scholarly journals Injury of the ileum during percutaneous nephrolithotomy in a pediatric patient

2014 ◽  
Vol 8 (3-4) ◽  
pp. 204 ◽  
Author(s):  
Karim S Saad ◽  
Ahmed Hanno ◽  
Ahmed R. EL-Nahas
Keyword(s):  
Pediatric Patient ◽  
Percutaneous Nephrolithotomy ◽  
Rare Complication ◽  
Mechanism Of Injury ◽  
Successful Management

Ileum injury during percutaneous nephrolithotomy (PCNL) is an extremely rare complication. We describe the successful management of an inadvertently injured ileum during subcostal PCNL in a 12-year-old boy. Mechanism of injury, presentation and management will be discussed.

Rapidly improving, severe, acute myocarditis after a scorpion bite: an extremely rare complication and successful management

2010 ◽  
Vol 28 (7) ◽  
pp. 844.e3-844.e5 ◽  
Author(s):  
Yusuf Sezen ◽  
Unal Guntekin ◽  
Akın Iscan ◽  
Hasan Kapakli ◽  
Hakan Buyukhatipoglu ◽  
...  
Keyword(s):  
Acute Myocarditis ◽  
Rare Complication ◽  
Successful Management

scholarly journals Asymptomatic uterine incarceration at term: Successful management of a rare complication in pregnancy

2018 ◽  
Vol 57 (5) ◽  
pp. 745-749 ◽  
Author(s):  
Po-Chao Hsu ◽  
Mu-Hsien Yu ◽  
Chen-Yu Wang ◽  
Yu-Kuen Wang ◽  
Chun-Kai Wang ◽  
...  
Keyword(s):  
Rare Complication ◽  
Successful Management ◽  
In Pregnancy

scholarly journals Compartment Syndrome Related to Patient Positioning in the Surgical Treatment of Urolithiasis

2021 ◽  
Author(s):  
Inés Laso-García ◽  
Fernando Arias-Fúnez ◽  
Gemma Duque-Ruiz ◽  
David Díaz-Pérez ◽  
Alberto Artiles-Medina ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Compartment Syndrome ◽  
Percutaneous Nephrolithotomy ◽  
Rare Complication ◽  
Patient Positioning ◽  
Lower Limbs ◽  
Urinary Stones ◽  
Ureteral Stones ◽  
Lithotomy Position ◽  
American Society

The incidence of urolithiasis is progressively increasing worldwide, as is the surgical treatment of urinary stones. The most frequent surgery for urolithiasis is ureterorenoscopy, which is performed in the lithotomy position. This position is also used in the endoscopic approach to bladder stones. Lateral decubitus is rarely used in the treatment of urinary stones. In the case of complex kidney stones, the gold standard treatment is percutaneous nephrolithotomy. This surgery has traditionally been performed in the prone position. However, the use of the supine (Valdivia) position is increasing in recent times. Furthermore, the Galdakao-modified supine Valdivia position has been widely used for percutaneous nephrolithotomy since it was described by Ibarluzea et al. in 2007. Treatment of kidney and ureteral stones simultaneously is allowed in both supine positions. In addition, they allow the removal of encrusted stents and the easy placement of double J stents and, in the case of the Galdakao-modified supine Valdivia position, percutaneous nephrostomies. Compartment syndrome is a rare complication in the lithotomy position, but scarcely described in the supine position. This especially applies to the Galdakao-modified supine Valdivia position, in which the lower limbs are in moderate flexion, with the ipsilateral lower limb in a slightly lower position relative to the other. This complication can lead to skin necrosis, myoglobinuric renal failure, amputation, permanent neuromuscular dysfunction, and even death. Risk factors include Body Mass Index, male gender, obesity, increased muscle mass, peripheral vascular disease (advanced age, hypertension, hyperlipidemia and diabetes mellitus), height, lack of operative experience, significant bleeding during surgery, hypothermia, acidemia, combination general-spinal anesthesia, prolonged surgical time, systemic hypotension, ASA (American Society of Anesthesiologists) class or vasoconstrictor drugs. Therefore, compartment syndrome of the leg is a potentially devastating complication that must be suspected and treated through early decompression of the compartment by four compartment fasciotomy. Preventive measures reduce the incidence of this condition.

