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Renal Pelvic Calculus

Calculus in Renal Pelvis


Presentation

  • Presentation Left flank pain Patient Data Age: 25 Gender: Male 2 case questions available Loading images...[radiopaedia.org]
  • 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]
  • 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]
  • In the specific case of the patient presented above, the immunolabelling by the anti-ALK1 antibody revealed a diffuse cytoplasmic expression.[casesjournal.biomedcentral.com]
  • It is also helpful to be aware of the patient's clinical presentation and history .[wikiradiography.com]
Chills
  • 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]
  • 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]
  • 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]
  • 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]
  • Some signs of a UTI include: cloudy urine painful urination burning with urination a weak urine stream back pain bladder pain a fever chills If you see signs of hydronephrosis, schedule an appointment with your doctor to talk about your symptoms.[healthline.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]
Ascitic Fluid
  • The following day, urine output had decreased, and pleural and ascitic fluid had accumulated.[jstage.jst.go.jp]
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
Hematuria
  • 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]
  • […] the ureter Steinstrasse literally means “stone street” or “street of stones” coined by the German pioneers of lithotripsy The goal of lithotripsy is to fragment stones small enough to pass spontaneously into the bladder Many patients have transient hematuria[learningradiology.com]
  • 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]
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]
  • 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]
  • Flank pain suggests that stones are in the kidney area, upper ureter. Flank pain radiates to back, abdomen, groin, genitalia because of proximity of nerve plexus and blood vessels supplying other areas.[nurseslabs.com]
  • The majority of staghorn calculi are symptomatic, presenting with fever, hematuria, flank pain and potentially septicaemia and abscess formation.[radiopaedia.org]

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]
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]
  • 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]
  • Adults may find treatment in other ways. Open Surgery The classic treatment for infants is an operation called pyeloplasty . In this surgery the UPJ is removed, and the ureter is reattached to the renal pelvis to create a wide opening.[urologyhealth.org]
  • Surgery is the mainstay of treatment for a PUJ obstruction.[steinerurology.com.au]
  • Bladder and renal stones: management and treatment. Hosp Med . 2002;63:34-41.[consultant360.com]

Prognosis

  • 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]
  • Treatment and prognosis Treatment depends on the location of the stone, composition and size. Irrespective of stone composition, patients who present with renal colic require assessment. Approximately 90% of stones 1 .[radiopaedia.org]

Etiology

  • […] 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]
  • Both congenital and acquired factors have been implicated in its etiology [3] .[ijri.org]
  • Uric acid Hyperuricosuria is not always associated with hyperuricemia and is seen in a variety of settings (see above), although in most instances uric acid stones occur in patients with no identifiable underlying etiology 6 .[radiopaedia.org]

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]
  • View Article : Google Scholar : PubMed/NCBI 16 Ploeg M, Aben KK, van de Hulsbergen Kaa CA, Schoenberg MP, Witjes JA and Kiemeney LA: Clinical epidemiology of nonurothelial bladder cancer: Analysis of the Netherlands Cancer Registry.[spandidos-publications.com]
Sex distribution
Age distribution

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]
  • Sometimes stone formation can be prevented by changing the diet or increasing fluid intake. Stones that do not pass on their own are removed with lithotripsy or an endoscopic technique.[msdmanuals.com]
  • PREVENTION After successful stone clearance, prophylactic measures are necessary to prevent stone recurrence. The composition of the stone should guide prophylactic therapy.[consultant360.com]
  • This is of course provided that the kidney is not obstructed and infected in which case a percutaneous nephrostomy should be performed on an emergency basis to save the organ and prevent sepsis.[radiopaedia.org]

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