ABSTRACT
A 64-year-old woman presented with recurrent gross hematuria and intermittent left-sided pain. A CT scan revealed an 8-cm mass in the left moiety of a horseshoe kidney. A laparoscopic transperitoneal approach was employed to control the vessels and release the left moiety of the kidney and a hand-assisted approach was performed for isthmectomy using compression of normal parenchyma and monopolar electrocautery. Additional sutures were applied externally in isthmus through hand-assisted incision to enhance hemostasis. The patient was discharged on postoperative day 4 with no complications and no relapse after a 1-year follow-up. We conclude that our technique is safe, cheap and effective for this complex clinical entity.
Subject(s)
Laparoscopy , Female , Humans , Middle AgedABSTRACT
CONTEXT: Since the first percutaneous nephrostomy performed by Goodwin in 1954, technical advances in accessing the kidneys via percutaneous puncture have increased the use of this procedure and thus the complications too. Among these complications, digestive tract damage is not common. DESIGN: Case report. CASE REPORT: We report a duodenal lesion that was corrected using surgical exploration and we touch on the therapeutic options, which may be conservative or interventionist. We chose conservative treatment, which has been approached in diverse manners in the literature.
Subject(s)
Duodenum/injuries , Nephrostomy, Percutaneous/adverse effects , Aged , Female , Humans , ReoperationSubject(s)
Kidney Transplantation , Nephrostomy, Percutaneous , Adult , Female , Humans , Male , Middle Aged , Postoperative Care , UrographyABSTRACT
Dexon foi usado no trato urinario de vinte pacientes seguidos clinica e endoscopicamente pelo menos por doze semanas no posoperatorio. Nao houve casos de deiscencias, fistulas ou estenose atribuiveis ao fio. Em dois casos (10%) o fio foi encontrado na bexiga, em um caso (5%) havia deposicao de cristais
