Exceptional intrarenal pseudomembranous
We report the case of a 51-year-old patient, known as hypertensive and type 2 diabetic, admitted to emergency for acute pyelonephritis. She suffered from low back pain in a feverish context. A Uro-scanner showed the presence of a 12mm pyelic renal calculus and an calycal calculus of 6mm diameter res...
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| Format: | Article |
| Language: | English |
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The Pan African Medical Journal
2019-04-01
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| Series: | The Pan African Medical Journal |
| Subjects: | |
| Online Access: |
https://www.panafrican-med-journal.com/content/article/32/214/pdf/214.pdf
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| _version_ | 1818916922191773696 |
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| author | Souhail Regragui Gabriel Stoica |
| author_facet | Souhail Regragui Gabriel Stoica |
| author_sort | Souhail Regragui |
| collection | DOAJ |
| description | We report the case of a 51-year-old patient, known as hypertensive and type 2 diabetic, admitted to emergency for acute pyelonephritis. She suffered from low back pain in a feverish context. A Uro-scanner showed the presence of a 12mm pyelic renal calculus and an calycal calculus of 6mm diameter responsible for a moderate dilation of left pyelocalictic cavities. First, we performed drainage with a double J probe. Then, in a second step, the left ureteroscopy allowed partial laser fragmentation. The presence of a suspect soft magma prompted us to stop the procedure. After performing an hydatid serology that has returned negative, a laparoscopic left pyelotomy allowed the progressive externalization of the suspect magma. It presented with a greenish, fibrinous, semi-solid shell completely molding the pyelon and the pyelocalicielles cavities. The introduction of the flexible cystoscope through a trocar at the end of the procedure allowed us to check the complete cleaning of the excretory cavities. The anatomopathological study is back in favor of a weakly eosinophilic acellular material with some polyhedral crystals and some inflammatory elements. There were no signs of malignancy. The patient did not present any postoperative complication and did not present a recurrence. |
| first_indexed | 2024-12-20T00:25:52Z |
| format | Article |
| id | doaj.art-c1eab9c0935043a0bd8cd160f79308ff |
| institution | Directory Open Access Journal |
| issn | 1937-8688 1937-8688 |
| language | English |
| last_indexed | 2024-12-20T00:25:52Z |
| publishDate | 2019-04-01 |
| publisher | The Pan African Medical Journal |
| record_format | Article |
| series | The Pan African Medical Journal |
| spelling | doaj.art-c1eab9c0935043a0bd8cd160f79308ff2022-12-21T20:00:04ZengThe Pan African Medical JournalThe Pan African Medical Journal1937-86881937-86882019-04-013221410.11604/pamj.2019.32.214.1838518385Exceptional intrarenal pseudomembranousSouhail Regragui0Gabriel Stoica1 Urology Departement, CHIC Alencon Mamers, Alencon, France Urology Departement, CHIC Alencon Mamers, Alencon, France We report the case of a 51-year-old patient, known as hypertensive and type 2 diabetic, admitted to emergency for acute pyelonephritis. She suffered from low back pain in a feverish context. A Uro-scanner showed the presence of a 12mm pyelic renal calculus and an calycal calculus of 6mm diameter responsible for a moderate dilation of left pyelocalictic cavities. First, we performed drainage with a double J probe. Then, in a second step, the left ureteroscopy allowed partial laser fragmentation. The presence of a suspect soft magma prompted us to stop the procedure. After performing an hydatid serology that has returned negative, a laparoscopic left pyelotomy allowed the progressive externalization of the suspect magma. It presented with a greenish, fibrinous, semi-solid shell completely molding the pyelon and the pyelocalicielles cavities. The introduction of the flexible cystoscope through a trocar at the end of the procedure allowed us to check the complete cleaning of the excretory cavities. The anatomopathological study is back in favor of a weakly eosinophilic acellular material with some polyhedral crystals and some inflammatory elements. There were no signs of malignancy. The patient did not present any postoperative complication and did not present a recurrence. https://www.panafrican-med-journal.com/content/article/32/214/pdf/214.pdf pseudomembranousrenalpyelotomy |
| spellingShingle | Souhail Regragui Gabriel Stoica Exceptional intrarenal pseudomembranous The Pan African Medical Journal pseudomembranous renal pyelotomy |
| title | Exceptional intrarenal pseudomembranous |
| title_full | Exceptional intrarenal pseudomembranous |
| title_fullStr | Exceptional intrarenal pseudomembranous |
| title_full_unstemmed | Exceptional intrarenal pseudomembranous |
| title_short | Exceptional intrarenal pseudomembranous |
| title_sort | exceptional intrarenal pseudomembranous |
| topic | pseudomembranous renal pyelotomy |
| url |
https://www.panafrican-med-journal.com/content/article/32/214/pdf/214.pdf
|
| work_keys_str_mv | AT souhailregragui exceptionalintrarenalpseudomembranous AT gabrielstoica exceptionalintrarenalpseudomembranous |