scholarly journals Fungal Bezoars Mimicking an Enterovesica Fistula: A Unique Case Report

2019 ◽  
Vol 13 (2) ◽  
pp. 107-109
Author(s):  
Evert Baten ◽  
An Buttiens ◽  
Lize Waumans ◽  
Linde Stessens ◽  
Ingrid Arijs ◽  
...  

Fungal colonization or infection of the urinary tract system is relatively common in patients with diabetes or a compromised immune system. However, fungal intravesical bezoars are extremely rare. We present a unique case with multiple, gas-holding fungals bezoars and emphysematous cystitis caused by Candida tropicalis.

Medicina ◽  
2019 ◽  
Vol 55 (6) ◽  
pp. 234
Author(s):  
Anna Maria Ierardi ◽  
Filippo Pesapane ◽  
Antonio Arrichiello ◽  
Federico Fontana ◽  
Filippo Piacentino ◽  
...  

Selective embolization is the treatment of choice for traumatic renal pseudoaneurysm. The use of ethylene vinyl alcohol copolymer (EVOH) was recently described as an embolic agent in peripheral lesions. The aim of a good embolic agent is to: achieve rapid and effective embolization; reach and fill distal vasculature targeted for embolization; be easy to prepare and use. Moreover, it should be highly radiopaque, controllable during administration, biocompatible and cost-effective. EVOH is a non-adhesive embolic agent and its efficacy is independent from the coagulant status. The risk of non-targeted embolization should be reduced by the good radio-opacity of the embolic material that is injected under continuous fluoroscopy. Nevertheless, symptomatic EVOH migration was described. We report a unique case of embolization of a renal pseudoaneurysm and migration of EVOH in the urinary tract. Retrograde trans-urethral removal of the migrated embolic agent was successfully performed. Our case report indicates that EVOH may not be appropriate when a fistula with renal calyx is suspected, even if its migration in the urinary tract may be managed.


2021 ◽  
Vol 20 ◽  
Author(s):  
Kusum Gandhi ◽  
Judith Jaison ◽  
Eti Mantri

Abstract The kidneys and ureters are retroperitoneal structures in the upper part of the paravertebral gutters, tilted against the structures on the sides of the lowest two thoracic and upper three lumbar vertebrae, so that their anterior and posterior surfaces face antero-laterally and postero-medially, respectively. Congenital anomalies of the urinary tract are often the underlying cause of renal pathologies; 40% of these pathological conditions are due to variations in location, shape, and size of the kidney(s), calyces, ureter, or bladder. This case report describes the presence of a unilateral non-rotated left kidney with vascular and ureter variations found during routine cadaveric dissection for medical graduates. Alterations in rotation of the kidney and its relation to structures at the hilum have great clinical significance when conducting surgical procedures like partial nephrectomy, nephron sparing surgery, and renal transplantation.


2018 ◽  
Vol 19 ◽  
pp. 52-53
Author(s):  
Ahmed Aljuhayman ◽  
Ahmed Nazer ◽  
Abdulrahman Almuhrij ◽  
Samer Ali ◽  
Ahmed Alasker ◽  
...  

2019 ◽  
Vol 2 (1) ◽  
pp. e5-e12 ◽  
Author(s):  
Adam Jones ◽  
Yih Chyn Phan ◽  
Wasim Mahmalji

The UroLift system (Teleflex Inc.) is a minimally-invasive and non-ablative technique used for the treatment of male lower urinary tract symptoms (LUTS) caused by benign prostatic hyperplasia. It has been introduced as an alternative to transurethral resection of the prostate (TURP)  to avoid any unwanted side affects such as erectile dysfunction, hospital stay and catheterisation. A 68-year old patient with bothersome LUTS and significant co-morbidities presented for consideration of UroLift to avoid the risks associated with more invasive TURP surgery. The patient had previously had an AMS 700 MS implanted penile prosthesis (IPP) inserted for erectile dysfunction refractory to medical therapy. To the authors best knowledge, there have been no reports or published literature on the use of the UroLift device to treat male LUTS in the presence of an IPP. This case report aims to present  this unique case and discuss operative technique for use of the UroLift device in the presence of an IPP.


2015 ◽  
Vol 9 (9-10) ◽  
pp. 683 ◽  
Author(s):  
Lei Wang ◽  
Xiang Ji ◽  
Guo-feng Sun ◽  
Ying-chao Qin ◽  
Miao-zi Gong ◽  
...  

Fungus ball and fungal emphysematous cystitis are two rare complications of fungal urinary tract infection. A 53-year-old male patient presented with these complications caused by Candida tropicalis simultaneously. The predisposing factors were diabetes mellitus and usage of broad-spectrum antibiotics. The fungus ball, measuring 3.5 × 2.0 cm on the left wall of the urinary bladder, shrank significantly to 1.6 × 0.8 cm after 5 days of intermittent irrigation with saline before surgery. With transurethral removal of the fungus ball and antifungal treatment with fluconazole, the patient fully recovered. We conclude that a bladder fungus ball and fungal emphysematous cystitis should always be suspected in patients with diabetes mellitus with uncontrolled funguria and abnormal imaging. Treatment should include a systemic antifungal therapy and thorough surgical removal of the fungus ball. A systemic antifungal therapy combined with a local irrigation with saline or antifungal drugs might help decrease the dissemination of fungemia during an invasive manipulation.


2017 ◽  
Author(s):  
Gocha Barbakadze ◽  
Lali Tigishvili ◽  
Levan Ramishvili ◽  
Nani Tsikarishvili ◽  
Koba Burnadze

2014 ◽  
Vol 1 (2) ◽  
pp. 229-236
Author(s):  
Katarzyna Jungiewicz ◽  
◽  
Irena Makulska ◽  
Anna Medyńska ◽  
Danuta Zwolińska ◽  
...  

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