1.Some clinical features and diagnosis of the upper urinary tract calculus that included the complication of renal failure
Journal of Vietnamese Medicine 1999;232(1):125-131
From 1992 to 1997, 982 calculus in the upper urinary tract (UUT) was removed. There were 10 acute renal failure and 75 chronic renal failures. The study deserves special commentaries. Renal failure occurred in both groups patients bilateral calculi (group I) and calculus in the single kidney (group II). The members of chronic renal failure were much higher than that of acute renal failure. Renal failure in group II was 2.24 time higher than in group I. The risk was equal for both sex. In group I, the rate of renal failure increased with long history of disease and patients in very short time. Among high - risk factors for renal failure we noted: calculus in many location, bilateral Staghorn calculus multiple bilateral calculi or calculi with calculi in the single kidney, calculi urinary tract infection. Roentgenography, ultrasound, and radioisotope examinations were used as non-invasive techniques for those patients
Urinary Calculi
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Kidney Failure
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diagnosis
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complications
2.Splenic hamartoma: case report and review of literature.
Hong-bo JIA ; Ying-ping LI ; De-en HAN ; Yao LIU ; Bin ZHANG ; De-quan WU ; Xi CHEN ; Ying JIANG ; Long-xian ZHENG ; Jin-rong DU ; Xue-hai JIANG
Chinese Medical Journal 2006;119(16):1403-1408
Adult
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Female
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Hamartoma
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complications
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diagnosis
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surgery
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Humans
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Kidney Calculi
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complications
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Spleen
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pathology
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surgery
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Splenectomy
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methods
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Splenic Diseases
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complications
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diagnosis
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surgery
3.Spontaneous Ureteropelvic Junction Rupture Caused by a Small Distal Ureteral Calculus.
Chi Heon JEON ; Jun Ho KANG ; Jin Hong MIN ; Jung Soo PARK
Chinese Medical Journal 2015;128(22):3118-3119
Aged
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Female
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Humans
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Kidney Pelvis
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pathology
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surgery
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Rupture, Spontaneous
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diagnosis
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etiology
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surgery
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Ureteral Calculi
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complications
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diagnosis
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surgery
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Ureteral Obstruction
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complications
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diagnosis
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surgery
4.Diagnosis and treatment of melamine-associated urinary calculus complicated with acute renal failure in infants and young children.
Ning SUN ; Ying SHEN ; Qiang SUN ; Xu-ran LI ; Li-qun JIA ; Gui-ju ZHANG ; Wei-ping ZHANG ; Zhi CHEN ; Jian-feng FAN ; Ye-ping JIANG ; Dong-chuan FENG ; Rui-feng ZHANG ; Xiao-yu ZHU ; Hong-zhan XIAO
Chinese Medical Journal 2009;122(3):245-251
BACKGROUNDInfants in some areas of China developed urinary lithiasis after being fed with powdered milk that was tainted with melamine in 2008 and very small proportion of the infants developed acute renal failure caused by urinary tract calculus obstruction. The aim of this article was to summarize clinical characteristics, diagnosis and treatment of infants with urinary calculus and acute renal failure developed after being fed with melamine tainted formula milk.
METHODSData of infant patients with urinary calculus and acute renal failure due to melamine tainted formula milk admitted to the Beijing Children's Hospital Affiliated to the Capital Medical University and the Xuzhou Children's Hospital in 2008 were used to analyze the epidemiological characteristics, clinical manifestations, imaging features as well as effects of 4 types of therapies.
RESULTSAll the 34 infants with urinary calculus were complicated with acute renal failure, their blood urea nitrogen (BUN) was (24.1+/-8.2) mmol/L and creatinine (Cr) was (384.2+/-201.2) micromol/L. The chemical analysis on the urinary calculus sampled from 15 of the infants showed that the calculus contained melamine and acidum uricum. The time needed for the four types of therapies for returning Cr to normal was (3.5+/-1.9) days for cystoscopy group, (2.7+/-1.1) days for lithotomy group, (3.8+/-2.3) days for dialysis group, and (2.7+/-1.6) days for medical treatment group, which had no statistically significant difference (P=0.508). Renal failure of all the 34 infants was relieved within 1 to 7 days, averaging (3.00+/-1.78) days.
CONCLUSIONSMelamine tainted formula milk may cause urinary calculus and obstructive acute renal failure. It is suggested that firstly the patients with urinary calculus complicated with acute renal failure should be treated with dialysis or medication to correct electrolyte disturbance, in particular hyperkalemia, and then relieve the obstruction with available medical and surgical methods as soon as possible. It was observed that the short-term prognosis was satisfactory.
Acute Kidney Injury ; diagnosis ; etiology ; pathology ; therapy ; Child, Preschool ; Cystoscopy ; Female ; Humans ; Infant ; Male ; Peritoneal Dialysis ; Retrospective Studies ; Treatment Outcome ; Triazines ; poisoning ; Urinary Calculi ; complications ; diagnosis ; pathology ; therapy
5.Muscular Sarcoidosis Detected by F-18 FDG PET/CT in a Hypercalcemic Patient.
Eun Ji HAN ; Yi Sun JANG ; In Suk LEE ; Jong Min LEE ; Siwon KANG ; Hye Soo KIM
Journal of Korean Medical Science 2013;28(9):1399-1402
Sarcoidosis is a systemic granulomatous disease of unknown etiology that involves many organs, occasionally mimicking malignancy. We herein report a 50-yr-old woman of muscular sarcoidosis of chronic myopathic type, manifested by hypercalcemia and muscle wasting. Besides insignificant hilar lymphadenopathy, her sarcoidosis was confined to generalized atrophic muscles and therefore, F-18 FDG PET/CT alone among conventional imaging studies provided diagnostic clues for the non-parathyroid-related hypercalcemia. On follow-up PET/CT during low-dose steroid treatment, FDG uptake in the muscles disappeared whereas that in the hilar lymph nodes remained. PET/CT may be useful in the evaluation of unexpected disease extent and monitoring treatment response in suspected or known sarcoidosis patients.
Female
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Fluorodeoxyglucose F18/*diagnostic use
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Humans
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Hypercalcemia/complications/*diagnosis
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Kidney Calculi/complications/diagnosis
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Lymph Nodes/radionuclide imaging
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Middle Aged
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Positron-Emission Tomography
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Radiopharmaceuticals/*diagnostic use
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Sarcoidosis/complications/drug therapy/*radionuclide imaging
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Steroids/therapeutic use
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Tomography, X-Ray Computed