scholarly journals Calciphylaxis: Successful Management of a Rare Complication of Chronic Kidney Disease in Two Patients

2019 ◽  
Vol 2019 ◽  
pp. 1-6
Author(s):  
Ibtissam Fares ◽  
Tarik Bouattar ◽  
Hadja Moussokoro Kone ◽  
Hajar Benzouina ◽  
Meryem Benbella ◽  
...  
Keyword(s):  
Risk Factors ◽  
Chronic Kidney Disease ◽  
Therapeutic Strategy ◽  
Balance Control ◽  
Rare Complication ◽  
Sodium Thiosulfate ◽  
Patient Characteristics ◽  
Successful Management ◽  
Multiple Risk Factors ◽  
Cutaneous Necrosis

Calciphylaxis, or calcification uremic arteriolopathy, is a rare disease thought to occur due to arteriolar calcifications of the dermis and is responsible for ischemia with cutaneous necrosis and painful panniculitis. Its mechanism remains poorly understood which makes its management challenging and difficult to standardize. We report our management of two patients diagnosed with calciphylaxis. In one patient, calciphylaxis was mentioned upon admission given the context of preexisting secondary hyperparathyroidism and the existence of multiple risk factors. In both patients, the diagnosis was confirmed histologically. Our two observations highlight the difficulty of the diagnosis and the complexity of the therapeutic management that has been personalized according to patient characteristics and clinical evolution. Several therapeutic means can be implemented once the diagnosis is made; nevertheless, its prognosis remains pejorative despite the therapeutic advances. Broad debridement, good phosphocalcic balance control, and the correction of the risk factors top the list of any therapeutic strategy. One of the major challenges of the therapy is normalizing the calcium-phosphate balance. Thus, Cinacalcet and sodium thiosulfate appear to be promising treatments.

Pelvic pseudotumor and pseudoaneurysm in a pediatric patient with moderate hemophilia B: Successful management with arterial embolization and surgical excision

2010 ◽  
Vol 56 (3) ◽  
pp. 484-487 ◽  
Author(s):  
Riten Kumar ◽  
Rajiv K. Pruthi ◽  
Nathan Kobrinsky ◽  
William J. Shaughnessy ◽  
Michael A. McKusick ◽  
...  
Keyword(s):  
Pediatric Patient ◽  
Arterial Embolization ◽  
Surgical Excision ◽  
Hemophilia B ◽  
Successful Management

scholarly journals Peripartum cardiomyopathy: a rare complication in a teenage pregnancy

2021 ◽  
Vol 10 (7) ◽  
pp. 2854
Author(s):  
Uma Chourasia ◽  
Jyoti Nath Modi
Keyword(s):  
Multidisciplinary Team ◽  
Teenage Pregnancy ◽  
Rare Complication ◽  
Clinical Findings ◽  
Peripartum Cardiomyopathy ◽  
Team Approach ◽  
Successful Management ◽  
Emergency Cesarean ◽  
Life Threatening ◽  
High Index Of Suspicion

The aim of this case report was to present a rare case of peripartum cardiomyopathy (PPCM) in an adolescent primigravida, and discuss its presentation and successful management. PPCM is a relatively rare yet life threatening cardiac complication of pregnancy. It often remains undiagnosed as its symptoms may simulate the physiological symptoms of pregnancy and peripartum period. An early diagnosis is crucial for improving survival. We herein report an unusual case of PPCM in an young and otherwise healthy primigravida. A 19-year-old primigravida presented at 33 weeks of gestation with, severe pre-eclampsia with dyspnea, cough and discomfort in the chest. Based on clinical findings and ECG, the echocardiography was done, and a definitive diagnosis of PPCM was made. The patient was managed for heart failure and preeclampsia by a multidisciplinary team. Emergency cesarean was done for obstetric indication and patient was managed conservatively in intensive care unit. Patient improved clinically and was discharged at day 10. Peripartum cardiomyopathy though typically associates with advanced maternal age can occur in very young women as well. A high index of suspicion for PPCM is recommended on a background of `severe preeclampsia with breathlessness. Timely echocardiography for diagnosis, and a multidisciplinary team approach are a key to successful management. Clinical significance of the study was to shed new light on the unusual presentation of PPCM and to contribute to the existing knowledge of PPCM.

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