1/11. Spontaneous communication between a simple renal cyst and the pyelocaliceal system with a gas-producing infection.We present the extremely rare case of a 44-year-old woman who presented with right flank pain and high fever, which proved to be a case of spontaneous communication between a renal cyst and the pyelocaliceal system caused by increased pressure in the renal pelvic cavity exerted by a stone leading to infection.- - - - - - - - - - ranking = 1keywords = flank pain, flank (Clic here for more details about this article) |
2/11. Case report: acute focal bacterial pyelonephritis (lobar nephronia)--presentation as a palpable abdominal mass.Acute lobar nephronia, or focal pyelonephritis, is an uncommon form of renal infection with a distinct computerized tomographic appearance. A patient is presented with lobar nephronia characterized by fever, flank pain, urosepsis, and painful abdominal mass. Differentiating this condition from abscess or other renal mass is important, because the treatment of lobar nephronia is nonsurgical. The infection responds to antibiotic therapy.- - - - - - - - - - ranking = 1keywords = flank pain, flank (Clic here for more details about this article) |
3/11. Clinics in diagnostic imaging (99). Left emphysematous pyelonephritis.A 57-year-old woman, known to have diabetes mellitus, presented with a one-week history of fever, dysuria, and left flank pain. Computed tomography showed extensive left renal parenchymal destruction and a large gas collection. urine culture revealed growth of escherichia coli. The diagnosis of emphysematous pyelonephritis was confirmed at left nephrectomy. The clinical manifestations of emphysematous pyelonephritis, types of gas-forming renal infection, and their radiological findings are discussed.- - - - - - - - - - ranking = 1keywords = flank pain, flank (Clic here for more details about this article) |
4/11. Emphysematous pyelonephritis: an emergency indication for the plain abdominal radiograph.We report the case of a 59-year-old diabetic woman with emphysematous pyelonephritis. The patient presented with nausea, vomiting, and right flank pain of three days duration. The diagnosis was established by a plain abdominal radiograph in the emergency department. Aggressive rehydration, control of diabetes, broad-spectrum antibiotic therapy, and early right nephrectomy resulted in rapid clinical improvement. Emphysematous pyelonephritis is rare and often fatal. survival depends on early diagnosis and aggressive combined medical and surgical management.- - - - - - - - - - ranking = 1keywords = flank pain, flank (Clic here for more details about this article) |
5/11. Unusual presentation of carcinoma of the vermiform appendix: a report of two cases.Two unusual presentations of perforated mucoid adenocarcinoma of the appendix are described. One patient presented with a large periappendicular abscess that extended into the gluteal region, the other with a retroperitoneal abscess and abscesses in the right flank and groin. Recognition of the source of the abscess may be difficult but is essential for the prevention and elimination of the sepsis which may be life-threatening. The presence of mucin in the drained pus is highly suggestive for perforated bowel carcinoma. A high index of suspicion and the performance of prompt diagnostic procedures may bring early surgical treatment and better results.- - - - - - - - - - ranking = 0.14629822034149keywords = flank (Clic here for more details about this article) |
6/11. Cutaneous malacoplakia.Indurated, erythematous plaques of the left arm and left flank developed in a 69-year-old white man with multiorgan failure from escherichia coli sepsis. Cutaneous malacoplakia was diagnosed. Intravenous antibiotic therapy resulted in resolution of the malacoplakia and the E. coli sepsis.- - - - - - - - - - ranking = 0.14629822034149keywords = flank (Clic here for more details about this article) |
7/11. Angiographic and ultrasonic findings in infected simple cysts of the kidney.This paper describes angiographic and ultrasonic findings in three patients with proven infected renal cyst. The clinical picture was that of inflammatory renal disease. B-mode ultrasonography showed the characteristic features of renal cyst; however, this technique cannot differentiate between infected and simple cysts. Selective renal angiography demonstrated the following, enabling differentiation from simple renal cyst; hypervascular rim, irregular inflammatory vessels, indistinct interface between cyst and adjacent parenchyma, and prominent capsular branches. Since percutaneous puncture of an infected renal cyst or abscess carries risk of infectious complications, angiography appears justified only for those patients with fever and flank pain who have cystic lesions in the kidney confirmed by echography.- - - - - - - - - - ranking = 1keywords = flank pain, flank (Clic here for more details about this article) |
8/11. The lost gallstone. Complication after laparoscopic cholecystectomy.Laparoscopic cholecystectomy has become the treatment of choice for most patients with gallstones. During this procedure it is not uncommon for the gallbladder to be entered inadvertently, spilling gallstones freely into the peritoneal cavity. Finding and removing all of the spilled gallstones can be difficult and time consuming. The natural history of stones left in the peritoneal cavity, outside the gallbladder, bile ducts, or intestine, is not known. This is a case report of a complication related to several gallstones left in the peritoneal cavity after laparoscopic cholecystectomy. An abscess developed around them, which necessitated the drainage of purulent exudate from the right flank 8 months postoperatively. the abscess and sinus tract did not heal until the stones were removed. If possible, all stones should be removed during laparoscopic cholecystectomy to forestall the development of this type of complication.- - - - - - - - - - ranking = 0.14629822034149keywords = flank (Clic here for more details about this article) |
9/11. Acute lobar nephronia: a case report.Acute lobar nephronia (ALN), a term analogous to acute lobar pneumonia, refers to a renal mass caused by acute focal infection without liquefaction. An alternative term is acute focal bacterial nephritis (AFBN). fever, flank pain or back pain are the most frequently encountered clinical characteristics. Imaging modalities used to establish a definite diagnosis of acute lobar nephronia included sonography, computed tomography and nuclear medicine. Uroradiographic findings in this condition can mimic a renal abscess or neoplasm. Further distinction between acute lobar nephronia and other renal masses is aided by the appropriate use of renal sonography and computerized tomography is the most effective and least costly method in diagnosis. Serial sonograms can be used to monitor response to antibiotic therapy. Clinical and uroradiographic characteristics of a six year-old female patient with acute lobar nephronia are presented, along with a review of literature.- - - - - - - - - - ranking = 1keywords = flank pain, flank (Clic here for more details about this article) |
10/11. Chronic granulomatous interstitial nephritis: unusual complication of acute pyelonephritis.We describe an unusual complication of acute pyelonephritis in a 45-year-old diabetic female. She was admitted to our hospital due to fever and flank pain which had developed 10 days earlier. urinalysis showed many WBC and urine culture revealed escherichia coli. After adequate antibiotic treatment, clinical symptoms abated but renal failure and leukocyturia persisted. Abdominal CT showed bilateral focal bacterial nephritis and renal biopsy disclosed chronic granulomatous interstitial nephritis. On the 80th hospital day she was discharged with a serum creatinine of 299 mumol/l. In the outpatient clinic, renal dysfunction and leukocyturia persisted up to 1 year. In conclusion, this case raises the possibility of a chronic interstitial process of acute pyelonephritis.- - - - - - - - - - ranking = 1keywords = flank pain, flank (Clic here for more details about this article) |
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