RESUMEN
We present a rare complication of transplant renal artery stenting in a patient who developed subcapsular hematoma and presented as acute page kidney. We discuss possible mechanisms and successful novel management using radiological-assisted decompression. We propose considering this alternative option before proceeding with surgical exploration and renal capsulotomy.
Asunto(s)
Descompresión Quirúrgica/métodos , Hematoma/etiología , Enfermedades Renales/etiología , Obstrucción de la Arteria Renal/cirugía , Stents/efectos adversos , Enfermedad Aguda , Velocidad del Flujo Sanguíneo/fisiología , Creatinina/sangre , Hematoma/cirugía , Humanos , Riñón/irrigación sanguínea , Riñón/lesiones , Enfermedades Renales/cirugía , Fallo Renal Crónico/cirugía , Trasplante de Riñón/efectos adversos , Masculino , Adulto JovenRESUMEN
Erectile dysfunction (ED) is a common and debilitating condition with physical, psychological, and pharmacological aetiologies. The physical causes can be divided into problems with arterial inflow, structural penile abnormalities, or problems with the venous occlusion mechanism. Penile Doppler sonography is a specialized technique requiring a thorough knowledge of the topic in order to aid diagnosis and direct subsequent treatment. This technique is indicated in those patients with erectile dysfunction who do not respond to oral pharmacological agents (e.g., PDE-5 inhibitors). This pictorial essay will visit the anatomy and physiology of penile erection, the technique for performing the procedure, and review the imaging features for specific causes of ED.