ABSTRACT
We experienced a case of spontaneous rupture of renal angiomyolipoma appeared unilateral and solitary tumor without stigma of tuberous sclerosis in 49 years old women. Renal angiomyolipoma which are not associated with tuberous sclerosis appear at an average of 48 years and are more common in women with a ratio of 6:1 and is a benign tumor. Angiography may be helpful in the differentiation of an angiomyolipoma from renal cell carcinoma. The first symptoms are often due to sudden spontaneous perineal hemorrhage. The patient was managed by left total nephrectomy with good result.
Subject(s)
Female , Humans , Middle Aged , Angiography , Angiomyolipoma , Carcinoma, Renal Cell , Hemorrhage , Nephrectomy , Rupture, Spontaneous , Tuberous SclerosisABSTRACT
The operations using ileum in 11 patients during the period from Nov. 1971 to Oct. 1973 in the Department of Urology, National Medical Center were performed for urinary diversion in 9 patients and ileocystoplasty in 2 patients. 1) The age distributions in cases of urinary diversion showed more than 50 years of age who had malignant disease except a I4 year old boy suffered from traumatic urethral stricture with fistula and in cases of ileocystoplasty were more younger. 2) Ureteroileocutaneostomy with total cystectomy, vesicoileocutaneostomy with urethrectomy, simple vesicoileocutaneostomy and ileocystoplasty were the method of operations. 3) Ureteroileal anastomoses by conjoining the spatulated ureters with suturing to the opened proximal end of the ileal segment were accomplished. 4) There was an operative death who was expired on the 3rd postoperative day due to acute renal failure. 5) We experienced 3 cases of technical failures which were corrected immediately during operations; a case of poor blood supply in the site of ileoileostomy, a case of antiperiataltic ureteroilealanastomosis and a case of ileal segmentalnecrosis. 6) The early complications were wound infection(6 cases), acute pyelonephritis(a cases) and intestinal obstruction(a case).
Subject(s)
Humans , Male , Acute Kidney Injury , Age Distribution , Cystectomy , Fistula , Ileum , Ureter , Urethral Stricture , Urinary Diversion , Urology , Wounds and InjuriesABSTRACT
Cystometry has contributed much to our understanding of normal vesical function and is of value in diagnosing the types of nervous system lesion which cause neurogenic vesical dysfunction. Authors performed cystometry on 90 Korean adults using an apparatus, the simple water manometer and the results were compared with those various investigators. Excretory and retrograde intermittent cystometry were performed and there was no significant difference between them. The first voiding desire started at 150~350 cc of fluid by retrograde cystometry and maximum voiding desire at 350~500 cc by retrograde cystometry and excretory cystometry 400~550 cc. The average pressure at the first voiding desire was 6.5cm H2O by retrograde cystometry and excretory cystometry 5.4cm H2O and the maximum voiding desire was 11 cm H2O by retrograde cystometry and excretory cystometry 9.2cm H2O. The maximum voluntary pressure was 40~100 cm H2O.