scholarly journals An Indwelling Urethral Catheter Knotted Around a Double-J Ureteral Stent: An Unusual Complication after Kidney Transplantation

2011 ◽  
Vol 2011 ◽  
pp. 1-2
Author(s):  
E. G. Warmerdam ◽  
R. J. Toorop ◽  
A. C. Abrahams ◽  
P. Berger
Keyword(s):  
Risk Factors ◽  
Kidney Transplantation ◽  
Rare Case ◽  
Case Reports ◽  
Rare Complication ◽  
Urethral Catheter ◽  
Ureteral Stent ◽  
Unusual Complication ◽  
Urethral Catheterization ◽  
Common Procedure

Urethral catheterization is a common procedure with a relatively low complication rate. Knotting of an indwelling urethral catheter is a very rare complication, and there are only a few case reports on knotted catheters, most of them concerning children. We report an especially rare case where a urethral catheter formed a knot around a double-J ureteral stent after a kidney transplantation. We will discuss the various risk factors for knotting of a catheter and the methods to untangle a knot.

scholarly journals Enterovesical Fistula: A Rare Complication of Urethral Catheterization

2009 ◽  
Vol 2009 ◽  
pp. 1-3 ◽  
Author(s):  
Amr Hawary ◽  
Laurence Clarke ◽  
Alasdair Taylor ◽  
Peter Duffy
Keyword(s):  
Rare Complication ◽  
Bladder Wall ◽  
Urethral Catheter ◽  
Unusual Complication ◽  
Urethral Catheterization ◽  
Enterovesical Fistula ◽  
History Of ◽  
Muscle Invasive ◽  
Tract Infections

This report describes the case of an eighty-two-year old lady with an indwelling urethral catheter inserted eight years prior to her presentation to manage her urinary incontinence. She underwent radiotherapy for muscle-invasive bladder cancer (stage T2b) in 1991 and had a laparotomy and drainage of an appendicular abscess in her early twenties. She presented with a short history of fecaluria, pneumaturia, and passage of urine per rectum. On laparotomy she was found to have an inflated catheter balloon that has eroded through the bladder wall into the lumen of a terminal ileal segment. To our knowledge this is the first reported case in literature of a patient developing an enterovesical fistula as a result of a urethral catheter eroding through the bladder wall into the bowel lumen. There are numerous known complications of long-term urethral catheterization. They include recurrent urinary tract infections, recurrent pyelonephritis, sepsis, urethral stricture, blocked and retained catheters, among many other reported complications. This case describes an unusual presentation secondary to an even more unusual complication. This should be considered when handling patients with indwelling urethral catheters inserted in unhealthy bladders.

Unusual Complication of the Nuss Procedure: Fistulization of the Internal Thoracic Artery to the Pulmonary Artery

2017 ◽  
Vol 11 (4) ◽  
pp. NP44-NP46 ◽  
Author(s):  
Michael C. Mongé ◽  
David Wax ◽  
Katherine Barsness
Keyword(s):  
Pulmonary Artery ◽  
Pectus Excavatum ◽  
Rare Case ◽  
Internal Thoracic Artery ◽  
Case Reports ◽  
Unusual Complication ◽  
Nuss Procedure ◽  
Cardiac Perforation ◽  
Life Threatening ◽  
Transcatheter Coil Embolization

Although minimally invasive repair of pectus excavatum has been shown to have a low complication rate in large series, several case reports have documented life-threatening complications, including bleeding and cardiac perforation. We present a rare case of an arteriovenous malformation from the internal thoracic artery to the pulmonary artery caused by occlusion of the internal thoracic artery by the Nuss bar followed by an unidentified angiogenic process. The patient became symptomatic and required transcatheter coil embolization.

scholarly journals Right hepatic artery injury: an unusual complication of penetrated duodenal ulcer disease

2017 ◽  
Vol 4 (6) ◽  
pp. 2063
Author(s):  
Francisco Terrazas Espitia ◽  
David Molina Dávila ◽  
Alberto Manuel González Chávez ◽  
José Manuel Gómez López ◽  
Louis Francois De Giau Triulzi
Keyword(s):  
Duodenal Ulcer ◽  
Hepatic Artery ◽  
Surgical Management ◽  
Case Reports ◽  
Rare Complication ◽  
Endoscopic Management ◽  
Haemodynamic Instability ◽  
Unusual Complication ◽  
Peptic Ulcers ◽  
Right Hepatic Artery

