Bilateral involvement of renal hamartoma in 2 cases without tuberous sclerosis.
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Biomedical subjects
Publications and source records attributed to R G Wendel.
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The "nutcracker" phenomenon refers to renal vein compression by the aorta and superior mesenteric artery where the vein courses in the fork formed at the bifurcation of these arteries. Renal varicosities with hematuria developed in our patient in response to obstruction of the renal vein at this site. Surgical exploration revealed the left renal vein to be compressed by and stretched over the abdominal aorta. This deformity was corrected by medial fixation of the kidney and excision of extensive renal varicosities involving periureteral and ovarian veins. The patient has experienced no further hematuria.
The first case of a renal cell carcinoma in a horseshoe kidney associated with von Hippel-Lindau disease is reported. Manifestations of the disease process as well as important points concerning the urological care of these patients are discussed.
Deep venous thrombosis is a potential complication of transurethral resection of the prostate. We evaluated 150 paients undergoing transurethral resection of the prostate for benign and malignant disease to determine the postoperative incidence of deep vein thrombosis, using phleborheography as the instrument of detection. Phleborheography is an accurate, inexpensive, non-invasive method that uses low pressure transducers to detect volumetric changes in the lower extremity through recording cuffs. A 4.6 per cent incidence of deep venous thrombosis was detected by this technique. At the time this complication was discovered no patient exhibited clinical signs of thrombophlebitis, which reinforces the belief that clinical diagnosis alone is not a reliable screening technique for deep venous thrombosis. Anticoagulant therapy appears to be effective and safe in the treatment of this postoperative complication.
Two case of calcified adrenal cysts are reported. Previously proposed diagnostic criteria for the recognition of a parenchymatous cyst was identified in our first case. Pain has been the main feature in our two cases.
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