scholarly journals Chyluria after Partial Nephrectomy: Case Report and Review of the Literature

2009 ◽  
Vol 9 ◽  
pp. 1-4 ◽  
Author(s):  
Ronald J. Kim ◽  
Fadi N. Joudi
Keyword(s):  
Case Report ◽  
Partial Nephrectomy ◽  
Renal Mass ◽  
Chain Fatty Acid ◽  
Review Of The Literature ◽  
Open Partial Nephrectomy ◽  
Acid Diet ◽  
Fluid Analysis ◽  
Surgical Options ◽  
Ureteral Stenting

We report a case of 61-year-old male who presented with chyluria after partial nephrectomy. During workup for appendicitis, an incidental exophytic renal mass was revealed on CT scan. The patient ultimately underwent uncomplicated open partial nephrectomy. Postoperatively, his JP drain output turned milky white with urine remaining clear. JP fluid analysis was consistent with lymph. At 3 weeks postsurgery, his drain output decreased, but his urine turned milky white. Urinalysis confirmed fat in the urine. CT imaging revealed chyloma/urinoma with extravasation. The patient was initially treated conservatively, with a medium-chain fatty acid diet and then ureteral stenting. His stent was eventually removed and his chlyuria resolved 14 weeks later.In nonendemic countries, nonparasitic chyluria is exceedingly rare and postsurgical chyluria even more so. We review the sequelae of untreated disease and surgical options for intractable chyluria not responsive to conservative management.In non-endemic countries, non-parasitic chyluria is exceedingly rare, and post surgical chyluria even more so. We review the sequelae of untreated disease and surgical options for intractable chyluria not responsive to conservative management.

scholarly journals Gelatin sponge (Spongostan®) and N-butyl-2-cyanoacrylate: Utility on percutaneous treatment of persistent urinary leakage after partial nephrectomy. Case report and review of the literature

2020 ◽  
Vol 92 (3) ◽  
Author(s):  
Bernardino De Concilio ◽  
Francesca Vedovo ◽  
Maria Carmen Mir ◽  
Tommaso Silvestri ◽  
Andrea Casarin ◽  
...  
Keyword(s):  
Case Report ◽  
Partial Nephrectomy ◽  
Invasive Procedure ◽  
Percutaneous Treatment ◽  
Urinary Fistula ◽  
Gelatin Sponge ◽  
Review Of The Literature ◽  
Percutaneous Embolization ◽  
Non Invasive ◽  
Urinary Leakage

Introduction: Percutaneous treatment of persistent urinary fistula after partial nephrectomy using N-butyl-2-cyanoacrylate and gelatin sponge (Spongostan®) is an effective and relatively non-invasive procedure that should be considered when a conservative approach fails. Three successful cases of percutaneous embolization by using N-butyl-2-cyanoacrylate have been reported in the literature. To our knowledge, the use of Spongostan for the treatment of urinary fistula after partial nephrectomy has not been previously described. Case report: We present the case of an 82-year old man who underwent percutaneous closure of a urinary fistula following partial nephrectomy by using gelatin sponge (Spongostan®) and N-butyl-2-cyanoacrylate.Conclusions: We encourage the use of this technique in selected cases. Collaboration amongst urologists and skilled interventional radiologist is strongly recommended.

scholarly journals Renal Paraganglioma: Report of a Case Managed by Robotic Assisted Laparoscopic Partial Nephrectomy and Review of the Literature

2014 ◽  
Vol 2014 ◽  
pp. 1-6
Author(s):  
Burak Bahar ◽  
Stefan E. Pambuccian ◽  
Gopal N. Gupta ◽  
Güliz A. Barkan
Keyword(s):  
Partial Nephrectomy ◽  
Rare Case ◽  
Renal Mass ◽  
Clinical Presentation ◽  
Laparoscopic Partial Nephrectomy ◽  
Review Of The Literature ◽  
Robotic Assisted

We describe the pathological and clinical presentation of a rare case of renal paraganglioma occurring as an incidental left renal mass in a 58-year-old woman. The patient underwent robotic assisted laparoscopic partial nephrectomy, which is the first one in the literature.

Page Kidney Phenomenon Presenting as Acute Renal Failure after Partial Nephrectomy: A Case Report and Review of the Literature

2008 ◽  
Vol 80 (4) ◽  
pp. 440-443 ◽  
Author(s):  
Jason John ◽  
Siân Allen ◽  
Matthew Perry ◽  
Hitendra R.H. Patel ◽  
Tim O’Brien
Keyword(s):  
Renal Failure ◽  
Acute Renal Failure ◽  
Case Report ◽  
Partial Nephrectomy ◽  
Review Of The Literature ◽  
Page Kidney

scholarly journals Open partial nephrectomy - Case report and review of literature on stage T2 tumors

2018 ◽  
Vol 6 (5) ◽  
pp. 157-160
Author(s):  
Saulo da Cunha Recuero ◽  
Túlio Agresta ◽  
Piltcher da Silva Rodrigo ◽  
Matheus Bernardon Morillos ◽  
Sabino Junior
Keyword(s):  
Case Report ◽  
Partial Nephrectomy ◽  
Review Of Literature ◽  
Open Partial Nephrectomy

ROLE OF R.E.N.A.L NEPHROMETRY IN PREDICTING TUMOR HISTOLOGY AND GRADE OF RENAL MASS.

2019 ◽  
Vol 3 (11) ◽  
Author(s):  
Dr. Manu Gupta
Keyword(s):  
Partial Nephrectomy ◽  
Renal Mass ◽  
Clear Cell ◽  
Research Centre ◽  
Open Partial Nephrectomy ◽  
Fuhrman Grade ◽  
Nephrometry Score ◽  
Tumor Histology ◽  
Papillary Rcc

Background: The R.E.N.A.L.(radius, exophytic/endophytic properties, nearness of tumor to the collecting systemor sinus in mm, anterior/posterior location relative to polar lines) nephrometry scoring system was recently introduced as an objective reproducible means to describe salient renal tumor anatomy. Objective of this study is to evaluate the role of R.E.N.A.L. Nephrometry score in predicting tumor histology and grade.  Methods: It is a prospective study carried out in Lilawati Hospital and Research Centre, a tertiary care centre consisting of 40 patients including male and female who had T1 renal mass.  Preoperative R.E.N.A.L. Nephrometry scoring  done for every patient and after treatment (Open Partial Nephrectomy, Laproscopic partial Nephrectomy, Radical Nephrectomy)  tumor sent for histopathology to predict tumor histology and grade for solid renal mass. Results: Clear cell histology also increased with R.E.N.A.L score, from 2/6 (33.3%) in patients with low R.E.N.A.L scores ( 4–6) up to 15/17 (88.24%) for patients with high R.E.N.A.L scores( 10–12) . Conversely, the probability of the potentially more indolent papillary RCC decreased with increasing lesion complexity (from 66.67% in low score to 11.76% in moderate score).The Fuhrman grade is an important prognostic indicator for RCCs. In our study Fuhrman grade 1 tumours represented 4/40 (66.7%) low and 2(13%)high- complexity lesions . Conversely, there is no grade 3 lesion in low score (0.0%) compared with 5/40 (33.3%%) moderate complexity lesions, respectively showing more the nephrometry score higher will be Fuhrman grade. Conclusions: Proportion with 
clear cell histology also increases with R.E.N.A.L score and the probability of the potentially more indolent papillary RCC decreased with increasing lesion complexity. The Fuhrman grade also increases with increase in nephrometry score Keywords:  R.E.N.A.L  Nephrometry score, Fuhrman grade, Tumor histology

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