Peptic ulcers generally appear in the stomach and the first segment of the duodenum as a result of mucosal erosion caused by pepsin and gastric acid secretion, with up to 70% of these occurring amongst patients aged 25-64. Currently, endoscopic procedures combined with proton pump inhibitors are considered the gold standard for managing complicated peptic ulcers, leaving surgical management as an option for endoscopic management failure or in scenarios such as incoercible bleeding, perforation, penetration and intestinal occlusion. Penetration of a gastric ulcer to adjacent organs is a rare complication; penetration to the liver and endoscopic diagnosis is even rarer. We have presented the case of a 54 year old diabetic male, who presented to the emergency room with upper gastrointestinal bleeding due to a chronic duodenal ulcer, with haemodynamic instability, requiring surgical management, revealing penetration to the liver with rupture of the right hepatic artery. The patient successfully recovered after surgery and was discharged 7 days after surgical intervention. We did not find any similar case reports in the current literature

scholarly journals Tracheoinnominate Artery Fistula Post Tracheostomy: A case report and literature review

2019 ◽  
Vol 3 (4) ◽  
pp. 238
Author(s):  
Amy O ◽  
Ram Kumar Sharma Shanmugam ◽  
Nik MohdYunus ◽  
Jo-Lynn Jean D’Oliveiro ◽  
Zakinahbt Yahaya ◽  
...  
Keyword(s):  
Risk Factors ◽  
Case Report ◽  
Rare Case ◽  
Late Complication ◽  
Health Sciences ◽  
Massive Bleeding ◽  
Common Procedure ◽  
Multiple Risk Factors ◽  
Life Saving ◽  
Salvage Neck Dissection

Tracheostomy is a common procedure in otorhinolaryngology and it is not without its own complications. Tracheoinnominate artery fistula is one of the late complication of tracheostomy. It commonly results in fatality if not detected and treated early. Herein, we present a rare case of a patient with underlying nasopharyngeal carcinoma post radiotherapy, cryotherapy and salvage neck dissection with tracheoinnominate artery fistula as a consequence of tracheostomy who defied statistics and was successfully stented. Objective of this case report is to create awareness regarding the differential diagnosis of massive bleeding from tracheostomy and immediate life saving measures the can be undertakenin addition to theneed to be vigilant in a patient with multiple risk factors that predisposes to the occurrence of tracheoinnominate artery fistula.International Journal of Human and Health Sciences Vol. 03 No. 04 October’19 Page : 238-240

Intramuscular Migration of Venous Catheter as a Rare Complication of Ventriculoatrial Shunt: Case Report and Literature Review

2017 ◽  
Vol 78 (04) ◽  
pp. 412-416 ◽  
Author(s):  
Cheng-Che Hung ◽  
Hao-Yu Chuang ◽  
Hung-Lin Lin ◽  
Yen-Tse Chu ◽  
Cheng Cheng
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Rare Case ◽  
Rare Complication ◽  
Venous Catheter ◽  
Ventriculoatrial Shunt ◽  
Atrial Thrombus ◽  
Common Procedure ◽  
Shunt Implantation ◽  
Ventriculopleural Shunt

AbstractThe most common procedure to manage hydrocephalus is a ventriculoperitoneal shunt. Other alternatives include a ventriculoatrial (VA) shunt, ventriculopleural shunt, lumboperitoneal shunt, or ventriculocisternal shunt. The VA shunt is a relatively rare procedure for hydrocephalus. As reported, several complications of VA shunt include obstructions, malposition, shunt infections, endocarditis, heart failure, tricuspid regurgitation, intra-atrial thrombus, and pulmonary hypertension. In this case report and literature review, we discuss a rare case of intramuscular migration of a venous tube 1 year after VA shunt implantation. We also report all the possible locations of migration after placement of VA shunt.

scholarly journals Aorto-Right Ventricular Shunt after TAVR: Rare Complication of Common Procedure

