Case reports in nephrology and urology最新文献_第5页

Interferon-α Treatment for Growing Teratoma Syndrome of the Testis. 干扰素α治疗睾丸生长畸胎瘤综合征。

Case reports in nephrology and urology Pub Date : 2013-04-10 Print Date: 2013-01-01 DOI: 10.1159/000350897

Masahiro Inoue, Shin-Ichi Hisasue, Mika Nagae, Toshiyuki China, Keisuke Saito, Shuji Isotani, Raizo Yamaguchi, Hisamitsu Ide, Satoru Muto, Shigeo Horie

{"title":"Interferon-α Treatment for Growing Teratoma Syndrome of the Testis.","authors":"Masahiro Inoue, Shin-Ichi Hisasue, Mika Nagae, Toshiyuki China, Keisuke Saito, Shuji Isotani, Raizo Yamaguchi, Hisamitsu Ide, Satoru Muto, Shigeo Horie","doi":"10.1159/000350897","DOIUrl":"https://doi.org/10.1159/000350897","url":null,"abstract":"A 23-year-old man with a right scrotal mass and back pain was referred for further treatment after right radical orchiectomy for testicular cancer. CT scans brought by the patient showed extensive metastasis to the retroperitoneal lymph nodes with no lung involvement. α-Fetoprotein and human chorionic gonadotropin were elevated preoperatively (384 ng/ml and 112 mIU/ml, respectively). Confirmation of the histopathologic examination revealed a mixed germ cell tumor (95% immature teratoma and 5% embryonal carcinoma). We started the patient on chemotherapy with bleomycin, etoposide, and cisplatin (BEP). After a single course, tumor markers began to normalize, but there was radiologic evidence of continued growth of the retroperitoneal mass and new metastases in the lung. The patient was given 2 courses of salvage chemotherapy with etoposide, ifosfamide, and cisplatin (VIP). However, the mass and lung metastases continued to progress, and the patient was growing rapidly intolerant of the side effects of treatment (i.e., nausea, appetite loss, and pancytopenia). After thorough discussion with the patient and his family, we decided to start the patient on interferon (IFN)-α therapy. Natural, nonrecombinant IFN-α (OIF, Otsuka, Japan) 5,000,000 IU was administered twice weekly with approval of the ethics committee of our institution. The patient responded moderately with marked deceleration of tumor growth and stabilization of the lung metastases. He is alive and well at 16 months on IFN-α therapy.","PeriodicalId":89663,"journal":{"name":"Case reports in nephrology and urology","volume":"3 1","pages":"40-5"},"PeriodicalIF":0.0,"publicationDate":"2013-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1159/000350897","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31484291","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 7

Chronic portal-systemic shunt encephalopathy in a hemodialysis patient treated with balloon-occluded retrograde transvenous obliteration. 慢性门静脉-全身分流性脑病在血液透析患者治疗球囊闭塞逆行经静脉闭塞。

Case reports in nephrology and urology Pub Date : 2013-04-06 Print Date: 2013-01-01 DOI: 10.1159/000350908

Ryota Yasukawa, Fumihiro Akiyama, Takashi Tsukishiro, Ichiei Narita

{"title":"Chronic portal-systemic shunt encephalopathy in a hemodialysis patient treated with balloon-occluded retrograde transvenous obliteration.","authors":"Ryota Yasukawa, Fumihiro Akiyama, Takashi Tsukishiro, Ichiei Narita","doi":"10.1159/000350908","DOIUrl":"https://doi.org/10.1159/000350908","url":null,"abstract":"We report a case of chronic portal-systemic shunt encephalopathy in a 79-year-old female hemodialysis patient with end-stage renal disease. Approximately 1 month before admission, she occasionally had a discrepant conversation. It was considered that hepatic encephalopathy was caused by an increase in the ammonia level in the blood flow of the shunt, which had been diagnosed 7 years previously between the splenic vein and the left renal vein. On admission, disturbed consciousness and an elevated serum ammonia level (221 μg/dl) were observed. No change in the shunt diameter was noted. Consciousness improved with conservative treatment, whereas hyperammonemia remained. Balloon-occluded retrograde transvenous obliteration (B-RTO) was performed on the shunt. As a result, hyperammonemia resolved immediately, and the level of ammonia was maintained at approximately 60 μg/dl. The patient often complained of drug-induced constipation; therefore, an increase in the intra-abdominal pressure in addition to ammonia production in the intestinal tract was suspected as the cause of encephalopathy. More than 23 months have passed since the B-RTO therapy, and no symptoms of encephalopathy have been observed yet.","PeriodicalId":89663,"journal":{"name":"Case reports in nephrology and urology","volume":"3 1","pages":"28-33"},"PeriodicalIF":0.0,"publicationDate":"2013-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1159/000350908","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31484289","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 5

