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Renal Pelvic Calculus

Calculus in Renal Pelvis


Presentation

  • Case Report Mr A.Z is a 57-year-old man who presented with recurrent intermittent colicky right flank pain of a-year duration initially at a private hospital in Lokoja. At initial presentation, there was associated nausea and vomiting.[wajradiology.org]
  • Clinically, presenting symptoms contain hematuria, loin pain, abdominal lump and so on. Both two cases had flank pain and microscopic hematuria.[omicsonline.org]
  • Presentation Right loin long standing colicky pain. Patient Data Age: 25 years Gender: Male Loading images... Moderate dilatation of right renal pelvicalyceal system with a 3 mm calculus in the lower pole calyx.[radiopaedia.org]
Chills
  • In cases in which a urinary tract infection is also present, the patient may report chills and fever. Determine the patient’s history to identify risk factors.[medical-dictionary.thefreedictionary.com]
  • The following may be signs of kidney stones that need a doctor's help: Extreme pain in your back or side that will not go away Blood in your urine Fever and chills Vomiting Urine that smells bad or looks cloudy A burning feeling when you urinate Your[icdlist.com]
  • A patient with kidney stones may present with flank pain on one or both sides, back pain, nausea and vomiting, urinary frequency, painful urination, abdominal pain, chills, and/or fever.[fortherecordmag.com]
  • Other symptoms include restlessness, blood in the urine, nausea, vomiting, discolored urine, bad-smelling urine, chills, fever, difficulty urinating, or frequently feeling the urge to urinate but only producing a small amount.[study.com]
Intravenous Administration
  • administration of contrast material and can therefore be performed in patients with a history of severely impaired renal function or of allergy to iodinated contrast material.[wajradiology.org]
  • Comprehensive data about the functional and morphological characteristics of the urinary system can be obtained with a couple of projections after intravenous administration of water soluble and nonionic contrast media.[radiologykey.com]
Hyperthermia
  • The IMT of the kidney, often asymptomatic, can be revealed by lumbagos, hématuria, hydronephrosis, nonspecific systemic demonstrations such as prolonged hyperthermia or by the means of biological inflammatory syndromes [ 6 ].[casesjournal.biomedcentral.com]
Pseudotumor
  • In addition, a lithiasis could be at the origin of an excessive reactive inflammatory process, carrying out a pseudotumoral aspect, however, this type of lesion gives a negative immunolabelling with the ALK, but the exact opposite is detected in our patient[casesjournal.biomedcentral.com]
Right Flank Pain
  • Presentation Macrohaematuria, right flank pain. Patient Data Age: 65 Gender: Male Loading images... The right renal pelvis containing the calculus shows a thickened wall with unsharp delineation from the surrounding fat tissue.[radiopaedia.org]
  • Olalekan Ibukun Oyinloye Department of Radiology, University of Ilorin, Ilorin Nigeria DOI : 10.4103/1115-1474.134623 A 57-year-old man presented with recurrent intermittent colicky right flank pain of 1-year duration.[wajradiology.org]
  • Case report A 55-year-old male nonsmoker presented with gross hematuria that had lasted for two years, right flank pain that had lasted for two months and no fever.[spandidos-publications.com]
Left Flank Pain
  • Presentation Left flank pain Patient Data Age: 25 Gender: Male 2 case questions available Loading images...[radiopaedia.org]
  • Case-6: Left VUJ calculus: This is another patient with severe left flank pain. The ultrasound image of the urinary bladder above shows a suspicious looking areas in the left VUJ (vesico-ureteric junction).[cochinblogs.blogspot.com]
Right Upper Quadrant Pain
  • During the operation, the patient complained of right upper quadrant pain. Later in the day, laboratory data showed elevated serum amylase levels, and abdominal CT revealed an enlarged pancreas.[jstage.jst.go.jp]
Xanthoma
Flank Pain
  • Acute flank pain: Comparison of non-contrast-enhanced CT and intravenous urography. Radiology 1995;194:789-94. 9. Fielding JR, Steele G, Fox LA, Heller H, Loughlin KR.[wajradiology.org]
  • Presentation Left flank pain Patient Data Age: 25 Gender: Male 2 case questions available Loading images...[radiopaedia.org]
  • Both two cases had flank pain and microscopic hematuria. It is difficult to differentiate between the SCC and renal stone just from the symptoms because their symptoms are similar.[omicsonline.org]
Hematuria
  • Clinically, presenting symptoms contain hematuria, loin pain, abdominal lump and so on. Both two cases had flank pain and microscopic hematuria.[omicsonline.org]
  • Hematuria / Renal Stone What is the differential for hematuria? Trauma Renal calculi Renal cancer Bladder stone or cancer Acute glomerulonephritis Imaging workup of renal cancer and trauma is discussed elsewhere.[meddean.luc.edu]
  • Hematuria, or blood in the urine, is also a common symptom of kidney stones. However, since hematuria is usual with kidney stones, it should not be assigned as a secondary diagnosis.[fortherecordmag.com]
  • West Afr J Radiol 2014;21:99-101 Introduction Acute flank pain due to urolithiasis is a common complaint in patients presenting to emergency departments. [1], [2] Patients typically present with radiating colicky pain with or without hematuria. [1] Patients[wajradiology.org]
  • Teach the patient to report any signs of complications, such as fever, chills, or hematuria, as well as any changes in urinary output patterns, to the primary caregiver.[medical-dictionary.thefreedictionary.com]
Bilateral Flank Pain
  • Case 2 A 61-year-old male presented with complaints of bilateral flank pain, especially the right side since the last 3 months. He had a history of bilateral kidney stone for 5 years.[omicsonline.org]
  • A 53-year-old male presented with complaints of bilateral flank pain since the last five months. He was previously operated twice for renal stones, having a right pyelolithotomy 16 years before and a right PCNL seven years before.[hindawi.com]

