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Related Concept Videos

Appendicitis01:19

Appendicitis

Appendicitis is an acute inflammatory condition of the vermiform appendix, most commonly caused by obstruction of its lumen. The appendix is a narrow, blind-ended pouch that extends from the cecum, making it particularly prone to obstruction. Causes include fecaliths, lymphoid hyperplasia (often after viral infections), parasites, tumors, or foreign bodies. This obstruction initiates a cascade of pathological changes.Luminal Obstruction and Early InflammationAfter obstruction, normal mucosal...
Appendicitis-I: Introduction01:22

Appendicitis-I: Introduction

The appendix, a small, narrow, blind tube extending from the inferior part of the cecum, is widely regarded as a vestigial organ, having lost much of its original function through evolution. Despite its diminished role, the appendix can become inflamed, a condition known as appendicitis.
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
Ureters01:22

Ureters

The ureters are retroperitoneal tubes located on either side of the vertebral column. They are responsible for transporting urine from each kidney to the urinary bladder. These tubes have thick walls and are approximately 25-30 cm long. Their diameter is around 10 mm at the renal pelvis, gradually narrowing to 1 mm as the ureter obliquely enters the posterior bladder wall through the ureteric orifices. The shape of these orifices is slit-like, which helps to prevent urine backflow toward the...
Diverticular Disease of the Colon01:27

Diverticular Disease of the Colon

Diverticular disease involves the formation of diverticula—small sac-like outpouchings of the colonic wall—and their complications. It most commonly affects the sigmoid colon due to higher intraluminal pressure and structural vulnerability. It results from structural weakness and increased pressure in the colon, producing pseudodiverticula that may remain silent or progress to inflammation and serious complications.Structure of DiverticulaIn diverticulosis, these outpouchings are...
Appendicitis-II: Diagnostic Studies and Management01:29

Appendicitis-II: Diagnostic Studies and Management

Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
Urologic Endoscopic Procedure: Cystoscopic Examination01:28

Urologic Endoscopic Procedure: Cystoscopic Examination

Meaning of Cystoscopic Examination:Cystoscopy is an essential diagnostic tool in urology that is used to assess the structure and function of the genitourinary system. It provides a direct view of the urethra, bladder, and, in some cases, the ureteral openings. This procedure helps detect structural abnormalities, infections, cancers, and blockages in the urinary tract. There are two types of cystoscopy:Flexible cystoscopy is commonly performed in outpatient settings due to its less invasive...

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Related Experiment Videos

Uretero-appendiceal fistula.

Yoichi Iwamoto1, Takehisa Onishi, Ryuichi Suzuki

  • 1Division of Nephro-Urologic Surgery and Andrology, Department of Reparative and Regenerative Medicine, Institute of Medical Science, Mie University Graduate School of Medicine, Tsu, Japan.

International Journal of Urology : Official Journal of the Japanese Urological Association
|February 14, 2008
PubMed
Summary

This case report details a rare uretero-appendiceal fistula, a connection between the ureter and appendix. Surgical intervention was necessary to treat the resulting pyonephrosis and fistula.

Related Experiment Videos

Area of Science:

  • Urology
  • Gastroenterology
  • Surgical Case Report

Background:

  • Uretero-appendiceal fistula is an uncommon condition, presenting diagnostic and therapeutic challenges.
  • This report focuses on a specific case requiring surgical management.

Observation:

  • A 63-year-old female presented with prolonged high-grade fever and significant weight loss.
  • Pyonephrosis was diagnosed, necessitating further investigation.
  • Imaging studies revealed an abnormal connection between the cecum and the ureter.

Findings:

  • The diagnosis of uretero-appendiceal fistula was confirmed.
  • The patient underwent right nephroureterectomy and right hemicolectomy.
  • Histopathological examination confirmed the fistula.

Implications:

  • This case highlights the importance of considering rare fistulous connections in complex urological and gastrointestinal presentations.
  • Successful surgical management underscores the role of timely intervention in similar cases.
  • Further research into the etiology and optimal management of uretero-appendiceal fistulas is warranted.