Encapsulating peritoneal sclerosis: a rare complication of peritoneal dialysis in Al-ain, United arab emirates. 包裹性腹膜硬化:一种罕见的并发症腹膜透析在Al-ain，阿拉伯联合酋长国。

Case reports in nephrology and urology Pub Date : 2013-01-01 Epub Date: 2013-03-07 DOI: 10.1159/000349999

Samra Abouchacra, Ahmed Chaaban, Suad Sajwani, Mohammad Bashir, Omar Beghdash, Abdishakur Abdulle

引用次数: 5

Recurrence of anti-neutrophil cytoplasmic antibody-associated vasculitis in appropriately immunosuppressed renal transplant patients: a discussion of two cases. 适当免疫抑制肾移植患者复发抗中性粒细胞细胞质抗体相关血管炎:两例的讨论。

Case reports in nephrology and urology Pub Date : 2013-01-01 Epub Date: 2013-01-27 DOI: 10.1159/000347142

Frank J O'Brien, Ahad Abdalla, Limy Wong, Carol A Traynor, Paul Cheriyan, Hong Kwan Kok, Liam Casserly, Anthony Dorman, Peter J Conlon

{"title":"Recurrence of anti-neutrophil cytoplasmic antibody-associated vasculitis in appropriately immunosuppressed renal transplant patients: a discussion of two cases.","authors":"Frank J O'Brien, Ahad Abdalla, Limy Wong, Carol A Traynor, Paul Cheriyan, Hong Kwan Kok, Liam Casserly, Anthony Dorman, Peter J Conlon","doi":"10.1159/000347142","DOIUrl":"https://doi.org/10.1159/000347142","url":null,"abstract":"Background: Granulomatosis with polyangiitis (GPA) (formerly known as Wegener's granulomatosis) is a multisystem autoimmune disease of unknown aetiology. Renal disease manifests as a crescentic glomerulonephritis, with varying degrees of renal failure. Ten percent of patients progress to end-stage kidney disease. Relapse of GPA in renal transplant patients is rare, with a rate of 0.09 relapses per patient per year.Patients and methods: We describe two cases of GPA relapse in immunosuppressed renal transplant patients.Results: These patients presented with new-onset graft disfunction, having previously had an uncomplicated posttransplant course. Both patients were on appropriate doses of immunosuppressive agents at the time of relapse, with therapeutic target levels of tacrolimus. We describe the background history and management of both patients.Conclusion: The cases described inform us that although recurrence of anti-neutrophil cytoplasmic antibody vasculitis in transplant patients is rare, it should remain on our list of differential diagnoses in allograft disfunction.","PeriodicalId":89663,"journal":{"name":"Case reports in nephrology and urology","volume":"3 1","pages":"16-21"},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1159/000347142","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31287927","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 3

Multiple pathologies in the kidney biopsy of a recently pregnant woman. 一名刚怀孕妇女肾活检的多重病理。

Case reports in nephrology and urology Pub Date : 2013-01-01 Epub Date: 2013-01-26 DOI: 10.1159/000346862

Kiran Kandukurti, Jianlan Sun, Rocco Venuto

引用次数: 1

Distant metastasis from benign solitary fibrous tumor of the kidney. 肾脏良性孤立性纤维性肿瘤远处转移。

Case reports in nephrology and urology Pub Date : 2013-01-01 Epub Date: 2013-01-24 DOI: 10.1159/000346850

Hideo Sasaki, Tsuyoshi Kurihara, Yuichi Katsuoka, Toru Nakano, Maki Yoshioka, Satetsu Miyano, Yuichi Sato, Iwao Uejima, Masahiro Hoshikawa, Masayuki Takagi, Tatsuya Chikaraishi