Workup

  • Trauma Renal calculi Renal cancer Bladder stone or cancer Acute glomerulonephritis Imaging workup of renal cancer and trauma is discussed elsewhere.[meddean.luc.edu]
  • This important workup can guide the physician to prescribe medications that can decrease the risk or stone formation in the future.[miamiurologyconsultants.com]
  • The patient had an uneventful postoperative course but was lost to follow up after discharge from the hospital before his metastatic workup could be performed. Case 2.[hindawi.com]
  • Necessary workup includes a midstream clean catch or catheterized urine specimen for urinalysis and microscopy with urine culture as indicated, CBC to assess for leukocytosis, and creatinine to assess for any rise above the patient’s baseline.[auanet.org]
  • […] calculus Nuclear renal scanning: To objectively measure differential renal function, especially in a dilated system for which the degree of obstruction is in question; reasonable study in pregnant patients, in whom radiation exposure must be limited See Workup[emedicine.medscape.com]
Human Herpesvirus 8
  • View Article PubMed Google Scholar Gomez-Roman JJ, Ocejo-Vinyals G, Sanchez Velasco P, Nieto EH, Leyva-Cobian F, Val-Bernal JF: Presence of human herpesvirus-8 DNA sequences and overexpression of human IL-6 and cyclin D1 in inflammatory myofibroblastic[casesjournal.biomedcentral.com]

Treatment

  • This question featured in : Non obstructing calculus Renal calculus treatment Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment.[practo.com]
  • Plentiful treatment methods have been tried in patients who suffer from renal SCC. The treatment approaches should be selected on the basis of age, the patient’s general condition, grading and staging of the cancer and patient compliance and so on.[omicsonline.org]
  • What the Radiologist Needs to Know About Urolithiasis: Part 2-CT Findings, Reporting, and Treatment. AJR Am J Roentgenol 2012;198:W548-54. 7. Shih WJ, Lorman JJ, King JJ.[wajradiology.org]
  • Surgery is the mainstay of treatment for a PUJ obstruction.[steinerurology.com.au]

