scholarly journals Spontaneous Pelvic Rupture as a Result of Renal Colic in a Patient with Klinefelter Syndrome

2013 ◽  
Vol 2013 ◽  
pp. 1-4 ◽  
Author(s):  
Sergey Reva ◽  
Yuri Tolkach
Keyword(s):  
Computed Tomography ◽  
Renal Pelvis ◽  
Renal Colic ◽  
Klinefelter Syndrome ◽  
Intravenous Contrast ◽  
Left Ureter ◽  
Ureteric Stent ◽  
Urine Extravasation ◽  
Collecting System

We present the case of a young man with Klinefelter syndrome, who was admitted to our clinic with renal colic. Shortly after admittance, spontaneous decrease in pain has occurred. Ultrasound and intravenous contrast computed tomography were performed, which showed the evidence of urine extravasation at the level of left renal pelvis and a 4 mm stone in the lower third of the left ureter. The management with a double-J ureteric stent for three weeks was successful. Then, the stent was removed and computed tomography confirmed the absence of urine extravasation. We also analyze the literature related to this case and discuss the main mechanisms of collecting system rupture.

scholarly journals Bilateral triple renal pelvis: A case report

2015 ◽  
Vol 72 (2) ◽  
pp. 185-187 ◽  
Author(s):  
Tomislav Pejcic ◽  
Miodrag Acimovic ◽  
Zoran Dzamic ◽  
Helena Maksimovic ◽  
Biljana Markovic ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Renal Pelvis ◽  
Bladder Tumor ◽  
Incidental Finding ◽  
Intravenous Urography ◽  
Unique Case ◽  
Rare Variation ◽  
Computed Tomography Urography ◽  
Collecting System

Introduction. Triple renal pelvis is an extremely rare variation of the renal collecting system. To the authors? knowledge, bilateral triple renal pelvis has not yet been described in the literature. Case report. A 55-year-old man was hospitalized due to papillary bladder cancer, detected on ultrasonography. As incidental finding, intravenous urography revealed bilateral triple renal pelvis. Six weeks after transurethral resection of the bladder tumor (TURB) the patient was admitted again, for the second TURB. Computed tomography- urography confirmed the presence of bilateral triple renal pelvis. Conclusion. The unique case of bilateral triple renal pelvis was presented as an extremely rare variation of the renal collecting system.

Obstructive uropathy in the context of ureteroinguinal hernia: experience of challenges in surgical management of an unwell patient

2020 ◽  
Vol 13 (8) ◽  
pp. e235060
Author(s):  
Mitchell Egerton Barns ◽  
Arvind Vasudevan ◽  
Emma Lucy Marsdin
Keyword(s):  
Obstructive Uropathy ◽  
Anatomical Variation ◽  
Surgical Patients ◽  
Definitive Treatment ◽  
Ureteric Stent ◽  
Common Presentation ◽  
Iatrogenic Damage ◽  
Vesicoureteric Junction ◽  
Collecting System

This case exemplifies an unusual anatomical variation of a common presentation and highlights the importance of perioperative diagnosis and planning in complex surgical patients. A 72-year-old comorbid man presented to the emergency department with an infected obstructed right kidney secondary to an obstructing 12 mm vesicoureteric junction calculi. However, imaging also showed concurrent ureteroinguinal hernia associated with a 130 cm-long ureter, too long for conventional treatment with a ureteric stent. Acutely, the patient’s collecting system was decompressed via nephrostomy, but due to the rarity of this anatomical variation, definitive treatment had to be rethought to help reduce the risk of iatrogenic damage and the associated long-term complications.

scholarly journals Implications of Changing from Intravenous Urography to Computed Tomography as the Primary Imaging Modality for Acute Renal Colic

2013 ◽  
Vol 95 (2) ◽  
pp. 1-4
Author(s):  
SP McCombie ◽  
BW Turney ◽  
AM Rogers ◽  
IJ Lau ◽  
SPV Kumar
Keyword(s):  
Computed Tomography ◽  
Renal Impairment ◽  
Renal Colic ◽  
Imaging Modality ◽  
Intravenous Urography ◽  
Contrast Reaction ◽  
Acute Renal Colic ◽  
Unenhanced Computed Tomography ◽  
Higher Sensitivity

Several studies have shown that unenhanced computed tomography (CT), while having a similar specificity to intravenous urography (IVU) for detecting ureterolithiasis, has a much higher sensitivity. CT is also more effective in identifying alternative pathologies and is known to be a much quicker investigation to perform. Additionally, CT can be used in patients with renal impairment and carries no risk of contrast reaction.

scholarly journals Risk of acute kidney injury after contrast-enhanced computed tomography in emergency department

2020 ◽  
pp. 102490792091339
Author(s):  
Seda Dağar ◽  
Emine Emektar ◽  
Hüseyin Uzunosmanoğlu ◽  
Şeref Kerem Çorbacıoğlu ◽  
Özge Öztekin ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Emergency Department ◽  
Acute Kidney Injury ◽  
Intensive Care ◽  
Contrast Media ◽  
Kidney Injury ◽  
Intravenous Contrast ◽  
Contrast Enhanced ◽  
Enhanced Computed Tomography ◽  
Contrast Enhanced Computed Tomography

Background: Despite its risks associated with renal injury, intravenous contrast media increases diagnostic efficacy and hence the chance of early diagnosis and treatment, which leaves clinicians in a dilemma regarding its use in emergency settings. Objective: The aim of this study was to determine the risk and predictors of contrast-induced acute kidney injury following intravenous contrast media administration for computed tomography in the emergency department. Methods: All patients aged 18 years and older who had a basal creatinine measurement within the last 8 h before contrast-enhanced computed tomography and a second creatinine measurement within 48–72 h after computed tomography scan between 1 January 2015 and 31 December 2017 were included in the study. Characteristics of patients with and without contrast-induced acute kidney injury development were compared. Multivariate regression analysis was used to assess the predictors for contrast-induced acute kidney injury. Results: A total of 631 patients were included in the final statistical analysis. After contrast media administration, contrast-induced acute kidney injury developed in 4.9% ( n = 31) of the patients. When the characteristics of patients are compared according to the development of contrast-induced acute kidney injury, significant differences were detected for age, initial creatinine, initial estimated glomerular filtration rate, and all acute illness severity indicators (hypotension, anemia, hypoalbuminemia, and need for intensive care unit admission). A multivariate logistic regression analysis was performed. The need for intensive care unit admission (odds ratio: 6.413 (95% confidence interval: 1.709–24.074)) and hypotension (odds ratio: 5.575 (95% confidence interval: 1.624–19.133)) were the main factors for contrast-induced acute kidney injury development. Conclusion: Our study results revealed that hypotension, need for intensive care, and advanced age were associated with acute kidney injury in patients receiving contrast media. Therefore, we believe that to perform contrast-enhanced computed tomography in emergency department should not be decided only by checking for renal function tests and that these predictors should be taken into consideration.

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