scholarly journals Primary Obstructive Megaureter with Giant Ureteral Stone: A Case Report

2013 ◽  
Vol 2013 ◽  
pp. 1-3
Author(s):  
Abdullah Demirtaş ◽  
Nurettin Şahin ◽  
Emre Can Akınsal ◽  
Oguz Ekmekçioğlu ◽  
Atila Tatlışen
Keyword(s):  
Ureteral Stone ◽  
Flank Pain ◽  
Pelvic Bone ◽  
Voiding Cystourethrogram ◽  
Intravenous Pyelography ◽  
X Ray ◽  
Obstructive Megaureter ◽  
Psoas Hitch ◽  
Left Nipple ◽  
Collecting System

A 19-year-old male patient was admitted with flank pain, which had lasted intermittently for four years. In X-ray, there was a radiopacity with a dimension of 6 × 4 cm on the left pelvic bone. Intravenous pyelography revealed a huge left megaureter with a stone in the lower end and grade V hydronephrosis. A left ureterolithotomy, left nipple ureteroneocystostomy, and psoas hitch operation was performed. A voiding cystourethrogram taken three months after the operation showed no reflux, and in IVP there was reduced dilatation of the collecting system when compared to the ureter before the operation.

scholarly journals Unilateral complete ureteral duplication with distal ureteral stone: A rare entity

2013 ◽  
Vol 7 (7-8) ◽  
pp. 511 ◽  
Author(s):  
Ayhan Karakose ◽  
Ozgu Aydogdu ◽  
Yusuf Ziya Atesci
Keyword(s):  
Urinary Bladder ◽  
Ureteral Stone ◽  
Flank Pain ◽  
Rare Entity ◽  
Ureteral Duplication ◽  
Mesonephric Duct ◽  
Distal Ureteral Stone

Complete duplex ureters opening separately into the urinary bladder is extremely rare; they can be embryologically explained as a development of two ureteral buds separately from a single mesonephric duct. We describe a case of unilateral complete ureteral duplication with distally localized ureteral stone in a 49-year-old male who presented with right flank pain.

scholarly journals Modified Whitaker test: a novel diagnostic for nephroptosis

2020 ◽  
Vol 13 (4) ◽  
pp. e235108
Author(s):  
Ralph Grauer ◽  
Mikel Gray ◽  
Noah Schenkman
Keyword(s):  
Emergency Department ◽  
Ct Scan ◽  
Renal Colic ◽  
Flank Pain ◽  
Voiding Cystourethrogram ◽  
Diuretic Renography ◽  
Initial Work ◽  
Whitaker Test ◽  
Contrast Ct ◽  
Work Up

A 77-year-old woman presented with right flank pain radiating to the ipsilateral groin and associated nausea, consistent with renal colic. In the emergency department, a non-contrast CT scan revealed severe right-sided hydronephrosis but failed to demonstrate a calculus or ureteropelvic obstruction. The patient improved with fluids and followed up with a community urologist. Initial work-up with cystoscopy and ureteroscopy, voiding cystourethrogram and diuretic renography failed to deduce a diagnosis. At our hospital, we used a modified dynamic (supine and upright) Whitaker test in a novel fashion to diagnose nephroptosis, a rare hypermobility condition of the kidney.

scholarly journals Foreign body in the heart muscle

1929 ◽  
Vol 25 (2) ◽  
pp. 230-230
Author(s):  
N. Vylegzhanin
Keyword(s):  
Foreign Body ◽  
Left Lung ◽  
Posterior Wall ◽  
Moderate Increase ◽  
X Rays ◽  
X Ray ◽  
Chest Cavity ◽  
The Third ◽  
Sixth Intercostal Space ◽  
Left Nipple

Hunter, Staub and Lunsford (Arch, of path. A. Lab. Med., Vol. 6, No. 5, 1928) observed a case when a patient with depressive-manic psychosis for the purpose of suicide introduced through the skin of the sixth intercostal space along the left nipple line an aluminum tube from the mouthpiece, 8.9 cm long, and 4 mm in diameter. Within two days, there were no subjective or objective symptoms, and only starting from the third day there was a moderate increase in temperature and an increase in pulse and respiration, which lasted until death, which occurred only on the 9th day, suddenly for 10 with the phenomena of sharp cyanosis , increased heart rate and respiration. An intravital X-ray examination did not reveal any foreign body in either the chest cavity or the heart. An autopsy showed that the tube passed over the apex of the heart through the wall of the left ventricle into its cavity and from there, through the posterior wall, entered into the left lung. There was a slight hemorrhage in the cardiac shirt and fresh fibrinous pericarditis. The authors explain the negative X-ray study by the light permeability of aluminum for all rays, with the exception of the shortest X-rays.

PEMERIKSAAN STATIC FLUID MAGNETIC RESONANCE UROGRAPHY PADA ANAK DENGAN DUGAAN OBSTRUKSI TRAKTUS URINARIUS

2020 ◽  
Vol 4 (1) ◽  
pp. 37-42
Author(s):  
Nydia Rusli ◽  
Bambang Soeprijanto ◽  
Indrastuti Normahayu
Keyword(s):  
Urinary Tract ◽  
Magnetic Resonance ◽  
Obstructive Uropathy ◽  
Contrast Material ◽  
Three Dimensional ◽  
Voiding Cystourethrogram ◽  
Magnetic Resonance Urography ◽  
Dimensional Reconstruction ◽  
Static Fluid ◽  
Collecting System

Background : Static fluid Magnetic Resonance Urography (MRU) treats the urinary tract as a static column of fluid, using one of a variety of T2-weighted sequences that exploit the long T2 relaxation time of urine. It does not require the excretion of contrast material and is therefore useful for demonstrating the collecting system and ureter of an obstructed urinary tract. Static fluid MRU provides good morphology visualization and multiplanar three-dimensional reconstruction capability. Aim of study : To display the excellence of static fluid MRU in visualization of dilatated urinary tract segments in pediatric cases with suspectedurinary obstruction. Methods : Nine pediatric patients with suspected obstructive uropathy (as suggested by ultrasound) were included in this case study. The examinations were performed with 1.5T MR scanners using static fluid T2-weighted MRU sequence. Ultrasound examinations were done forall patients. Voiding cystourethrogram was done for 3 patients. Results : Eight studied patients had dilated collecting systems. Static fluid MRU can provide detailed structural assessment of dilatatedcollecting systems. It was superior to ultrasound in evaluation of obstructive double collecting system, ureteral ectopia, ureteral obstructionand massive hydroureteronephrosis.

