ABSTRACT
A 21-year-old woman presented with a longstanding history of episodic right flank pain related to fluid consumption and recurrent urinary tract infections. On examination, there was right costovertebral angle tenderness. Renal tract ultrasound demonstrated hydronephrosis and CT urography confirmed transcaval ureter. The patient's clinical presentation was likely due to obstruction associated with the right ureter passing through the opening created by the duplicated segment of the inferior vena cava. While asymptomatic transcaval ureter can be managed conservatively, severe symptoms or complications of ureteric obstruction may require surgical treatment. In this case, treatment comprised a laparoscopic ureteroureterostomy with an end-to-end anastomosis between the proximal and distal sections of the right ureter. The patient's postoperative recovery was uneventful and she reported resolution of the flank pain during the one year of follow-up.
Subject(s)
Ureter/abnormalities , Ureter/surgery , Ureteral Obstruction/surgery , Adult , Anastomosis, Surgical/methods , Diagnosis, Differential , Female , Follow-Up Studies , Humans , Hydronephrosis/complications , Hydronephrosis/diagnostic imaging , Radiography , Ultrasonography , Ureter/diagnostic imaging , Ureteral Obstruction/complications , Ureteral Obstruction/diagnostic imaging , Young AdultABSTRACT
Urological tumors diagnosed during pregnancy are rare. However, the incidence seems to be increasing largely due to advancements in modern imaging techniques and improved antenatal care. The diagnosis and management of renal tumors during pregnancy poses a dilemma to clinicians. This case report highlights the challenges in managing a large chromophobe renal cell carcinoma in a young primigravida patient. Proper antenatal assessment, a multidisciplinary team approach and appropriate discussion with patient are important determinants to achieve the best clinical outcomes for both the mother and the baby.
Subject(s)
Abscess/etiology , Methicillin-Resistant Staphylococcus aureus , Prostatic Diseases/etiology , Prostatitis/complications , Scrotum , Staphylococcal Infections/etiology , Abscess/diagnosis , Drainage , Epididymitis/diagnosis , Epididymitis/microbiology , Genital Diseases, Male/diagnosis , Genital Diseases, Male/microbiology , Humans , Magnetic Resonance Imaging , Male , Middle Aged , Orchitis/diagnosis , Orchitis/microbiology , Scrotum/microbiology , Tomography, X-Ray ComputedABSTRACT
OBJECTIVES: To report one case of urinary stone as a relatively frequent complications of urinary diversion using bowel loops. METHODS: We perform a short bibliographic review using the case report format. RESULTS: Stone formation in Bricker's type urinary diversion is secondary to various factors such as urinary stasis, bacteriuria, presence of intestinal mucus, metallic sutures, metabolic disturbances, etc. CONCLUSIONS: Periodic control by radiological studies is recommended due to the high frequency of this complication in patients with urinary diversion. Treatment is usually conservative or minimally invasive, being surgery reserved for those cases in which stone extraction is not safe using other methods.