引用次数: 19

A Rare Case of Subarachnoid Hemorrhage due to Rupture of Isolated Anterior Spinal Artery Aneurysm in a Patient with Polycystic Kidney Disease. 多囊肾病患者因孤立性脊髓前动脉瘤破裂致蛛网膜下腔出血一例。

Case reports in nephrology and urology Pub Date : 2012-07-01 Epub Date: 2012-07-24 DOI: 10.1159/000341261

Geetha Seerangan, Mohanram Narayanan

引用次数: 6

A case of cell-free and concentrated ascites reinfusion therapy effective for refractory ascites in spontaneous bacterial peritonitis in a renal transplant patient. 无细胞浓缩腹水回输治疗肾移植患者自发性细菌性腹膜炎难治性腹水有效一例。

Case reports in nephrology and urology Pub Date : 2012-07-01 Epub Date: 2012-09-24 DOI: 10.1159/000343247

Atsuhiro Maeda, Kazuhito Takeda, Kazuhiko Tsuruya, Shuuhei Miura, Jirou Toyonaga, Satsuki Nakashita, Masahide Furushou, Hideyuki Mukai, Yoshiharu Mutou, Tomo Komaki, Keita Takae, Chikao Yasunaga

{"title":"A case of cell-free and concentrated ascites reinfusion therapy effective for refractory ascites in spontaneous bacterial peritonitis in a renal transplant patient.","authors":"Atsuhiro Maeda, Kazuhito Takeda, Kazuhiko Tsuruya, Shuuhei Miura, Jirou Toyonaga, Satsuki Nakashita, Masahide Furushou, Hideyuki Mukai, Yoshiharu Mutou, Tomo Komaki, Keita Takae, Chikao Yasunaga","doi":"10.1159/000343247","DOIUrl":"https://doi.org/10.1159/000343247","url":null,"abstract":"A 58-year-old Japanese male with chronic hepatitis C underwent kidney transplantation from an unrelated donor in October 1998. In December 2004, the patient was admitted for spontaneous bacterial peritonitis (SBP). Abdominal paracentesis and albumin transfusion were performed, but control of ascites was poor. A randomized, controlled study of patients with SBP showed that patients receiving cefotaxime with a high-volume albumin transfusion (50-75 g/50 kg) were significantly less likely to have irreversible renal failure and had lower mortality. Japan, however, relies on imports for 70% of its albumin formulations, which complicates high-volume albumin transfusion. Consequently, albumin transfusion is often limited to single treatments in the range of only 25 g (25%, 100 ml). A single cell-free and concentrated ascites reinfusion therapy (CART) treatment can reinfuse approximately 60 g of albumin, corresponding to a high-volume albumin transfusion capable of reducing the associated risk of infection or allergic reaction. Though this case was an SBP patient, after the ascites were found to be negative for endotoxins, CART was performed, and control of ascites was achieved without observation of fever, hypotension, or other adverse effects. CART provides greater supplementation of albumin than albumin transfusion and can be an effective modality of treatment for hypoalbuminemia in SBP patients if ascites are negative for endotoxins.","PeriodicalId":89663,"journal":{"name":"Case reports in nephrology and urology","volume":" ","pages":"138-44"},"PeriodicalIF":0.0,"publicationDate":"2012-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1159/000343247","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40212229","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 4

Retroperitoneal approach for lower extremity arteriovenous graft as long-term vascular access in a complex case. 腹膜后入路作为下肢动静脉移植的长期血管通路在一个复杂病例中的应用。

Case reports in nephrology and urology Pub Date : 2012-07-01 Epub Date: 2012-07-04 DOI: 10.1159/000341105

Mingli Zhu, Yaxue Shi, Jiejun Cheng, Huihua Pang, Leyi Gu, Aiwu Lin, Ying Huang, Yucheng Yan

引用次数: 0

Perinephric haematoma causing refractory hypertension in a 17-year-old male. 17岁男性肾周血肿致顽固性高血压。

Case reports in nephrology and urology Pub Date : 2012-07-01 Epub Date: 2012-08-30 DOI: 10.1159/000342241

Y P Kelly, J A Eustace

引用次数: 0