ABSTRACT
In this case report, a 20-year-old healthy woman contacted the emergency department because of lower abdominal pain radiating to the right flank. She was discharged with analgesics suspecting a kidney stone attack. One month later she contacted the emergency department again with the same symptoms. A CT urography was made showing hydronephrosis on the right side and a menstrual cup in the vagina seemingly compressing the right ostia in the bladder. After removal of the menstrual cup the symptoms disappeared, and the patient was discharged. A control ultrasound scan two weeks later showed full regression of the hydronephrosis.
Subject(s)
Hydronephrosis , Menstrual Hygiene Products/adverse effects , Abdominal Pain , Adult , Female , Humans , Hydronephrosis/etiology , Ultrasonography , Urography , Vagina , Young AdultABSTRACT
Myocardial ischaemia may lead to impaired function of the myocardium. Chronic severe myocardial ischaemia may lead to hibernation, a vegetative state with long-lasting dysfunction of the heart. Hibernation is a potentially reversible condition, which may respond to successful revascularization. If myocardial viability is proven, revascularization of the myocardial territory in question might translate into improved subject prognosis. We present an overview of the existing literature on methods for detection of myocardial viability, and the clinical effects of revascularization.