4,895 results match your criteria pain flank

Urolithiasis and Its Treatment in Pregnant Women: 10-Year Clinical Experience From a Single Centre.

Cureus 2021 Mar 7;13(3):e13752. Epub 2021 Mar 7.

Department of Urology, Harran University, Şanlıurfa, TUR.

Introduction: Urolithiasis during pregnancy is an important health concern that can affect maternal and foetal health. If left untreated, it can cause obstetric complications, such as spontaneous abortion and preterm delivery. In this study, we aimed to evaluate urolithiasis and its treatment in pregnant women. Read More

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Uncracking a Case.

Indian J Nephrol 2020 Nov-Dec;30(6):420-423. Epub 2020 Oct 9.

Department of Nephrology, Centro Hospitalar Lisboa Central EPE, Hospital Curry Cabral, R. Beneficência 8, Lisboa, Portugal.

Nutcracker phenomenon (NCP) refers to compression of the left renal vein (LRV), most frequently between the aorta and the superior mesenteric artery, with impaired blood outflow often accompanied by distention of the distal portion of the vein. The nutcracker syndrome (NCS) is the terminology used when the nutcracker phenomenon is accompanied by a complex of symptoms such as pain (abdominal, flank, and pelvic), hematuria and orthostatic proteinuria. Diagnosis can be made with Doppler ultrasound (DUS), computed tomography (CT), magnetic resonance imaging (MRI), and venography. Read More

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October 2020

Plexiform Neurofibroma Without Neurofibromatosis Type 1.

Acta Dermatovenerol Croat 2020 Dec;28(7):245-246

Professor Uwe Wollina, MD, Department of Dermatology and Allergology, Städtisches Klinikum Dresden, Academic Teaching Hospital, Friedrichtstrasse 41, 01067 Dresden, Germany;

Dear Editor, Plexiform neurofibroma (PNF) is a particular subtype of benign nerve sheath tumors with a reticular growth pattern not respecting tissue borders and involving several nerve branches or fascicles. It is most commonly reported in patients with neurofibromatosis type-1 (NF-1) and represents in up to 30% of NF-1 patients (1,2). Other possible associations include schwannomatosis, multiple cutaneous schwannomas syndrome, and rarely neurofibromatosis type-2 (NF-2) (3). Read More

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December 2020

Xanthogranulomatous pyelonephritis: a focus on microbiological and antibiotic resistance profiles.

BMC Urol 2021 Apr 7;21(1):56. Epub 2021 Apr 7.

Department of Urology, Hospital Universitario Ramón Y Cajal. Instituto Ramón Y Cajal de Investigación Sanitaria (IRYCIS), Madrid, Spain.

Background: Xanthogranulomatous pyelonephritis (XGP) is an inflammatory condition of the kidney and its treatment most often involves a combination of antibiotics and nephrectomy. This study aimed to define the clinical features and management of XGP, focusing on microbiological aspects and antibiotic therapy.

Methods: We performed a retrospective study of 27 cases of XGP diagnosed between January 2001 and January 2020 to analyse their clinical and management characteristics. Read More

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Patient-Reported Outcome Measures of abdominal wall morbidity after flank incision for open partial nephrectomy.

BJU Int 2021 Apr 7. Epub 2021 Apr 7.

Department of Surgical and Perioperative Sciences, Umeå University, Sweden.

Objective: To compare patient-reported outcome measures (PROMs) in patients with and without abdominal wall complications after open partial nephrectomy (OPN) via flank incision.

Patients And Methods: PROMs were collected in 2017 from all patients operated on with OPN via flank incision between 2004 and 2016 in Västerbotten County, Sweden. Patients were mailed the ventral hernia pain questionnaire (VHPQ) and an abdominal wall asymmetry (AWA) questionnaire to evaluate postoperative AWA, attributed to bulge or incisional hernia. Read More

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Hypovolemic shock induced by a large chest wall hematoma caused by a single rib fracture in an elderly patient.

Trauma Case Rep 2021 Apr 17;32:100459. Epub 2021 Mar 17.

Department of Emergency and Disaster Medicine, Showa University.

Displaced rib fractures can injure intercostal vessels leading to chest wall hematomas. As the bleeding occurs within the vessel, compression of the vessel wall helps in preventing further bleeding. Therefore, chest wall hematomas rarely result in shock. Read More

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IgG4-Related Disease Retroperitoneal Fibrosis: An Unusual Cause of Low Back Pain.

