scholarly journals Emphysematous pyelonephritis with complete duplication of the left urinary tract

2013 ◽  
Vol 5 (6) ◽  
pp. 101
Author(s):  
Yasuto Yamasaki ◽  
Shigehiko Koga ◽  
Yuzo Minami ◽  
Hideki Sakai
Keyword(s):  
Urinary Tract ◽  
Japanese Literature ◽  
Flank Pain ◽  
High Grade ◽  
High Grade Fever ◽  
Emphysematous Pyelonephritis ◽  
Left Flank ◽  
Life Threatening ◽  
Complete Duplication ◽  
Left Flank Pain

Emphysematous pyelonephritis (EPN) is a life-threatening bacterialinfection and should be treated rapidly and carefully. We reporta case of EPN with complete duplication of the left urinary tract.A 68-year-old woman was admitted to our hospital complainingof high-grade fever and left flank pain. An abdominal computedtomography scan showed gas was presented in the renal parenchyma,not only the pelvis and ureter. Based on these findings,a diagnosis of left EPN was made. A partial nephrectomy of theaffected left upper pole moiety was performed and the patientunderwent additional medical management. Other 83 cases ofEPN from the Japanese literature were reviewed.

Impacted vesicouretric stone a quagmire settled with holmium laser

2021 ◽  
Vol 2 (5) ◽  
Author(s):  
Manjeet Kumar ◽  
◽  
Sanjeev Chauhan ◽  
Keyword(s):  
Medical Treatment ◽  
Ct Scan ◽  
Flank Pain ◽  
Nausea And Vomiting ◽  
Holmium Laser ◽  
Operation Theatre ◽  
Left Flank ◽  
Noncontrast Ct ◽  
Left Flank Pain

A 38 years female presented with left flank pain, nausea, and vomiting. Ultrasound and Noncontrast CT scan were suggestive of left hydronephrosis with left Vesicoureteral stone (Figure 1). Conservative medical treatment previously was not successful. Blood investigations were Hb 11.5 gm%, TLC 11500/mm3 , urea 22, creatinine 0.6, urine was full of RBCs. She was taken to the operation theatre for emergency double j stenting. Cystoscopy showed impacted left vesicoureteral stone (Figure 2,3).

scholarly journals Elderly woman with left flank pain

2019 ◽  
Vol 16 ◽  
pp. 100533
Author(s):  
Caroline Trippel ◽  
Anthony Furiato
Keyword(s):  
Elderly Woman ◽  
Flank Pain ◽  
Left Flank ◽  
Left Flank Pain

scholarly journals Different Imaging Modalities for Evaluating Emphysematous Pyelonephritis (EPN); a Life Threatening Urological Emergency – A case report

2018 ◽  
Vol 20 (1) ◽  
pp. 63
Author(s):  
Rawnak Afrin ◽  
ABM Golam Mostofa ◽  
Shankar Kumar Biswas ◽  
Sadia Hossain ◽  
Sanowar Hossain
Keyword(s):  
Left Kidney ◽  
Lower Abdominal Pain ◽  
Tertiary Hospital ◽  
Renal Parenchyma ◽  
Ct Number ◽  
Emphysematous Pyelonephritis ◽  
Left Flank ◽  
Life Threatening ◽  
Urological Emergency ◽  
Contrast Ct

<p>Emphysematous pyelonephritis (EPN) is a severe necrotizing infection of the renal parenchyma; it causes gas formation within the collecting system, renal parenchyma, and/or perirenal tissues. In this reported case, a female patient of 40 years was admitted in a tertiary hospital with history of severe left flank pain, lower abdominal pain, fever, vomiting and scanty micturition for three days. Ultrasonogram showed-normal right kidney but left renal bed reveals extensive air obscuring visualization of left kidney with probe tenderness in left flank. Contrast CT scan of KUB shows larger left kidney with extensive air (CT number = -1000 HU) within the renal parenchyma, collecting systems and perinephric space. This case was diagnosed as EPN. After conservative treatment patient was improved significantly.</p><p>Bangladesh J. Nuclear Med. 20(1): 63-66, January 2017</p>

scholarly journals Left Flank Pain

2015 ◽  
Vol 16 (2) ◽  
pp. 314-315
Author(s):  
Thomas Nappe ◽  
Shawn Quinn
Keyword(s):  
Flank Pain ◽  
Left Flank ◽  
Left Flank Pain

Nutcracker syndrome: A rare cause of left flank pain that can also manifest as unexplained pelvic pain

2017 ◽  
Vol 84 (5) ◽  
pp. 557-562 ◽  
Author(s):  
Jean-Marie Berthelot ◽  
Frédéric Douane ◽  
Yves Maugars ◽  
Eric Frampas
Keyword(s):  
Pelvic Pain ◽  
Flank Pain ◽  
Nutcracker Syndrome ◽  
Left Flank ◽  
Left Flank Pain

scholarly journals Multiple Renal Abscesses due to ESBL Extended-Spectrum Beta-Lactamase-Producing Escherichia coli Causing Acute Pyelonephritis and Bacteremia: A Case Report with a Good Outcome (No Drainage Required)

