RESUMO
Renal artery dissection may be caused by iatrogenic injury, trauma, underlying arterial diseases such as fibromuscular disease, atherosclerotic disease, or connective tissue disease. Radiological imaging may be helpful in detecting renal artery pathology, such as renal artery dissection. For patients with acute, isolated renal artery dissection, surgical treatment, endovascular management, or medical treatment have been considered effective measures to preserve renal function. We report a case of renal infarction that came about as a consequence of renal artery dissection.
Assuntos
Adulto , Humanos , Masculino , Acidentes por Quedas , Dissecção Aórtica/complicações , Infarto/etiologia , Nefropatias/etiologia , Artéria Renal/patologia , Fatores de RiscoRESUMO
Paragonimiasis is a lung fluke of human and usually found in the lungs but may be found in many unusual locations such as pleura, abdominal wall and brain etc. A 16-year old female patient visited department of Gynecology due to abdominal pain and distension. She took an examination with ultrasonography for ascites or pelvic cystic mass evaluation, diagnostic laparoscopy with omental biopsy for tissue diagnosis, and parasite specific antibody test (ELISA) for paragonimiasis. We made the diagnosis of Omental Paragonimiasis based on P. westermani eggs in eosinophils containing granuloma by laparoscopic mesenteric lymph node biopsy and specific IgE antibody to P. westermani. She was treated with praziquantel for three days and discharged. Here, we report a case of omental paragonimiasis with literature review, because this rarely involves the omentum and may be confused with other abdominopelvic inflammatory diseases, particularly intestinal tuberculosis in Korea.
Assuntos
Adolescente , Feminino , Humanos , Dor Abdominal , Parede Abdominal , Ascite , Biópsia , Encéfalo , Diagnóstico , Ovos , Eosinófilos , Granuloma , Ginecologia , Imunoglobulina E , Coreia (Geográfico) , Laparoscopia , Pulmão , Linfonodos , Omento , Óvulo , Paragonimíase , Parasitos , Pleura , Praziquantel , Trematódeos , Tuberculose , UltrassonografiaRESUMO
Multiple symmetric lipomatosis (MSL) is a rare disease characterized by the presence of diffuse, non-tender, symmetric deposits of adipose tissue on the neck, back and upper part of the trunk. It has been reported that this disease could be associated with various metabolic abnormalities such as impaired glucose tolerance, hyperuricemia, alcohol consumption, type 4 hyperlipidemia, renal tubular acidosis and thyroid disorder. We present a case of type 2 MSL with pulmonary thromboembolism. He suffered sudden dyspnea and decreased urine output. The causes of dyspnea and acute renal failure (ARF) in this case were dehydration and hemodynamic disturbance due to pulmonary thromboembolism. After thrombolytic and fluid therapy, his condition was improved. He was discharged on warfarin medication and has remained asymptomatic for 12 months.