Cureus 2021 Feb 28;13(2):e13608. Epub 2021 Feb 28.

Internal Medicine, Hackensack University Medical Center - Palisades Medical Center, North Bergen, USA.

IgG4-related disease (IgG4-RD) is a cluster of rare fibroinflammatory diseases that more commonly affect organs such as major salivary glands, biliary tree, periorbital tissues, kidneys, lungs, lymph nodes, retroperitoneum, and less frequently, meninges, aorta, prostate, thyroid gland, pericardium, and the skin. The clinical picture mainly depends on the affected organ and the effects on the surrounding organs, however, the histopathologic findings are very similar regardless of the organ affected. Most patients have a subclinical presentation of the disease and the only clinical manifestation is related to the anatomic location of the disease, whereas some patients may have constitutional symptoms such as weight loss and are often misdiagnosed as having other pathologies (i. Read More

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February 2021

Recurrent Large Volume Malignant Pleural Effusion in a Patient With Renal Cell Carcinoma.

Cureus 2021 Feb 27;13(2):e13593. Epub 2021 Feb 27.

Internal Medicine, NewYork-Presbyterian Brooklyn Methodist Hospital, Brooklyn, USA.

Malignant pleural effusion (MPE) due to renal cell carcinoma (RCC) is extremely rare, accounting for only 1%-2% of all malignant pleural effusions. This paper presents a case report of a 56-year-old male who presented with a chief complaint of bilateral flank pain with dyspnea and was diagnosed with RCC via immunopathologic pleural fluid analysis and who persistently had recurrent large volume pleural effusion. A 56-year-old male who had a recent admission for dyspnea secondary to a right-sided pleural effusion underwent thoracentesis and returned to the hospital for his worsening shortness of breath. Read More

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February 2021

Evaluation of the patients with flank pain in the emergency department by modified STONE score.

Am J Emerg Med 2021 Mar 27;47:158-163. Epub 2021 Mar 27.

Department of Emergency Medicine, Ozel Mus Sifa Hospital, Mus, Turkey.

Background/aim: Computed tomography (CT) is generally used for ureteral stone diagnosis. Unnecessary imaging use should be reduced to prevent increased radiation exposure and lower costs. For this reason, scoring systems that evaluate the risk of ureteral stones have been developed. Read More

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Post Laparoscopy Neuropathic Pain Treated by Capsaicin 8% Dermal Patch.

J Pain Palliat Care Pharmacother 2021 Apr 1:1-2. Epub 2021 Apr 1.

We report a case of chronic left flank neuropathic pain after a renal cyst removal in a 54-year old female. The patient was treated with a single application of capsaicin 8% dermal patch, with satisfactory results at an eight week follow up visit. Capsaicin 8% dermal patch could be a suitable alternative in the conservative management of post laparoscopy neuropathic pain, as it can be effective and has a well-tolerated safety profile. Read More

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Embolization for massive bleeding due to spontaneous left external iliac vein rupture: report of a successful case.

CVIR Endovasc 2021 Apr 1;4(1):33. Epub 2021 Apr 1.

Department of Radiological Sciences, Graduate School of Biomedical Sciences, Nagasaki University, 1-7-1 Sakamoto, Nagasaki, 852-8501, Japan.

Background: Spontaneous rupture of the iliac vein has rarely been reported. Its associated hypovolemic shock-related symptoms and signs, including syncope and hypotension, have been observed in most of these cases. Successful transcatheter venous embolization for massive bleeding due to spontaneous rupture of the external iliac vein was herein reported. Read More

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Treating a thrombotic giant dissecting renal artery aneurysm through ex-vivo vascular reconstructive surgery followed by kidney reimplantation.

Rev Cardiovasc Med 2021 Mar;22(1):175-179

'Grigore T. Popa' University of Medicine and Pharmacy, 507184 Iasi, Romania.

Renal artery aneurysms, although rare, may give rise to complications both per se (due to the risk of thrombosis and subsequent wall rupture) and by impairment of the renal function (due to extrinsic compression and high blood pressure). We describe a paucisymptomatic young patient with acute thrombosis of a massive dissecting renal artery aneurysm, for which the successful treatment was performed through ex-vivo vascular surgery followed by autotransplantation of the reconstructed kidney. The aneurysm was described through abdominal echography, computed tomography angiography, and transfemoral transcatheter arterial angiography. Read More

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Bilateral acute pyelonephritis with left renal artery aneurysm as a cause of bilateral spontaneous subcapsular haematoma: lessons learnt.