Frequency of urinary tract infection in children with antenatal diagnosis of urinary tract dilatation

2019 ◽  
Vol 105 (3) ◽  
pp. 260-263 ◽  
Author(s):  
Marco Pennesi ◽  
Stefano Amoroso ◽  
Giulia Bassanese ◽  
Stefano Pintaldi ◽  
Giulia Giacomini ◽  
...  
Keyword(s):  
Urinary Tract ◽  
Antibiotic Prophylaxis ◽  
Risk Group ◽  
Voiding Cystourethrogram ◽  
Urinary Tract Dilatation ◽  
Increased Risk ◽  
Tract Infections ◽  
Collecting System ◽  
Urinary Collecting System

BackgroundNeonates with congenital urinary tract dilatation (UTD) may have an increased risk of urinary tract infections (UTI). At present, the management of these patients is controversial and the utility of continuous antibiotic prophylaxis (CAP) remains uncertain as the literature presents contradicting evidence. The aim of this observational study was to assess UTI occurrence in children with prenatal diagnosis of urinary collecting system dilatation without antibiotic prophylaxis.MethodsBetween June 2012 and August 2016, we evaluated the incidence of UTI and the clinical and ultrasonography evolution in 407 children with a prenatally diagnosed UTD. All subjects underwent two prenatal ultrasounds scans (USs) at 20 weeks and 30 weeks of gestation and within 1 month of birth. Patients with a confirmed diagnosis of UTD underwent US follow-up at 6, 12 and 24 months of life. According to the UTD classification system stratify risk, after birth UTD were classified into three groups: UTD-P1 (low risk group), UTD-P2 (intermediate risk group), and UTD-P3 (high risk group). Voiding cystourethrogram was performed in all patients who presented a UTI and in those with UTD-P3. No patient underwent CAP.ResultsPostnatal US confirmed UTD in 278 out of 428 patients with the following rates: UTD-P1 (126), UTD-P2 (95) and UTD-P3 (57). During postnatal follow-up, 6.83% patients presented a UTI (19 out of 278). Eleven out of 19 had vesicoureteral reflux (VUR), and other four were diagnosed with obstructive uropathy and underwent surgical correction. Five patients presented a UTI reinfection.ConclusionThe occurrence of UTI in patients with urinary collecting system dilatation was low. The recent literature reports an increased selection of multirestistant germs in patients with VUR exposed to CAP. This study constitutes a strong hint that routine continuous antibiotic prophylaxis could be avoided in patients with UTD.

scholarly journals A Case of Urinary Sepsis Secondary to Streptococcus sanguinis

2019 ◽  
Vol 2019 ◽  
pp. 1-3
Author(s):  
Ashley Reuter ◽  
Ashley Heyman ◽  
Benjamin Stockton ◽  
David Kraklau ◽  
Michael S. Wang
Keyword(s):  
Computed Tomography ◽  
Ureteral Stone ◽  
Laboratory Data ◽  
Complete Recovery ◽  
Blood Cultures ◽  
Flank Pain ◽  
Transesophageal Echocardiogram ◽  
Streptococcus Sanguinis ◽  
History Of ◽  
Urinary Sepsis

We report a case of a 71-year-old male with a history of BPH who presented with flank pain, fever, chills, abdominal pain, and nausea. He had a dental cleaning 1 month prior to admission and flosses daily. Laboratory data revealed both urine and blood cultures to be positive for streptococcus sanguinis. Computed tomography revealed a 10 mm right ureteral stone, and an ultrasound demonstrated moderate right hydronephrosis. He underwent an ureteroscopy with stent placement. A transesophageal echocardiogram was negative for endocarditis. He completed 2 weeks of IV ceftriaxone and made a complete recovery.

scholarly journals Symptomatic Infundibulopelvic Dysgenesis in an Adolescent

2015 ◽  
Vol 2015 ◽  
pp. 1-4
Author(s):  
Daniel Pitts ◽  
David Chalmers ◽  
Brian Jumper
Keyword(s):  
Complete Resolution ◽  
Left Kidney ◽  
Rare Condition ◽  
Renal Calculi ◽  
Flank Pain ◽  
Pelvicalyceal System ◽  
Retrograde Pyelogram ◽  
History Of ◽  
The Right ◽  
Collecting System

Infundibulopelvic dysgenesis is a rare condition characterized by congenital malformation of the pelvicalyceal system. We present the case of an 18-year-old boy with chronic intermittent right flank pain and cystic dilation with parenchymal thinning on ultrasonography. The left kidney was normal. The patient denied dysuria, constipation, and history of UTIs or renal calculi. Cystoscopy with retrograde pyelogram showed marked stenosis of the right pelvicalyceal system and anatomy unfavorable to stenting. The patient’s symptoms were unresponsive to conservative management. Reconstruction of the right collecting system was unsuccessful and a simple nephrectomy was performed, which led to complete resolution of his symptoms.

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