scholarly journals Right Hydronephrosis as a Complication of Acute Appendicitis

2016 ◽  
Vol 2016 ◽  
pp. 1-3
Author(s):  
Selahattin Koray Okur ◽  
Yavuz Savaş Koca ◽  
İhsan Yıldız ◽  
İbrahim Barut
Keyword(s):  
Urinary Tract ◽  
Acute Appendicitis ◽  
Antibiotic Therapy ◽  
Acute Abdomen ◽  
Delayed Diagnosis ◽  
Scoring Systems ◽  
Pelvic Abscess ◽  
Diagnostic Process ◽  
Abdominal Ultrasonography ◽  
Tract Infections

Introduction. Acute appendicitis is the most common cause of acute abdomen, but atypical appendicitis may lead to delayed diagnosis and related complications. In this report, we present a very rare case of acute appendicitis causing right hydronephrosis.Case Report. A 54-year-old male patient who had been receiving antibiotic therapy due to the diagnosis of urinary tract infection for the last one week but had no clinical improvement was admitted to the emergency service. Abdominal computed tomography (CT) showed right hydronephrosis and a pelvic abscess. After appendectomy and abscess drainage had been performed, hydronephrosis was completely recovered.Discussion. The use of appendicitis scoring systems, abdominal ultrasonography (USG), abdominal CT, and diagnostic laparoscopy can be useful for the diagnostic process in patients presenting with acute abdomen. In our patient, we considered that the surgical treatment was delayed since the symptoms of acute appendicitis were suppressed by the antibiotic therapy that was being administered due to the complaints including symptoms of urinary tract infections.Conclusion. Atypical appendicitis may cause a delay in the diagnosis of acute appendicitis and thus may lead to serious complications such as right hydronephrosis, prolonged hospital stay, increased morbidity and mortality, and increased antibiotic resistance.

Obstetric and Gynecologic Issues Related to Infectious Diseases

2012 ◽  
pp. 464-484
Author(s):  
Kristi L. Boldt
Keyword(s):  
Urinary Tract ◽  
Antibiotic Therapy ◽  
Urinary Tract Infections ◽  
Antimicrobial Therapy ◽  
Placental Transfer ◽  
Serum Levels ◽  
Common Complication ◽  
Excretion In Milk ◽  
Tract Infections ◽  
Preterm Rupture Of Membranes

Infection is the most common complication during pregnancy and the postpartum period. Choices are limited for antibiotic therapy are limited. One must take into account the effect of pregnancy on serum levels, distribution of antibiotics, placental transfer, the fetus, the newborn, excretion in milk, the breast-feeding infant. Antimicrobial therapy is selected on the basis of experience and guidelines. Diagnosis and treatment of urinary tract infections, bacterial vaginosis, preterm labor, preterm rupture of membranes, intra-amniotic infection, and major perinatal and puerperal infections are reviewed.

scholarly journals Quality of the diagnostic process in patients presenting with symptoms suggestive of bladder or kidney cancer: a systematic review

BMJ Open ◽  
2019 ◽  
Vol 9 (10) ◽  
pp. e029143 ◽  
Author(s):  
Yin Zhou ◽  
Marije van Melle ◽  
Hardeep Singh ◽  
Willie Hamilton ◽  
Georgios Lyratzopoulos ◽  
...  
Keyword(s):  
Systematic Review ◽  
Urinary Tract ◽  
Kidney Cancer ◽  
Cancer Diagnosis ◽  
Data Extraction ◽  
Diagnostic Delay ◽  
Diagnostic Process ◽  
Tract Infections ◽  
Sex Disparity

ObjectivesIn urological cancers, sex disparity exists for survival, with women doing worse than men. Suboptimal evaluation of presenting symptoms may contribute.DesignWe performed a systematic review examining factors affecting the quality of the diagnostic process of patients presenting with symptoms of bladder or kidney cancer.Data sourcesWe searched Medline, Embase and the Cochrane Library from 1 January 2000 to 13 June 2019.Eligible criteriaWe focused on one of the six domains of quality of healthcare: timeliness, and examined the quality of the diagnostic process more broadly, by assessing whether guideline-concordant history, examination, tests and referrals were performed. Studies describing the factors that affect the timeliness or quality of the assessment of urinary tract infections, haematuria and lower urinary tract symptoms in the context of bladder or kidney cancer, were included.Data extraction and synthesisData extraction and quality assessment were independently performed by two authors. Due to the heterogeneity of study design and outcomes, the results could not be pooled. A narrative synthesis was performed.Results28 studies met review criteria, representing 583 636 people from 9 high-income countries. Studies were based in primary care (n=8), specialty care (n=12), or both (n=8). Up to two-thirds of patients with haematuria received no further evaluation in the 6 months after their initial visit. Urinary tract infections, nephrolithiasis and benign prostatic conditions before cancer diagnosis were associated with diagnostic delay. Women were more likely to experience diagnostic delay than men. Patients who first saw a urologist were less likely to experience delayed evaluation and cancer diagnosis.ConclusionsWomen, and patients with non-cancerous urological diagnoses just prior to their cancer diagnosis, were more likely to experience lower quality diagnostic processes. Risk prediction tools, and improving guideline ambiguity, may improve outcomes and reduce sex disparity in survival for these cancers.

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