ABSTRACT
A total of 26 consecutive patients underwent total cystectomy and ileal conduit for bladder cancer, 6 patients without preoperative radiation therapy, 16 patients after planned preoperative radiation therapy and 4 patients with postoperative radiation therapy. The operative death was none. Early complications occurred in 38% and included wound infection, wound disruption, parastromal dermatitis, acute pyelonephritis, intestinal obstruction and urine leak. Late complications included stromal stenosis, intestinal obstruction, acute pyelonephritis, enterocutaneous fistula, peritonitis and ureteroileal stricture. Errors in clinical staging of bladder carcinoma occurred in about 38% of patients. The pathologic stage was higher (clinical understaging) in 6 (23%), and lower (clinical overstaging) in 4 (15%). Deaths during follow-up were 7 patients and the average survival period was 15 months, with a range of 6 to 38 months.
Subject(s)
Humans , Constriction, Pathologic , Cystectomy , Dermatitis , Follow-Up Studies , Intestinal Fistula , Intestinal Obstruction , Peritonitis , Pyelonephritis , Urinary Bladder Neoplasms , Urinary Bladder , Urinary Diversion , Wound Infection , Wounds and InjuriesABSTRACT
Renal angiomyolipoma is a relatively uncommon benign tumor and may be associated with tuberous sclerosis, which is characterized by adenoma sebaceum, epilepsy and mental retardation. When a renalangiomyolipoma occurs with tuberous sclerosis, it can be easily diagnosed and the incidence of multiple and bilateral angiomyolipoma is high in patients with multiple sclerosis. Recently we experienced a case of unilateral renal angiomyolipoma associated with tuberous sclerosis which occurred in a 38 year-old housewife, who had right flank mass, adenoma sebaceum on the face, shagreen patches of the back and sublingual fibromas. So we report a case of unilateral renal angiomyolipoma associated with tuberous sclerosis with review of literatures.
Subject(s)
Adult , Humans , Angiomyolipoma , Epilepsy , Fibroma , Incidence , Intellectual Disability , Multiple Sclerosis , Tuberous SclerosisABSTRACT
Ultrasonography is a useful diagnostic modality in evaluating the non-visualized kidney on IVP because visualization by this technique depends only on the morphologic and acoustic characteristics of the kidney and is independent of renal function. This non-invasive technique can accurately guide percutaneous puncture of the collecting system, permitting antegrade localization of the obstructing lesion, and percutaneous nephrostomy under the ultrasonic guidance can be performed as a means for rapid, usually temporary, urinary diversion in patients with obstructive uropathy. Many causes of IVP non-visualization have a typical sonographic appearance. 35 patients with non-visualized kidney were examined ultrasonically and 13 AGP were carried out.
Subject(s)
Humans , Acoustics , Kidney , Nephrostomy, Percutaneous , Punctures , Ultrasonics , Ultrasonography , Urinary DiversionABSTRACT
Spontaneous rupture of the kidney is a rare condition which usually presents as an acute abdominal process requiring prompt diagnostic evaluation and proper therapy. We experienced 2 cases of spontaneous rupture of the kidney secondary to hydronephrosis in a 31 year old man and intrarenal artery aneurysm in a 62 year old woman. The operative procedures were nephrectomy in both cases.
Subject(s)
Adult , Female , Humans , Middle Aged , Aneurysm , Arteries , Hydronephrosis , Kidney , Nephrectomy , Rupture, Spontaneous , Surgical Procedures, OperativeABSTRACT
Spontaneous rupture of the kidney is a rare condition which usually presents as an acute abdominal process requiring prompt diagnostic evaluation and proper therapy. We experienced 2 cases of spontaneous rupture of the kidney secondary to hydronephrosis in a 31 year old man and intrarenal artery aneurysm in a 62 year old woman. The operative procedures were nephrectomy in both cases.