BMJ Case Rep 2021 Mar 31;14(3). Epub 2021 Mar 31.

Department of Urology, Sri Ramachandra Institute of Higher Education and Research, Chennai, Tamilnadu, India.

Forniceal ruptures after acute pyelonephritis are relatively common. Bilateral spontaneous subcapsular haematoma (SSCH) is an uncommon sequela to pyelonephritis. We report a case of SSCH where the underlying cause of haematoma was a vascular anomaly. Read More

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CT as a Diagnostic Tool for Emphysematous Pyelitis: A Case Report.

Cureus 2021 Feb 23;13(2):e13513. Epub 2021 Feb 23.

Radiology, Dr. Ajmera Diagnostic, New Delhi, IND.

Gas forming infections of the renal collecting system occurs because of organisms like Escherichia coli, Klebsiella, and Proteus. If the gas is restricted to the collecting system, without causing involvement of the cortex, it is called emphysematous pyelitis; whereas, invasion and penetration of the cortex imply a more gruesome diagnosis of emphysematous pyelonephritis. A 59-year-old male patient, previously diagnosed with a large right renal calculus and having multiple co-morbidities presented to the surgery department with right flank pain; Double J (DJ) stenting was done to relieve the pain from colic due to obstructive renal calculi; the patient subsequently discharged without any post-procedural complications. Read More

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February 2021

Uncomplicated urinary tract infection in women.

BMJ 2021 03 30;372:n725. Epub 2021 Mar 30.

Institute for Evidence-Based Healthcare, Faculty of Health Sciences and Medicine, Bond University, Gold Coast, Queensland, Australia 4229.

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CT Findings of Primary Renal Angiosarcoma.

Case Rep Oncol 2021 Jan-Apr;14(1):212-216. Epub 2021 Mar 1.

Department of Radiology, Hyogo College of Medicine, Nishinomiya, Japan.

Primary angiosarcomas of the kidney are very rare but highly aggressive tumors showing poor prognosis. We present a case of primary renal angiosarcoma occurring in a 60-year-old man with left flank pain. CT images depicted a huge exophytic mass (14 cm in diameter) in the left kidney, exhibiting central extensive hemorrhage or necrosis without contrast enhancement. Read More

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Wunderlich syndrome with spontaneous renal hemorrhage into renal angiomyolipoma.

Urol Ann 2020 Oct-Dec;12(4):392-393. Epub 2020 Oct 15.

Department of Urology, Pakistan Kidney and Liver Institute and Research Centre, Lahore, Pakistan.

Wunderlich syndrome is a rarely entity. We report our case of a 60-year-old female, who presented in the emergency medicine department with acute right flank pain, tender mass right upper quadrant abdomen, hypotension, and visible hematuria. Urgent computerized tomogram confirmed bleeding in the right renal angiomyolipoma. Read More

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October 2020

Can obstructive urolithiasis be safely excluded on contrast CT? A retrospective analysis of contrast-enhanced and noncontrast CT.

Am J Emerg Med 2021 Mar 22;47:70-73. Epub 2021 Mar 22.

Staten Island University Hospital, Northwell Health, 475 Seaview Ave, Staten Island, NY 10305, USA.

Purpose: The aim of this study was to determine if contrast-enhanced CT can safely exclude obstructive urolithiasis in patients with flank plain. We performed a retrospective cohort analysis to compare the negative predictive values of contrast-enhanced and non-contrast CTs for the detection of obstructing urolithiasis.

Methods: Through report analysis, we identified all non-contrast and contrast-enhanced CT examinations of the abdomen and pelvis performed on adult patients in the emergency department at a single, multi-site academic medical institution in 2017 with an indication of flank pain. Read More

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Biopsy-confirmed Genitourinary Tuberculosis in a Secondary Health Care Hospital: An Evidence-based Clinical Review.

Res Rep Urol 2021 17;13:133-137. Epub 2021 Mar 17.

Department of Urology, St. Carolus Hospital, Jakarta, Indonesia.

Introduction: Tuberculosis (TB) is a worldwide disease and remains a major public health problem in developing countries, with 95% of cases occurring in developing countries, including Indonesia. It is caused by , an acid-fast aerobic bacillus. When infects other than lung, it is called extrapulmonary tuberculosis (EPTB). Read More

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Urological Tract Infection with Candida Bezoars in a Woman with Diabetes Type 2.

