Superior Mesenteric Artery Syndrome – A Rare Complication Following Left Radical Nephrectomy and IVC Thrombectomy.

The patient is an 49-year-old male who was referred to our tertiary centre for management of a large left renal mass. He had been   evaluated elsewhere for vague left side abdominal pain and contrast enhanced computed tomography (CT) of his abdomen had revealed a large left renal mass with level III inferior vena caval (IVC) thrombus and regional adenopathy(Figure 1A,B). He denied any history of recent acute weight loss and h is body mass index was 26.4 Kg/m2.Review of the CT images showed that the left renal vein which had the tumour thrombus was retro-aortic in position .
Source: Urology - Category: Urology & Nephrology Authors: Tags: Invited grand rounds Source Type: research

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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
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
SK Sureka, P Yadav, P Kumar, A SrivastavaIndian Journal of Nephrology 2018 28(2):153-156 A 46-year-old male presented with left flank pain and was found to have left nephromegaly with renal vein and inferior vena cava (IVC) thrombus. On hematological evaluation, he had leukocytosis and thrombocytopenia. Further evaluation revealed acute myeloid leukemia (AML). Following initial cytoreductive therapy and supportive care for hyperleukocytosis, he underwent left simple nephrectomy with IVC thrombectomy. Postoperatively, he developed massive thrombosis of infrahepatic IVC with renal failure. Renal venous thrombosis as a rare ...
Source: Indian Journal of Nephrology - Category: Urology & Nephrology Authors: Source Type: research
Abstract Situs inversus, an uncommon mirror-image reversal of the major visceral and thoracic organs, is seldom of medical significance. However, the recognition of their unique anatomy is extremely important for those requiring surgical intervention. There are very few reported cases of renal cell carcinoma (RCC) developing in people with situs inversus. To our knowledge, this is the first reported case in Canada. A review of the literature only identified nine published cases worldwide. Here, we review and summarize pertinent information, including patient age and sex, size and location of tumour, method of surg...
Source: Canadian Urological Association Journal - Category: Urology & Nephrology Authors: Tags: Can Urol Assoc J Source Type: research
We present the clinical features, imaging, diagnosis, and treatment of 7 cases of renal PNET (4 men, 3 women; median age, 32 years). Common presenting symptoms were flank or abdominal pain and a mass in the abdomen. On imaging, a large heterogenous infiltrating renal mass with areas of calcification, hemorrhage, and necrosis and tumor thrombus can give a clue to the diagnosis of renal PNET. Immunohistochemistry and molecular studies are essential to confirm the diagnosis. The prognosis of renal ES/PNET is generally poor. Radical nephrectomy combined with chemotherapy and radiotherapy is the standard treatment for renal PNE...
Source: Baylor University Medical Center Proceedings - Category: Universities & Medical Training Authors: Tags: Proc (Bayl Univ Med Cent) Source Type: research
Conclusions: Compared to the extension of RCC to the renal vein or IVC, extension of TCC to the renal vein or IVC is rare. TCC with a venous tumor thrombus is often misdiagnosed as RCC. However, a correct preoperative or intraoperative diagnosis is of great importance to decide surgical strategy. Laparoscopic radical nephroureterectomy with thrombectomy may be a safe and feasible operative method in treatment of TCC with a renal vein thrombus. The prognosis of such cases is poor even if chemotherapy and radiotherapy are scheduled.
Source: Journal of Physiological Anthropology - Category: Physiology Authors: Source Type: research
We present a case of flank pain presenting to emergency for evaluation and discuss the clinical aspects and management. We would like to stress on the important role of serum LDH levels and CT scan in RAT. Early diagnosis may result in salvage of organ by minimally invasive techniques. Late diagnosis will almost always result in nephrectomy.
Source: Urology Case Reports - Category: Urology & Nephrology Source Type: research
We present the case of a 55-year-old male with mild hypertension and brief episodes of paroxysmal self-limiting atrial fibrillation (AF) since 2010. Despite a small cardioembolic risk score, CHA2DS2-Vasc=1 (Congestive heart failure, Hypertension, Age=75, Diabetes melitus, prior Stroke), the patient is effectively anticoagulated using acenocumarol. In December 2014, he showed signs of plantar transitory ischemia, for which he did not address the doctor. In early January 2015, he urgently presented at the hospital with left renal pain, caused by a renal infarction, diagnosed by computed tomography (CT) angiography. Left neph...
Source: Romanian Journal of Morphology and Embryology - Category: Journals (General) Tags: Rom J Morphol Embryol Source Type: research
Publication date: Available online 24 May 2016 Source:Indian Journal of Transplantation Author(s): Vaidehi K. Pandya, Harsh C. Sutariya Renal vein thrombosis (RVT), though very rare, is one of the serious and fatal vascular complications of renal transplantation, which may lead to graft loss. The causative factor may be unknown in majority of cases. However, a variety of causes have been identified. Here, we report a case of a 46-year-old postrenal transplant male patient, who presented with acute onset of right flank pain, tenderness, hematuria, and reduced urine output after 40 months of transplantation. Renal vein t...
Source: Indian Journal of Transplantation - Category: Transplant Surgery Source Type: research
Abstract Renal cell carcinoma (RCC) accounts for approximately 3 % of adult malignancies and 90–95 % of neoplasms arising from the kidney. One of the unique features of RCC is the tumor thrombus formation that migrates into the venous system including renal vein (RV) and inferior vena cava (IVC). Only 10 % of patients with RCC present with the classic triad of flank pain, hematuria and defined mass, while 25–30 % of affected patients are asymptomatic. Signs of para-neoplastic syndrome such as hypercalcemia, hypertension, anemia, cachexia and increased erythrocyte sedimentation rate ...
Source: Indian Journal of Surgical Oncology - Category: Cancer & Oncology Source Type: research
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