2017 ◽  
Vol 2017 ◽  
pp. 1-3
Author(s):  
Abdelkader Almanfi ◽  
Ahmad Qurie ◽  
Neil Strickman
Keyword(s):  
Aortic Valve ◽  
Aortic Valve Replacement ◽  
Right Ventricular ◽  
Valve Replacement ◽  
Clinical Course ◽  
Case Reports ◽  
Rare Complication ◽  
Primary Treatment ◽  
Common Procedure ◽  
Exertional Dyspnea

Background. The primary treatment of symptomatic aortic stenosis is aortic valve replacement. Instead of open chest surgery, transcatheter aortic valve replacement (TAVR) is an alternative intervention for high-risk surgical candidates. Clinical Case. A 92-year-old male presented with progressive exertional dyspnea and recurrent syncopal attacks secondary to severe AS. The patient underwent successful transfemoral TAVR with 29 mm Edwards SAPIEN XT valve. His postoperative course was complicated by aorto-right ventricular shunt. The patient’s clinical course was followed up for one year. Conclusion. This case reports the incidence and clinical course of one of the rare complications of TAVR, aorto-right ventricular fistula. Conservative medical management is appropriate in hemodynamically stable patients with this specific complication.

scholarly journals Mortality risk factors of COVID-19 infection in kidney transplantation recipients: a systematic review and meta-analysis of cohorts and clinical registries

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Suwasin Udomkarnjananun ◽  
Stephen J. Kerr ◽  
Natavudh Townamchai ◽  
Paweena Susantitaphong ◽  
Wasee Tulvatana ◽  
...  
Keyword(s):  
Risk Factors ◽  
Systematic Review ◽  
Kidney Transplantation ◽  
Mortality Risk ◽  
Case Reports ◽  
Meta Analysis ◽  
Factors Associated ◽  
Presenting Symptoms ◽  
Risk Of Death ◽  
Published Evidence

AbstractKidney transplantation recipients (KTR) with coronavirus disease 2019 (COVID-19) are at higher risk of death than general population. However, mortality risk factors in KTR are still not clearly identified. Our objective was to systematically analyze published evidence for risk factors associated with mortality in COVID-19 KTR. Electronic databases were searched for eligible studies on 1 August 2021. All prospective and retrospective studies of COVID-19 in KTR were considered eligible without language restriction. Since data in case reports and series could potentially be subsets of larger studies, only studies with ≥ 50 patients were included. Random-effects model meta-analysis was used to calculate weighted mean difference (WMD) and pooled odds ratio (OR) of factors associated with mortality. From a total 1,137 articles retrieved, 13 were included in the systematic review and meta-analysis comprising 4,440 KTR. Compared with survivors, non-survivors were significantly older (WMD 10.5 years, 95% CI 9.3–11.8). KTR of deceased donor were at higher risk of death (OR 1.73, 95% CI 1.10–2.74). Comorbidities including diabetes mellitus, cardiovascular disease, and active cancer significantly increased mortality risk. KTR with dyspnea (OR 5.68, 95% CI 2.11–15.33) and pneumonia (OR 10.64, 95% CI 3.37–33.55) at presentation were at higher mortality risk, while diarrhea decreased the risk (OR 0.61, 95% CI 0.47–0.78). Acute kidney injury was associated with mortality (OR 3.24, 95% CI 1.36–7.70). Inflammatory markers were significantly higher in the non-survivors, including C-reactive protein, procalcitonin, and interleukine-6. A number of COVID-19 mortality risk factors were identified from KTR patient characteristics, presenting symptoms, and laboratory investigations. KTR with these risk factors should receive more intensive monitoring and early therapeutic interventions to optimize health outcomes.

