Gene/Protein Disease Symptom Drug Enzyme Compound
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Query: UMLS:C0034186 (pyelonephritis)
 6,144 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Urethral strictures resultant from hip fractures were examined and treated in 140 patients admitted to hospital with multiple attendant traumas: rupture of the bladder and abdominal organs, rib and limb fractures, renal injuries. All of them underwent epicystostomy followed in 3--4 months by urethroplasty. Drainage of the bladder and paracystic fat was passive in 38 and active in 102 patients. Passive drainage, common in urological practice, failed to yield satisfactory results because of deficient urine outflow from the bladder and gave rise to various complications: phlegmons, femoral osteomyelitis, pyelonephritis, urosepsis. Fourteen patients developed urinary fistulas, four subjects had a large postoperative hernia involving the bladder. The adverse effects made urethroplasty problematic. With active drainage, the bladder and paracystic fat were continuously irrigated with drug solutions siphoned off from a jar into a dropper obtained from a disposable hemotransfusion system. Patients on active drainage avoided complications, 47 of them were successfully operated on the urethra, in 55 urethral competence recovered without surgical interventions.
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PMID:[The prevention and treatment of posttraumatic strictures of the posterior urethra in patients with pelvic bone fractures]. 175 28

Surgically-placed urinary conduits remain the most common form of long-term, supravesical urinary drainage. We reviewed CT scans of 16 patients with ileal loops examined during a 3-year period to assess normal loop anatomy and associated pathological conditions. Computed tomography was indicated when conventional studies were considered inadequate. Indications for studies were suspected tumor recurrence in 12 (75%) and abscess localization in four (25%). The normal CT ileal loop lies medial to the cecum at the level of the sacral promontory. In 12 patients, CT identified abnormalities related to ileal loop diversion. Clinically unsuspected nontumorous complications (xanthogranulomatous pyelonephritis, pelvic abscess, and peristomal hernia) were detected by CT in patients with suspected tumor recurrence.
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PMID:Computed tomography of ileal loop urinary diversion in adults. 647 Feb 53

Between 1988 and 1996, 23 male patients with bladder cancer underwent bladder substitution after cystectomy, using either the hemi-Kock, Hautmann, and Reddy procedures. The mean postoperative follow-up period was 36 months, with a range of 3 to 85 months. There were no perioperative deaths, and early postoperative complications occurred in 7 patients (30%); transient urine leak from the pouch in 4, wound infection in 3 and pyelonephritis in 2 patients. Twenty-two of the 23 patients (96%) were continent during the day, while 7 (30%) had nocturnal incontinence. All 3 patients with the Reddy procedure had nocturnal incontinence. Complete continence was preserved in 70% of the patients. Dysuria was seen in 4 patients, including retention in 1 patient. Late complications included urethral stricture in 3, wound hernia in 2, metabolic acidosis in 1, stone in the pouch in 1, and gallbladder stone in 1 patient. However, reoperation was necessary in 1 patient for internal urethrotomy and 1 patient for removal of a stone in the neobladder. Mild degree of hydronephrosis and unilateral reflux were seen in 3 patients each, and followed up conservatively. No urethral recurrence has occurred and only 1 patient died of cancer. The need for reoperation was very low and the high reservoir capacity resulted in continence from the beginning in most patients. We considered the neobladder useful as an alternative form of urinary diversion in selected cases.
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PMID:Clinical experience of orthotopic urinary reservoirs in male patients with bladder cancer. 912 53

Ureterosciatic herniation is an extremely rare cause of ureteral obstruction, of which few cases have been published. We describe a case revealed by pyelonephritis with acute renal failure in an 81-year-old woman. After percutaneous nephrostomy tube placement and antibiotic therapy, urography and multiplanar computed tomography reconstructions of the pelvis confirmed the diagnosis. The symptoms resolved, and the hernia was then corrected surgically.
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PMID:Ureterosciatic hernia: a rare cause of ureteral obstruction visualized by multislice helical computed tomography. 1732 Jun 92

In front of infant and toddler presenting with unexplained cries, unusual behavior, and tachycardia, pain should be recognized, and signs and symptoms of shock and intestinal occlusion should be sought without any delay. Meningitis, pyelonephritis, and pneumonia must be taken into consideration in a young child with fever and irritability. In the presence of any paroxystic pain with refusal of feeding, one should consider acute intestinal occlusion, volvulus due to intestinal malrotation if associated with signs of shock, and volvulus related to postsurgical adhesions if history of abdominal surgery. Abdominal ultrasonography is the exam of choice in these cases. Examination of inguino-scrotal region is essential in order to rule-out inguinal hernia, ovarian hernia, and testicular torsion. Infant colic and peptic esophagitis are common causes of recurrent pain.
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PMID:[Diagnosis of acute abdominal pain in infants]. 2169 87

A 65-year-old female patient presented with a 2-day history of worsening right-sided abdominal pain and clinical signs of sepsis, on the background of a recent admission for pancolitis. Imaging revealed right ureteric herniation through the sciatic foramen with subsequent hydroureteronephrosis and radiological signs of severe pyelonephritis. The patient underwent emergency decompression with a percutaneous nephrostomy, followed by insertion of an antegrade stent to correct the ureteric hernia once the sepsis was appropriately treated. We describe the presentation and management of this unusual case of herniation of the right ureter into the sciatic foramen.
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PMID:Obstructive urosepsis secondary to ureteric herniation into the sciatic foramen. 3026 27

Ureterosciatic hernia is an uncommon condition that can cause ureteral obstruction. Here, we report a case of ureterosciatic hernia successfully treated by ureteral stent placement. A 95-year old woman presented to our emergency department with high fever. An abdominal CT scan revealed mild left hydronephrosis and urinalysis identified pyuria. The patient was subsequently admitted to hospital with a diagnosis of complicated pyelonephritis. No recovery was evident after antimicrobial treatment, a repeat CT scan revealed a ureterosciatic hernia. We indwelled a left ureteral stent and repaired the hernia. We did not opt for a surgical approach because of the patient's age and presence of dementia. The stent was removed after 2 months, but the patient was re-admitted 4 months later because of pyelonephritis. Here, we indwelled a left ureteral stent, and the patient underwent regular ureteral stent exchange. Placement of a ureteral stent for ureterosciatic hernia is an effective treatment for elderly patients and those who are poor surgical candidates.
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PMID:[URETEROSCIATIC HERNIA TREATED BY URETERAL STENT PLACEMENT]. 3230 84

A 75-year-old woman visited our hospital with left lumber pain and fever. Symptoms, and computed tomography imaging revealed left pyelonephritis. Then she was admitted to our hospital for treatment. She improved with tazobactam and piperacillin PIPC infusion immediately and was discharged from the hospital. After that she visited our hospital twice with the same symptoms and was given hospital treatment. A second retrograde pyelography (RP) was performed urgently, and the diagnosis was left ureteral sciatic hernia. Then we placed a left ureteral stent. Three months later, we confirmed that the hydronephrosis was improved and removed the stent. Six months after stent removal, recurrence has not been observed.
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PMID:[A Case of Ureteral Sciatic Hernia Improved by Indwelling a Ureteral Stent]. 3231 4