2016 ◽  
Vol 2016 ◽  
pp. 1-4 ◽  
Author(s):  
Abdalla Khalil ◽  
Musaad Qurash ◽  
Asem Saleh ◽  
Rasha Ali ◽  
Mohamed Elwakil
Keyword(s):  
Ct Scan ◽  
Acute Pyelonephritis ◽  
Urine Culture ◽  
Flank Pain ◽  
Beta Lactamase ◽  
Extended Spectrum Beta Lactamase ◽  
Left Flank ◽  
Extended Spectrum ◽  
Abdomen Ct ◽  
Left Flank Pain

Extended-spectrum beta-lactamase-producing Enterobacteriaceae urinary tract infections are challenging infections with increased mortality, morbidity, and failure of therapy. A 44-year-old Saudi male diabetic patient was seen at the ER of IMC Hospital with features of acute pyelonephritis: fever, burning urine, and left flank pain for three days. He was treated for cystitis at the Endocrine Clinic two weeks prior to his ER visit with nitrofurantoin and levofloxacin orally according to urine culture and sensitivity result. The patient was admitted, received IV meropenem, and continued to be febrile for three days. His urine and blood culture at ER grew the same ESBL-producing E. coli as in his urine culture from the Endocrine Clinic. His abdomen CT scan showed two left renal abscesses at the upper and middle poles. His temperature resolved on the fourth day of IV therapy. Intravenous meropenem was continued for 4 weeks after inserting PICC line and the patient was followed up by home healthcare. He was feeling better with occasional left flank pain and repeated abdomen CT scan showed complete resolution of both renal abscesses.

scholarly journals Left flank pain during pregnancy with an unpredictable etiology: think of nonhemorrhagic adrenal infarction

2021 ◽  
pp. FSO718
Author(s):  
Myriam Jerbaka ◽  
Tracy Slaiby ◽  
Zahraa Farhat ◽  
Yara Diab ◽  
Nawal Toufayli ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Abdominal Pain ◽  
Pregnant Woman ◽  
Pregnant Patient ◽  
Flank Pain ◽  
Computed Tomography Scan ◽  
Left Flank ◽  
Left Flank Pain ◽  
Tomography Scan ◽  
Adrenal Infarction

Abdominal pain is the most presenting complaint during pregnancy with multiple etiologies. The diagnosis could be unpredictable. We present a case of 36-year-old pregnant woman gravida 10 para 7 abortus 2 at 36 + 5 weeks of gestation presenting twice for an increasing left abdominal pain, not relieved despite analgesics. She was delivered for severe oligohydramnios. After delivery, she was found to have a left adrenal infarction on computed tomography scan. She was found to have two mutations of the gene  MTHFR 677CC. Our presented case should remind physicians to consider the presence of thromboembolic state during pregnancy. The diagnosis of adrenal infarction should be among the differentials of an ambiguous flank pain that is resilient to medical therapy. Diagnosis in a pregnant patient can be easily confirmed with MRI, after which anticoagulation should be started and the workup for hypercoagulable state investigated.

scholarly journals Man With Left Flank Pain

2020 ◽  
Vol 75 (1) ◽  
pp. e9-e10
Author(s):  
Cheng-Jui Wu ◽  
Wei-Jing Lee ◽  
Su Weng Chau ◽  
Tou-Yuan Tsai ◽  
Yi-Kung Lee
Keyword(s):  
Flank Pain ◽  
Left Flank ◽  
Left Flank Pain

Resistant hypertension after shockwave lithotripsy: the rude awakening of an adrenal incidentaloma

2020 ◽  
Vol 13 (8) ◽  
pp. e235261
Author(s):  
Ramon Jr Bagaporo Larrazabal ◽  
Harold Henrison Chang Chiu ◽  
Mark Anthony Santiago Sandoval
Keyword(s):  
Blood Pressure ◽  
Cushing’S Syndrome ◽  
Adrenal Mass ◽  
Adrenal Incidentaloma ◽  
Signs And Symptoms ◽  
Cushing's Syndrome ◽  
Flank Pain ◽  
Shockwave Lithotripsy ◽  
Left Flank ◽  
Left Flank Pain

A 41-year-old woman presented to the hospital because of left flank pain. CT scan of the kidneys revealed left-sided calculi and an incidental right adrenal mass, no other symptoms noted. She then underwent shockwave lithotripsy (SWL). However, immediately postoperatively, she had elevated blood pressure and remained hypertensive despite having four different medications. How SWL could have increased blood pressure could not be identified. On endocrine consult 16 months after SWL, she was found to now exhibit signs and symptoms of Cushing’s syndrome. Further workup revealed the adrenal incidentaloma to be cortisol-secreting. After undergoing right laparoscopic adrenalectomy, her blood pressure normalised, cortisol levels decreased and signs of Cushing’s syndrome gradually improved. We hypothesise that the performance of the SWL could have triggered the adenoma to ‘awaken’ from being non-functioning to cortisol-producing since this was the only intervening event. Observations of other patients are needed to validate our hypothesis.

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