Case Rep Urol 2021 8;2021:5563030. Epub 2021 Mar 8.

AZ Turnhout, Rubensstraat 166, 2300 Turnhout, Belgium.

The aim of this report is to describe a case of fungal bezoar obstruction of the kidney and our experience in managing it endoscopically. A 61-year-old woman presented with flank pain. On CT scan, a proximal stone and secondary dilatation was seen. Read More

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Microperc with Self-Assembled Fr 4.85 Visual Needle and Ureteral Access Sheath.

J Invest Surg 2021 Mar 25:1-8. Epub 2021 Mar 25.

Department of Urology, Beijing Chaoyang Hospital, Capital Medical University, Beijing, China.

Background: Micropercutaneous nephrolithotomy (microperc) is the least invasive among percutaneous nephrolithotripsy (PCNL) procedures. Although microperc has a high stone-free rate and certain advantages over other methods, modifications may be needed to improve the technique. We describe our experience performing microperc using a self-assembled visual needle and ureteral access sheath (UAS). Read More

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Prescribing the Buprenorphine Monoproduct for Adverse Effects of Buprenorphine-Naloxone.

Lucinda A Grande

J Addict Med 2021 Mar 19. Epub 2021 Mar 19.

Olympia Bupe Clinic at Capital Recovery Center, Olympia, WA; University of Washington Department of Family Medicine, Seattle, WA; Pioneer Family Practice, Lacey, WA.

Buprenorphine-naloxone (BNX) reduces the risk of mortality from untreated opioid use disorder by 50% or more. However, adverse effects of BNX can be a cause of inconsistent use or discontinuation. The buprenorphine monoproduct (BUP) is effective and is sometimes tolerated better, but practice guidelines and insurance restrictions discourage its prescription due to concerns about diversion and injection. Read More

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Robotic and standard surgical intervention as adjunct therapies for retroperitoneal ganglioneuroma resection: a case report.

BMC Surg 2021 Mar 19;21(1):143. Epub 2021 Mar 19.

Institute of Neurology, University of São Paulo, 255 Dr. Enéas de Carvalho Aguiar avenue, Cerqueira César, São Paulo, SP, 05403-900, Brazil.

Background: Ganglioneuroma (GN) is ranked by the International Neuroblastoma Pathology Classification as a benign tumor. It can occur anywhere along the sympathetic nerve chain and surgical excision is the treatment of choice.

Case Presentation: An 18-year-old female patient sought medical assistance after 6 months of constant dorsal and back pain radiating from the thoracic region to the right abdominal flank. Read More

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Intramuscular abdominal hibernoma: case report of a rare tumour and a review of the literature.

J Surg Case Rep 2021 Feb 28;2021(2):rjaa304. Epub 2021 Feb 28.

School of Medicine, Griffith University, Southport, Queensland, Australia.

Hibernoma is a rare benign tumour that was first described by Merkel in 1906. It arises from remnants of brown fat and has a differential diagnosis of lipoma and liposarcoma. This is a case report of a 31-year-old male with a slow-growing mass in the left flank that produced constant pain radiating to the groin. Read More

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February 2021

Idiopathic bilateral massive perirenal subcapsular effusion: The first case in the literature.

Urologia 2021 Mar 17:3915603211001252. Epub 2021 Mar 17.

Department of Urology, Bagcilar Training and Research Hospital, Istanbul, Turkey.

Introduction: Bilateral perirenal subcapsular effusion is a rare clinical condition and is associated with several underlying etiologies. We present a 33 years old male patient with idiopathic bilateral massive subcapsular effusion.

Case Presentation: A 33-year-old male patient presented to our outpatient clinic with bilateral flank pain and fever for 2 weeks. Read More

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Spontaneous urinoma debuting as retroperitoneal abscess: report of 2 cases and literature review.

Transl Androl Urol 2021 Feb;10(2):963-968

Department of Urology, Hospital Universitario Ramón y Cajal. Instituto Ramón y Cajal de Investigación Sanitaria (IRYCIS), Madrid, Spain.

Spontaneous urinoma is a urological entity that can be complicated by a retroperitoneal abscess. Urinoma can be iatrogenic, traumatic, or can be caused by obstructive uropathy. We report two cases of spontaneous urinomas, describing a not previously published cause of urinoma: pyeloureteritis. Read More

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February 2021