Prognosis

  • The prognosis of renal SCC is relatively poor.[omicsonline.org]
  • Treatment and prognosis Staghorn calculi need to be treated surgically, usually PCNL (percutaneous nephrolithotomy) /- ESWL (extracorporeal shockwave lithotripsy) and the entire stone removed, including small fragments, as otherwise, these residual fragments[radiopaedia.org]
  • Wright et al ( 19 ) identified that urachal cancer possessed a significantly better prognosis than non-urachal cancer, while Mostofi et al ( 20 ) hypothesized that urachal adenocarcinomas were associated with a significantly worse prognosis.[spandidos-publications.com]
  • Due to the above-mentioned reasons, most patients of RSCC present at late stages, accounting for the poor prognosis [1, 2, 4, 5, 12].[hindawi.com]

Etiology

  • Both congenital and acquired factors have been implicated in its etiology [3].[ijri.org]
  • […] squamous differentiation Epidemiology Very rare tumor, except for patients with nonfunctioning hydronephrotic kidney due to renal pelvic stone disease ( Mol Clin Oncol 2015;3:941 ) Approximately equal men and women, age 50 - 70 years ( J Urol 2007;178:51 ) Etiology[pathologyoutlines.com]
  • CONTENTS  Definition  Incidence  Etiology  Risk factors  Types of renal stones  Pathophysiology November5,2017 3 4.[slideshare.net]
  • […] with serum and 24-hour urine metabolic evaluation, can identify an etiology in more than 95% of patients.[emedicine.medscape.com]

Epidemiology

  • […] urothelial differentiation (invasive or in situ) and not combined with another renal neoplasm Terminology Cases with associated urothelial carcinoma or urothelial carcinoma in situ are best classified as urothelial carcinoma with squamous differentiation Epidemiology[pathologyoutlines.com]
  • Epidemiology [ 2 ] Renal stones are common, being present at some time in one in ten of the population, although a significant proportion will remain asymptomatic.[patient.info]
  • Epidemiology, origin, pathophysiology, diagnosis, and management. Radiol Clin North Am. 1999;37:911–52v. 14. Chen MY, Zagoria RJ.[aafp.org]
  • Epidemiology and economics of nephrolithiasis. Investig Clin Urol. 2017 Sep. 58 (5):299-306. [Medline]. [Full Text]. Saigal CS, Joyce G, Timilsina AR, Urologic Diseases in America Project.[emedicine.medscape.com]
Sex distribution
Age distribution

Pathophysiology

  • PATHOPHYSIOLOGY November5,2017 31 32. November5,2017 32 33. November5,2017 33 34.[slideshare.net]
  • Adventitial inflammatory infiltrate is present.[18] However, the degradation of the tunica media by means of a proteolytic process seems to be the basic pathophysiologic mechanism of AAA development.[en.wikipedia.org]
  • Epidemiology, origin, pathophysiology, diagnosis, and management. Radiol Clin North Am. 1999;37:911–52v. 14. Chen MY, Zagoria RJ.[aafp.org]
  • Pathophysiology Urinary calculi may have various compositions which include, in order of decreasing frequency: calcium oxalate, uric acid, struvite or infection (triple phosphate magnesium ammonium calcium phosphate), calcium phosphate and cystine.[auanet.org]
  • Kidney stones: pathophysiology and medical management. Lancet 2006 Jan 28;367(9507):333-44. Boyce CJ, Pickhardt PJ, Lawrence EM, et al.[effectivehealthcare.ahrq.gov]

Prevention

  • Vigorous hydration promotes passing of stone, prevents urinary stasis, and aids in prevention of further stone formation. Document reports of increased and persistent abdominal pain.[nurseslabs.com]
  • Diuretics may be ordered to prevent urinary stasis.[medical-dictionary.thefreedictionary.com]
  • Intervention(contd…)  Maintain sterile technique to prevent infection because the tube goes directly into the kidney.  Teach the client about any type of catheter care (how to clean around them, empty them, prevent kinking and irrigate them) before[slideshare.net]
  • Prevention [ 2 ] Recurrence of renal stones is common and therefore patients who have had a renal stone should be advised to adapt and adopt several lifestyle measures which will help to prevent or delay recurrence: Increase fluid intake to maintain urine[patient.info]
  • Get Rid of Gallstones Naturally One of the main home remedies that you need to follow to prevent gallstones is a healthy lifestyle. You need to maintain a healthy body weight to prevent gallstones.[alpfmedical.info]

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