RESUMO
We report on a 46-year-old man who presented with gross hematuria 3 months after combined kidney and pancreas transplantation with pancreaticocystostomy. There are few reported urological complications from this procedure and this operative technique adds to the differential diagnosis of hematuria in the post-transplant patient.
Assuntos
Cistostomia/efeitos adversos , Hematúria/etiologia , Transplante de Rim/efeitos adversos , Transplante de Pâncreas/efeitos adversos , Anastomose Cirúrgica , Humanos , Transplante de Rim/métodos , Masculino , Pessoa de Meia-Idade , Pâncreas/cirurgia , Transplante de Pâncreas/métodosRESUMO
Bilateral hydroureteronephrosis secondary to mechanical kinking of the ureteral-conduit anastomosis or ureteral compression caused by a large intra-abdominal cerebrospinal fluid cyst should be considered in patients who have ventriculoperitoneal shunts, abdominal ascites, and deteriorating upper tracts. Therapy directed at correction of the cerebrospinal fluid cyst should be sufficient to correct the urologic dysfunction.
Assuntos
Derivações do Líquido Cefalorraquidiano , Líquido Cefalorraquidiano , Cistos/complicações , Hidronefrose/etiologia , Complicações Pós-Operatórias , Obstrução Ureteral/etiologia , Abdome , Criança , Pré-Escolar , Cistos/etiologia , Cistos/cirurgia , Drenagem , Feminino , Humanos , Hidrocefalia/cirurgia , Hidronefrose/diagnóstico por imagem , Radiografia , Obstrução Ureteral/diagnóstico por imagemRESUMO
Radical nephrectomy is the traditional therapy for renal cell carcinoma. However, modification of this technique is necessary when bilateral renal cell carcinoma occurs (3.8 per cent of all renal cell carcinomas at our institution). Special attention should be paid to the contralateral kidney when the diagnosis of renal cell carcinoma is made, since an inapparent contralateral tumor may also be present (2 of 9 cases). An aggressive approach, consisting of in vivo heminephrectomy and a contralateral procedure, has avoided operative mortality or bench surgery, maintained life-sustaining renal function and produced a reasonable long-term survival rate.
