Gene/Protein Disease Symptom Drug Enzyme Compound
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Query: UMLS:C0000737 (abdominal pain)
 31,184 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Background: Benign renal cysts are relatively common in older adults, usually found incidentally on CT. However, an infected renal cyst is a rare complication. While a course of antibiotic therapy is generally the first-line treatment, indications for definitive operative intervention include chronic pain, recurrent urinary tract infection, hematuria, abscess formation, and/or impaired renal function. Case Presentation: A 61-year-old male urologist with no significant medical history was hospitalized at an outside facility for fever, chills, and abdominal pain. Initial diagnosis was pyelonephritis in the setting of a recently passed stone, with absence of hydronephrosis and a large, simple right renal cyst, but he failed to improve with intravenous antibiotics and developed intractable hiccups. Serial CT scans demonstrated onset of mild upper pole hydronephrosis and no change in the benign-appearing simple cyst. Interventional radiology planned drainage of the upper pole calices with a diagnosis of infundibular stenosis, but upon insistence of a urology consultant who suspected occult infection of the cyst, drains were placed into the collecting system and the cyst, with the return of a jet of purulent fluid upon cyst puncture. Conclusion: The patient subsequently recovered and was discharged and seen at our facility where he was definitively treated with percutaneous endoscopic marsupialization of the cyst into the collecting system and fulguration of the infected cyst wall with complete resolution.
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PMID:Infected Renal Cyst: Elusive Diagnosis and Percutaneous Management. 3277 87

Xanthogranulomatous pyelonephritis (XPN) is an unusual complication of chronic pyelonephritis typically associated with a large burden of infected and retained kidney stones, a true urologic medical emergency. It is known to occur in middle-aged women experiencing recurrent UTIs. We report upon a case of XPN diagnosed in a 38 year old female residing in an austere area in a South American country with limited access to medical care presenting to the medical unit "COMFORT", a humanitarian mission initiated by the United States Navy with a chief complaint of lower abdominal pain.
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PMID:Xanthogranulomatous pyelonephritis diagnosed in an austere environment. 3310 70

Acute flank and abdominal pain represent a common presenting complaint in the emergency department. The etiology can be broad, ranging from the chest to the groin, from benign to catastrophic. There are common causes such as nephrolithiasis and pyelonephritis for which more than 1 million Americans are diagnosed with in the United States each year.1 Other etiologies are more rare and difficult to diagnose. The following case discusses a rare syndrome involving a young man with flank pain and a few other symptoms.
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PMID:Breaking open the case of one patient's acute left flank pain: nutcracker syndrome. 3314 23

BACKGROUND Duplex kidney, also known as duplex renal collecting system, consists of 2 ureters arising from a single kidney and is a common congenital anomaly. The condition is usually an asymptomatic normal variant. However, abnormal anatomic variants such as hydronephrosis, vesicoureteral reflux (VUR), and ureterocele are sometimes observed in a patient with a duplicated kidney. These abnormal variants usually lead to diagnostic challenges. Here, we report a case of congenital left duplex kidney with hydronephrosis that presented as an isolated left renal cyst in a 29-year-old woman. CASE REPORT We present the case of a 29-year-old woman who had left-side abdominal pain and fever for 1 day. Left-side flank throbbing pain was also noted. Laboratory investigations showed leukocytosis, pyuria and bacteriuria. Renal ultrasound revealed a huge hypoechoic mass around the left kidney, which was suspected to be a huge renal cyst or renal abscess. Under the impression of acute pyelonephritis with abscess formation, the patient was admitted for antibiotic treatment. The following abdominal computed tomography (CT) revealed a left duplex kidney with severe hydronephrosis and hydroureter. A percutaneous nephrostomy was then performed. Next, following a discussion with the patient, she underwent a robot-assisted left heminephrectomy. CONCLUSIONS A duplex kidney and collecting system should be considered when chronic urologic problems occur. This report shows that because duplex kidney is a relatively common congenital abnormality, it should be considered in the differential diagnosis in young patients who present with renal cyst. This case also shows that patients can be managed effectively using robot-assisted heminephrectomy.
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PMID:A Case of Left Duplex Kidney with Hydronephrosis Mimicking a Left Renal Cyst in a 29-Year-Old Woman. 3322 11


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