Pneumoperitoneum after Virtual Colonoscopy: Causes, Risk Factors, and Management

2014 ◽  
Vol 80 (6) ◽  
pp. 549-554 ◽  
Author(s):  
Leopoldo M. Baccaro ◽  
Alexey Markelov ◽  
Jakub Wilhelm ◽  
Robert Bloch
Keyword(s):  
Risk Factors ◽  
Nonoperative Management ◽  
Virtual Colonoscopy ◽  
Case Reports ◽  
Rare Complication ◽  
Relevant Literature ◽  
Colonic Perforation ◽  
Management Options ◽  
Review Articles ◽  
Review Management

Computed tomographic virtual colonoscopy (CTVC) is a safe and minimally invasive modality when compared with fiberoptic colonoscopy for evaluating the colon and rectum. We have reviewed the risks for colonic perforation by investigating the relevant literature. The objectives of this study were to assess the risk of colonic perforation during CTVC, describe risk factors, evaluate ways to reduce the incidence complications, and to review management and treatment options. A formal search of indexed publications was performed through PubMed. Search queries using keywords “CT colonography,” “CT virtual colonoscopy,” “virtual colonoscopy,” and “perforation” yielded a total of 133 articles. A total of eight case reports and four review articles were selected. Combining case reports and review articles, a total of 25 cases of colonic perforation after CTVC have been reported. Causes include, but are not limited to, diverticular disease, irritable bowel diseases, obstructive processes, malignancies, and iatrogenic injury. Both operative and nonoperative management has been described. Nonoperative management has been proven safe and successful in minimally symptomatic and stable patients. Colonic perforation after CTVC is a rare complication and very few cases have been reported. Several risk factors are recurrent in the literature and must be acknowledged at the time of the study. Management options vary and should be tailored to each individual patient.

scholarly journals Entrapment of the Extensor Indicis Proprius Tendon after Open Reduction and Internal Fixation of Distal Ulna: Case Report and Discussion of the Diagnosis and Surgical Result

2018 ◽  
Vol 11 (03) ◽  
pp. 166-169
Author(s):  
Shao-Min Shi ◽  
Steven I. Grindel ◽  
Glenn G. Shi ◽  
Patrick J. Reardon ◽  
Dara J. Mickschl
Keyword(s):  
Internal Fixation ◽  
Open Reduction ◽  
Case Reports ◽  
Rare Complication ◽  
Deformity Correction ◽  
Cadaver Dissection ◽  
Distal Ulna ◽  
Common Procedure ◽  
Extensor Indicis Proprius ◽  
Fixation Plate

AbstractEntrapment of the extensor indicis proprius (EIP) after open reduction and internal fixation (ORIF) of the distal ulna with a plate and screw construct is rare. By literature review, we found evidence of such complication associated with distal radius fracture, but no past reports relating to the distal ulna. ORIF of the distal ulna is a common procedure for both fracture treatment and deformity correction. Due to the EIP muscle originating primarily from the dorsoradial surface of the distal ulna and the adjacent interosseous membrane, the muscle may be damaged or compressed by a fixation plate during ORIF, resulting in entrapment. We present two case reports of this rare complication, describing the method of clinical diagnosis, surgical treatment, and outcome. Our accompanying cadaver dissection provides an explanation for proper plate positioning during ORIF of the ulna to reduce the risk of EIP entrapment.

Unusual complication of colonic carcinoma: colonopleurobronchial fistula

2020 ◽  
Vol 13 (12) ◽  
pp. e237937
Author(s):  
Poonam Sherwani ◽  
Nirjhar Raj Rakesh ◽  
Sumit Kumar ◽  
Sudhir Saxena
Keyword(s):  
Inflammatory Bowel Disease ◽  
Bowel Disease ◽  
Rare Case ◽  
Rare Complication ◽  
Unusual Complication ◽  
Colonic Interposition ◽  
Faecal Material ◽  
Colonic Malignancy ◽  
Inflammatory Bowel ◽  
Underlying Pathology

Colonopleurobronchial fistula (CPBF) is a rare complication which occurs due to diversified causes. Expectoration of the faecal material is the classical clinical symptom which suggests the diagnosis. Various causes include infection of pulmonary or abdominal origin, inflammatory bowel disease, colonic malignancy, diaphragmatic hernia and colonic interposition. Crohn’s disease is the frequent underlying pathology, colonic malignancy accounts for rare cause. Due to the presence of liver in right upper quadrant, most of the fistulas are on the left side. Here we describe a rare case of a 38-year-old man presented with right-sided CPBF due to underlying colonic malignancy. Bronchial block was done, however the patient succumbed to death.

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