, disturbance of the sex formation in the form of scrotal hypospadias and bilateral abdominal cryptorchidism, without nephropathy, is presented. The child underwent surgical operations: left-sided nephrectomy, resection of the lower pole of the right kidney, bilateral orchiopexy and two-stage hypospadias correction. 7 years after the start of treatment and 3 years after the final operation, the condition of the child was estimated as satisfactory. The presented case by the results of the molecular genetic study has no previously described analogues and requires further observation.

Case 14.20

2014 ◽  
pp. 712-713
Author(s):  
Christine U. Lee ◽  
James F. Glockner
Keyword(s):  
Back Pain ◽  
Sacroiliac Joint ◽  
Iliac Bone ◽  
The Right ◽  
T2 Weighted Images

29-year-old woman with gradually increasing intermittent back pain Axial fat-suppressed FSE T2-weighted images (Figure 14.20.1) demonstrate a complex multicystic mass involving the right sacrum, sacroiliac joint, and iliac bone. Axial postgadolinium 2D SPGR images (Figure 14.20.2) reveal similar findings, with prominent enhancement of the septations separating the cystic components of the lesion....

Case 12.12

2014 ◽  
pp. 587-587
Author(s):  
Christine U. Lee ◽  
James F. Glockner
Keyword(s):  
Cell Carcinoma ◽  
Urothelial Cell ◽  
Corpus Spongiosum ◽  
Urothelial Cell Carcinoma ◽  
Corpora Cavernosa ◽  
History Of ◽  
The Right ◽  
T2 Weighted Images

54-year-old man with a history of a prior cystectomy for bladder urothelial cell carcinoma Axial FSE T2-weighted images (Figure 12.12.1) reveal multiple hypointense masses in both corpora cavernosa (more prominent in the left than in the right) and in the base of the corpus spongiosum....

Case 12.7

2014 ◽  
pp. 577-578
Author(s):  
Christine U. Lee ◽  
James F. Glockner
Keyword(s):  
Penile Prosthesis ◽  
Penile Shaft ◽  
Weighted Image ◽  
The Right ◽  
T2 Weighted Images

74-year-old man with a penile prosthesis and a new enlargement and discomfort of the right penile shaft Sagittal fat-suppressed FSE T2-weighted image (Figure 12.7.1) through the right corporus cavernosum demonstrates fluid surrounding the cylinder of the penile prosthesis. Note also the focal angulation at the base of the cylinder with discontinuity of the prosthesis components. Sagittal oblique postinflation FSE T2-weighted images (...

Case 10.3

2014 ◽  
pp. 482-482
Author(s):  
Christine U. Lee ◽  
James F. Glockner
Keyword(s):  
Physical Examination ◽  
Fat Suppression ◽  
Lateral Margin ◽  
The Right ◽  
T2 Weighted Images

69-year-old woman with a vaginal lesion noted on physical examination Axial FSE T2-weighted images without (Figure 10.3.1) and with (Figure 10.3.2) fat suppression obtained following instillation of vaginal US gel demonstrate a uniformly hypointense lesion along the right lateral margin of the vagina. Axial postgadolinium 3D SPGR image (...

Case 6.11

2014 ◽  
pp. 304-305
Author(s):  
Christine U. Lee ◽  
James F. Glockner
Keyword(s):  
Adrenal Gland ◽  
Signal Intensity ◽  
Adrenal Mass ◽  
Large Mass ◽  
Female Infant ◽  
Hepatic Parenchyma ◽  
The Right ◽  
T2 Weighted Images

1-month-old female infant with a renal or adrenal mass Axial fat-suppressed FSE T2-weighted images (Figure 6.11.1) reveal a large mass originating from the right adrenal gland with heterogeneously increased signal intensity. Extensive small hyperintense metastases essentially replace the visualized hepatic parenchyma. Axial fat-suppressed FSE images from the 6-week follow-up examination (...

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