Presentation
Presentation Young boy presenting with features of right pyeronephritis (right loin pain, fevers. Urine cultures were negative. A right renal mass was suspected on initial ultrasound (not shown). [radiopaedia.org]
[…] from Altmetric.com Description A 60-year-old man was presented with colicky upper left abdominal pain and vomiting. [casereports.bmj.com]
Solitary late recurrence of renal cell carcinoma presenting as duodenal ulcer. Urology 1992;39:461–463. 26. [ijp.iranpath.org]
Of those who do develop symptoms, most present in the neonatal period, but manifestation may be delayed until adulthood. Neonates present with polyhydramnios, feeding problems, and emesis that may be bilious. [msdmanuals.com]
We present a case of 43 year old female who presented with intermittent dull aching pain in right lower abdomen, who had malrotated pelvic kidneys with vascular anomalies, associated with spina bifida. [casereports.in]
Entire Body System
- Weight Loss
The low-calorie diet induced different effects in women than in men, suggesting gender‐specific changes after weight loss. [balkanmedicaljournal.org]
Case Report A 91-year-old woman presented to our center complaining of nonbloody diarrhea for 6 months and an associated 10-kg weight loss. Her initial lab results suggested hypochromic microcytic anemia. [acgcasereports.gi.org]
loss or frequent extreme physical activity. [emedicine.medscape.com]
The most common clinical presentation of GI metastases of RCC is GI bleeding, but it may present with abdominal pain, nausea, weight loss, early satiety, anemia and fatigue, jaundice, and duodenal obstruction or perforation ( 1, 16 ). [frontiersin.org]
No medication use or body weight loss recently was noted. [jmedscindmc.com]
- Swelling
Female Micturition Kidney physiology Water homeostasis Core clinical Problems/Presenting Complaint Haematuria Lower Urinary Tract Symptoms Dysuria Oliguria/Anuria Polyuria Nocturia/nocturnal polyuria Urinary Incontinence Erectile Dysfunction Scrotal Swelling [dundeemedstudentnotes.wordpress.com]
Testicular and Scrotal Congenital Hydrocele Congenital hydrocele (CH) is a collection of fluid within the processus vaginalis, leading to swelling of the inguinal region or scrotum. CH shares similar etiology and pathophysiology as inguinal hernia. [transbiomedicine.com]
- Trisomy 21
In addition, duodenal atresia or duodenal stenosis is most commonly associated with trisomy 21 (see the following image): about 22-30% of patients with duodenal obstruction have trisomy 21. [emedicine.medscape.com]
Horseshoe kidney is also associated with certain chromosomal anomalies like Turner syndrome, Down syndrome (trisomy 21), Patau syndrome (trisomy 13) and Edwards syndrome (trisomy 18) [ 7 ]. [omicsonline.org]
- Ascites
Diagnosis of duodenal atresia can be suspected prenatally if there is polyhydramnios, dilated bowel, ascites, or a combination. [msdmanuals.com]
Esophagogastroduodenoscopy showed an actively bleeding, 5 cm irregular, polypoid, ulcerative mass with friability from the bulb to the second portion of duodenum Click here to view On exploring the abdominal cavity, there was no evidence of malignant intra-abdominal ascites [jmedscindmc.com]
- Wound Infection
The tumor cells had centrally located small nuclei with inconspicuous nucleoli, and clear cytoplasm Click here to view The postoperative course was uneventful, except for a transient gastroplegia and wound infection. [jmedscindmc.com]
Gastrointestinal
- Early Satiety
In this subgroup of patients with symptoms of metastatic RCC to the duodenum with gastrointestinal bleeding, fatigue, anemia, and early satiety or obstruction, all patients should be considered a candidate for complete surgical excision. [jmedscindmc.com]
The most common clinical presentation of GI metastases of RCC is GI bleeding, but it may present with abdominal pain, nausea, weight loss, early satiety, anemia and fatigue, jaundice, and duodenal obstruction or perforation ( 1, 16 ). [frontiersin.org]
- Upper Abdominal Pain
Following the intervention, she had developed an upper abdominal pain. [journalmc.org]
Psychiatrical
- Suggestibility
Findings : Often bizarre appearance of the renal parenchyma, calyces, and pelvis that may suggest a pathologic condition in an otherwise normal kidney. Malrotation of the left kidney. [onradiology.blogspot.com]
