Rare Cause Of Acute Scrotal Swelling And Pain In Adult- A Case Report On Spontaneous Pampiniform Plexus Thrombosis and literature review

Publication date: Available online 5 September 2019Source: Urology Case ReportsAuthor(s): William Ong Lay Keat (MBBS, Shamsuddin Omar(FRCS), Han Pei Kwong (FRCS)Abstract:Acute scrotal pain is a common urological emergency where clinical judgement plays pivotal role in making the diagnosis. Scrotal pain secondary to spontaneous pampiniform plexus thrombosis is rare, and we are the first who report in the Asian region.
Source: Urology Case Reports - Category: Urology & Nephrology Source Type: research

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CONCLUSIONS: In young patients without risk factors developing a deep venous thrombosis, an inferior vena cava anomaly should be considered. Although no therapeutic consensus has been currently established, inferior vena cava agenesis seems to be associated with a high prevalence of thrombophilic disorders. Screening could be useful, particularly in patients with a thrombotic family history. PMID: 31611029 [PubMed - as supplied by publisher]
Source: Revue des Maladies Respiratoires - Category: Respiratory Medicine Tags: Rev Mal Respir Source Type: research
Authors: Barcelos STA, Dall'Oglio VM, de Araújo A, Cerski CTS, Álvares-da-Silva MR Abstract Hepatic sinusoidal obstruction syndrome (HSOS) is a hepatic vascular disease histologically characterized by edema, necrosis, detachment of endothelial cells in small sinusoidal hepatic and interlobular veins and intrahepatic congestion, which leads to portal hypertension and liver dysfunction. In the Western world, most HSOS cases are associated with myeloablative pretreatment in a hematopoietic stem cell transplantation setting. Here we report a case of a 54 years old female patient, otherwise healthy, with n...
Source: Annals of Hepatology - Category: Gastroenterology Tags: Ann Hepatol Source Type: research
We present a case of a 29 y/o G4P2 diagnosed with right ovarian vein thrombosis two weeks status post uncomplicated total laparoscopic hysterectomy (TLH), bilateral salpingectomy, and cystoscopy for chronic pelvic pain and abnormal uterine bleeding related to endometriosis.
Source: The Journal of Minimally Invasive Gynecology - Category: OBGYN Authors: Tags: Virtual Poster Session 3: Endometriosis (10:00 AM – 10:10 AM) 10:00 AM: STATION N Source Type: research
We present a case of a 70-year-old woman with acute presentation of bilateral limb ischemia and abdominal pain. Angio-CT scan showed the sub-occlusion of the distal thoracic aorta due to a severe calcified coarctaction with intraluminal thrombosis, a chronic occlusion of the superior mesenteric and celiac trunk arteries, an hypertrophic inferior mesenteric artery associated with signs of partial left kidney ischemia.
Source: Annals of Vascular Surgery - Category: Surgery Authors: Tags: Case Report Source Type: research
Acute superior mesenteric artery thrombosis is usually fatal; however, early intravascular treatment using a mechanical thrombectomy device can be an effective intervention. A 70-year-old man with atrial fibrillation presented with sudden abdominal pain; superior mesenteric artery thrombosis was confirmed using contrast-enhanced computed tomography. Thrombolysis, mechanical fragmentation, aspiration, and thrombectomy were successfully performed using the Trevo ® XP ProVue stent retriever via a brachial approach, and intestinal necrosis was avoided.
Source: Annals of Vascular Surgery - Category: Surgery Authors: Tags: Case Report Source Type: research
Renal vein aneurysms (RVA)s are uncommon entities, which are usually incidental findings or may cause mild non specific symptoms. Modern radiological imaging, mainly multi slice computerized tomography (CT), has substantially contributed to a prompt and accurate diagnosis. Treatment may range from watchful waiting to aneurysmorraphy, aneurysmectomy and nephrectomy. Potential complications include thrombosis, pulmonary embolism, pressure to other structures and rupture.Case: A 58-year-old male patient was admitted at the Emergency Department with abdominal pain.
Source: Annals of Vascular Surgery - Category: Surgery Authors: Tags: Case Report Source Type: research
Authors: Gong M, Zhao B, He X, Gu J, Chen G Abstract The aim of the present study was to investigate whether the rescue of thrombolysis with the recombinant tissue plasminogen activator (rt-PA) alteplase was an effective and safe therapeutic option in patients who did not respond to urokinase. Between February 2016 and February 2017, 26 patients with deep venous thrombosis (DVT) underwent rescue thrombolysis with alteplase. Unsuccessful thrombolysis with urokinase was defined as a lack of improvement in the degree of thrombotic removal with a lysis rate 3 million units of total urokinase, or>7 days infusion dura...
Source: Experimental and Therapeutic Medicine - Category: General Medicine Tags: Exp Ther Med Source Type: research
Authors: Liu P, Yan B, Zhang Y, Yan J, Ma C, Wang G, Jian T, Sun Z Abstract Cystic adventitial disease (CAD) is a condition that mainly affects the arterial system but rarely involves the venous system. The present study reported on two cases of CAD of femoral veins. The clinical manifestations in the two patients included pain and swelling of the lower limbs, but they had no risk factors for venous thrombosis. Color ultrasonography indicated cystic space-occupying lesions around the femoral veins, and enhanced computed tomography (CT) revealed vascular compression and space-occupying properties of the femoral vein...
Source: Experimental and Therapeutic Medicine - Category: General Medicine Tags: Exp Ther Med Source Type: research
Abstract Kidney transplant is a choice option for treatment of chronic kidney failure because it is associated with cost-effective and normal quality of life. To increase the number of living kidney donors, laparoscopic and minimal invasive modalities have been introduced. Here, we present a case of a living donor with an extremely rare complication after laparoscopic donor nephrectomy that presented as massive chylous ascites. Kidney donor operation can be performed with the use of 3 modalities: traditional open, laparoscopic, and open with minimally invasive. All 3 modalities may be associated with some complica...
Source: Experimental and Clinical Transplantation : official journal of the Middle East Society for Organ Transplantation - Category: Transplant Surgery Authors: Tags: Exp Clin Transplant Source Type: research
A 13-year-old boy with refractory ulcerative colitis (UC) presented to a regional pediatric center with bloody stool and abdominal pain, consistent with a UC exacerbation. His physical examination on presentation was significant for skin pallor, tachycardia to 112 beats per minute, and weight in the first percentile for age (33.2  kg). His laboratory studies were notable for leukocytosis (white blood cell count 20 K/μL), anemia (hemoglobin 10.8 g/dL), hypoalbuminemia (albumin 3.1 g/dL), and elevated inflammatory markers (C-reactive protein 6.4 mg/dL with upper limit of normal 0.9 and sedimentati...
Source: The Journal of Pediatrics - Category: Pediatrics Authors: Tags: Grand Rounds Source Type: research
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