RESUMO
INTRODUCTION: Iatrogenic injuries to the urogenital tract are rare, with the bladder being the organ most affected. We describe a case of a vesical calculus that formed on non-absorbable sutures that were used to repair an inguinal hernia. PRESENTATION OF CASE: A 45-year-old male presented with frank haematuria and dysuria 2 years following an open left inguinal hernia repair. A CT urography showed a vesical calculus adherent to the left anterio-lateral wall of the bladder. Cystoscopy revealed that the calculus formed on non-absorbable sutures. Cystolapaxy was performed followed by cystoscopic excision of the sutures. The patient's post-operative course was uneventful. DISCUSSION: Foreign bodies in the urinary bladder always act as a nidus for formation of a calculus. Iatrogenic bladder injuries are common during hernia repair. It is however rare for sutures used to repair an inguinal hernia to involve the urinary bladder wall. The patient most likely had a full bladder at the time of hernia repair or the bladder was part of the contents of the hernia sac. CONCLUSION: This case illustrates the need to ensure that the bladder is empty prior to pelvic surgery and for surgeons to have a good understanding of inguinal anatomy to avoid injuring the contents of the hernia sac.
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The insertion of a nasogastric tube for feeding and gastric aspiration is a common practice in the care of newborns, especially if they are preterm and unwell. Esophageal perforation is a rare but serious complication of this procedure. Associated perforation of the pericardial sac is an unusual, severe, and previously unreported complication of nasogastric tube feeding in a neonate. We present an illustrative case.
Assuntos
Perfuração Esofágica/etiologia , Intubação Gastrointestinal/efeitos adversos , Pericárdio/lesões , Meios de Contraste , Perfuração Esofágica/diagnóstico por imagem , Evolução Fatal , Humanos , Recém-Nascido , Iohexol , Masculino , Pericárdio/diagnóstico por imagem , RadiografiaRESUMO
In the present case report, we present the unusual occurrence of traumatic rupture of a ureteropelvic junction hydronephrosis, and discuss the potential mechanisms producing such a rupture and the management options.
Assuntos
Traumatismos Abdominais/diagnóstico por imagem , Hidronefrose/diagnóstico por imagem , Pelve Renal/lesões , Ferimentos não Penetrantes/complicações , Traumatismos Abdominais/complicações , Adulto , Humanos , Hidronefrose/complicações , Pelve Renal/diagnóstico por imagem , Pelve Renal/cirurgia , Masculino , Radiografia Abdominal , Ruptura , Tomografia Computadorizada por Raios XRESUMO
We report a case of primary hyperparathyroidism (PHPT) with advanced and unusual skeletal manifestations--a rare occurrence in developed countries nowadays. The literature is briefly reviewed.
Assuntos
Doenças Ósseas/diagnóstico por imagem , Doenças Ósseas/etiologia , Hiperparatireoidismo/complicações , Adulto , Feminino , Humanos , Hiperparatireoidismo/cirurgia , Tomografia Computadorizada por Raios XRESUMO
A case of a giant bleeding renal angiomyolipoma is presented. The patient was a 40-year-old Egyptian male with no clinical or radiological evidence of tuberous sclerosis. The radiological features and management, including the role of angiography are briefly discussed and the medical reviews on this subject are briefly considered.