A bone scan showed uptake of 99mTc by the tumor which suggested the diagnosis, confirmed by an abdominal echogram. [ncbi.nlm.nih.gov]
Occasionally, barium enema examination is suggested as an adjunct study in the evaluation of duodenal atresia (see the image below). [emedicine.medscape.com]
Upper endoscopy suggestive of solid endoluminal viscera in the lumen of the right colon. [acgcasereports.gi.org]
- Aggressive Behavior
It is important to remember that this unusual variant of renal leiomyosarcoma has the potential for aggressive behavior, which can lead to metastasis. [bmcresnotes.biomedcentral.com]
Distinct from classic, cellular mesoblastic nephroma can exhibit aggressive behavior such as vascular encasement and metastasis [ 132 ]. [transbiomedicine.com]
- Loss of Initiative
Case Report A 91-year-old woman presented to our center complaining of nonbloody diarrhea for 6 months and an associated 10-kg weight loss. Her initial lab results suggested hypochromic microcytic anemia. [acgcasereports.gi.org]
Neurologic
- Irritability
The pedicle screw had to be removed because it was causing irritative nervous symptoms to a patient that had undergone surgery for degenerative lumbar scoliosis. [elsevier.es]
The associated increased nerve irritability and the development of a syndrome usually designated gastric tetany have long been recognized. [jamanetwork.com]
Workup
Sometimes, ascertaining the diagnosis on the basis of IVU alone is difficult, and further workup—using CT scanning, MRI, or scintigraphy—may be necessary. [emedicine.medscape.com]
Serum
- Microcytic Anemia
Her initial lab results suggested hypochromic microcytic anemia. Upper endoscopy showed a fistula between the second portion of duodenum and the right colon (Figure 1). [acgcasereports.gi.org]
Treatment
Prompt recognition and treatment is essential to arrest haemorrhage which may be life threatening. A patient with chronic aortic dissection and malrotated right kidney underwent PCNL for right renal calculus. He developed delayed gross haematuria. [ncbi.nlm.nih.gov]
[…] ruled out as it significantly impair successful treatment. [4] For stones that are less than 1.5 cm, ureteroscopy and shockwave lithotripsy can be first utilized. [4] For stones larger than 1.5 cm or when previous treatment has failed, the stones can [en.wikipedia.org]
Surgical. treatment of atypical metastasis from renal cell carcinoma (RCC). BJU Int 2012;110: 559-563. 21. Sadler GJ, Anderson MR, Moss MS, Wilson PG. [ijp.iranpath.org]
Focus on evidence-based treatments and outcomes to apply today’s best practices. [books.google.com]
[…] of duodenal obstruction duodenal atresia, duodenal web or stenosis, annular pancreas, malrotation of the bowel with a midgut volvulus, or Ladd's bands Fetal ultrasound may show polyhydramnios Differential Pyloric stenosis, tracheoesophageal fistula Treatment [step2.medbullets.com]
Prognosis
Prevention, and Complications Prognosis full recovery is expected after surgical correction Prevention no preventive measures are available at this time Complications without treatment, condition is lethal Please rate topic. [step2.medbullets.com]
Prognosis The overall prognosis is good. Patients are usually shorter than average (even with growth hormone therapy) and almost all are infertile (although assisted fertility may be successful). [patient.info]
In recent years, with the advent of target therapies, the prognosis of patients with metastatic RCC has improved ( 10 ). [frontiersin.org]
Cleveland Clinic, including causes, signs, symptoms, diagnosis, treatment, and prognosis. This paper talks about cases of adults. SPECTCT Scan InsideRadiology Situs inversus abdominus and malrotation in an adult with. [light-factor.cf]
DISCUSSION The biological behavior of RCC is characteristically variable and the prognosis is unpredictable 8 ). The clinical course of the disease ranges from months to several decades and even spontaneous regression has been documented 9 ). [kjim.org]
Etiology
Gleason PE, Kelalis PP, Husmann DA, Kramer SA: Hydronephrosis in renal ectopia: Incidence, etiology and significance. J Urol 1994;151:1660–1661. [karger.com]
M > F Right (67%) ETIOLOGY / PATHOPHYSIOLOGY Due to abnormal ascent of the kidneys, resulting in abnormalities in renal position, rotation and fusion. Renal ectopic by definition refers to abnormal position of the kidneys. [fetalultrasound.com]
