Subject(s)
Kidney Transplantation/methods , Organ Preservation Solutions/therapeutic use , Organ Preservation/methods , Pancreas Transplantation/methods , Adult , Cold Ischemia , Delayed Graft Function/etiology , Female , Graft Rejection/immunology , Humans , Kidney Transplantation/adverse effects , Kidney Transplantation/mortality , Male , Middle Aged , Organ Preservation/adverse effects , Organ Preservation/mortality , Organ Preservation Solutions/adverse effects , Pancreas Transplantation/adverse effects , Pancreas Transplantation/mortality , Time Factors , Treatment Outcome , Young AdultABSTRACT
Adenomatoid tumors of adrenal gland are rare, asymptomatic neoplasias, with benign behavior, and usually are diagnosed incidentally. We report a case of a voluminous adenomatoid tumor of left adrenal gland in a 42-year old man who sought evaluation because of renal colic due to left nephrolithiasis. During the investigation, a tumor localized in left adrenal gland was identified by ultrasonography (14.3 x 10.5 x 19.0). The patient underwent adrenalectomy and pyelolithotomy with histopathological and immunohistochemical diagnosis of adenomatoid tumor of adrenal gland, being the largest one described in the literature to the moment. The patient does not present any signs of recurring lesion after a 3-year follow-up.
Subject(s)
Adult , Humans , Male , Adenomatoid Tumor/diagnosis , Adrenal Gland Neoplasms/diagnosis , Adrenal Glands/pathology , Adrenalectomy , Adenomatoid Tumor/surgery , Adrenal Gland Neoplasms/surgery , Adrenal Glands , Prognosis , Treatment OutcomeABSTRACT
Adenomatoid tumors of adrenal gland are rare, asymptomatic neoplasias, with benign behavior, and usually are diagnosed incidentally. We report a case of a voluminous adenomatoid tumor of left adrenal gland in a 42-year old man who sought evaluation because of renal colic due to left nephrolithiasis. During the investigation, a tumor localized in left adrenal gland was identified by ultrasonography (14.3 x 10.5 x 19.0). The patient underwent adrenalectomy and pyelolithotomy with histopathological and immunohistochemical diagnosis of adenomatoid tumor of adrenal gland, being the largest one described in the literature to the moment. The patient does not present any signs of recurring lesion after a 3-year follow-up.
Subject(s)
Adenomatoid Tumor/diagnosis , Adrenal Gland Neoplasms/diagnosis , Adrenal Glands/pathology , Adenomatoid Tumor/surgery , Adrenal Gland Neoplasms/surgery , Adrenal Glands/diagnostic imaging , Adrenalectomy , Adult , Humans , Male , Prognosis , Treatment Outcome , UltrasonographyABSTRACT
Povidone-iodine sclerosis has been suggested in the literature as a safe and effective treatment for post-renal transplant lymphoceles. No significant complications of this method have been described. We report on a kidney allograft recipient with recurrent lymphoceles treated with povidone-iodine instillations who developed acute renal failure secondary to iodine intoxication. Four days after the beginning of the povidone-iodine irrigations, metabolic acidosis was present, and renal function started to deteriorate. After a few days, despite the suspension of irrigations, the patient developed oliguria, and dialysis was needed. A renal biopsy was performed, and intense acute tubular necrosis was the only relevant finding. The lymphocele was corrected surgically, and the patient eventually recovered. As has been described in other settings, povidone-iodine instillation for the treatment of post-renal transplant lymphoceles may lead to iodine kidney toxicity and acute renal failure.