A review of the literature on extrarenal calyces was presented and etiology was discussed. We emphasized the necessity of further investigation in surgical treatments of these patients aside from ne-phrectomy. Copyright © 1978, Igaku-Shoin Ltd. [webview.isho.jp]
Introduction Congenital failure of the duodenal lumen to completely recanalize Etiology unknown but thought to occur during weeks 8-10 of development Results in stenosis of the duodenal passageway between the stomach and intestinal tract leads to gastric [step2.medbullets.com]
Duodenocolic fistulas are classified into primary and secondary groups; primary fistulas can be due to infectious etiology, Crohn’s disease, peptic ulcer disease, or active malignancies without any prior surgeries. 1,2 Secondary fistulas can develop as [acgcasereports.gi.org]
Epidemiology
[…] during weeks 8-10 of development Results in stenosis of the duodenal passageway between the stomach and intestinal tract leads to gastric outlet syndrome Associated with Down syndrome (20-30% of DS cases) and other birth defects as with biliary atresia Epidemiology [step2.medbullets.com]
Abbreviations TS: Turner syndrome RCC: Renal cell carcinoma SEER: Surveillance, epidemiology, and end results OS: Overall survival. [bmcresnotes.biomedcentral.com]
Epidemiology, clinical features, and diagnosis of mechanical small bowel obstruction in adults. Of malrotation and intestinal volvulus. Malrotation is a birth defect that occurs during the 10th week of pregnancy. [light-factor.cf]
Epidemiology [ 2 ] Turner syndrome occurs in approximately 1 in every 2,000 live female births. The condition is much more common in utero and it has been estimated that 1-2% of all conceptuses are affected, of whom only 1% will survive to term. [patient.info]
[…] imaging before any abdominal surgery as the vascular supply to the abnormal kidney can be highly variable between patients. [1] Additionally, the horseshoe kidneys can have a close association with colon which can increase risk of bowel injury. [1] Epidemiology [en.wikipedia.org]
Pathophysiology
M > F Right (67%) ETIOLOGY / PATHOPHYSIOLOGY Due to abnormal ascent of the kidneys, resulting in abnormalities in renal position, rotation and fusion. Renal ectopic by definition refers to abnormal position of the kidneys. [fetalultrasound.com]
CrossRef PubMed Google Scholar Koff, S.A. (1990) Pathophysiology of ureteropelvic junction obstructions. Urol. Clin. North. Am. 17, 263–272. [link.springer.com]
Pathophysiology [ edit ] Kidneys are normally located in the retroperitoneal space between the T12 and L3 vertebrae after ascending from the pelvis during development to rest underneath the adrenal glands. [1] In patients with this condition, the horseshoe [en.wikipedia.org]
Eight were male, 89% had left sided UPJ obstruction, and 78% had crossing vessel pathophysiology. Eight patients had a primary UPJ obstruction, while one patient’s obstruction was thought to be secondary to stone disease (Table-1). [brazjurol.com.br]
Williams B, Tareen B, Resnick MI (2007) Pathophysiology and treatment of ureteropelvic junction obstruction. Curr Urol Rep 8: 111-117. [transbiomedicine.com]
Prevention
and Complications Prognosis full recovery is expected after surgical correction Prevention no preventive measures are available at this time Complications without treatment, condition is lethal Please rate topic. [step2.medbullets.com]
Prevention of neural tube defects: results of the Medical Research Council Vitamin Study. [books.google.com]
Antibiotic prophylaxis to prevent subacute bacterial endocarditis is now less likely to be necessary (see the separate article on Prevention of Endocarditis ). Orthopaedics: regular review is usually unnecessary. [patient.info]
Is chronic lung disease in low birth weight infants preventable? A survey of eight centers. Página 84 - Tanner JM, Whitehouse RH, Marubini E, Resele LF. The adolescent growth spurt of boys and girls of the Harpenden growth study. [books.google.es]
A volvulus is a disorder that causes an obstruction in the intestine, preventing food from being digested normally. The blood supply to the twisted part of the intestine can also be cut off, leading to the death of that segment of the intestine. [my.clevelandclinic.org]