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Related Concept Videos

Acute Kidney Injury II: Pathophysiology01:29

Acute Kidney Injury II: Pathophysiology

Acute kidney injury (AKI) causes are categorized into three primary categories based on the location of the injury: prerenal, intrarenal (or intrinsic), and postrenal causes. This classification guides clinical management and illustrates how different pathways can impair kidney function.Etiology and Pathophysiology of Acute Kidney Injury1. Prerenal causesEtiology: Prerenal Acute Kidney Injury, the most common type, occurs when reduced blood flow to the kidneys decreases filtration capacity...
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Kidney Transplant II: Surgical Procedure

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Urinary Tract Calculi VI: Surgical Management

Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...
Acute Pyelonephritis II: Diagnostic Studies and Management01:28

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Nephrons

The kidneys are intricate organs with millions of working units known as nephrons. Each nephron features two major structures: the renal corpuscle, which facilitates blood plasma filtration, and the renal tubule, which handles the glomerular filtrate. Blood supply is directly linked to the nephrons. The renal corpuscle consists of the glomerulus, a capillary network, and the Bowman's capsule, a double-walled epithelial structure that encases the glomerulus. The filtering of blood plasma happens...

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Transmesenteric Laparoscopic Pyeloplasty in Trendelenburg Position for Horseshoe Kidney with Hydronephrosis
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Primary obstructive megaureter with ruptured kidney.

Shiu-Dong Chung1, Hsu-Dong Sun2, Den-Kai Yang3

  • 1Division of Urology, Department of Surgery, Far Eastern Memorial Hospital, Ban Ciao, Taipei 220, Taiwan.

The American Journal of Emergency Medicine
|December 2, 2008
PubMed
Summary
This summary is machine-generated.

A ruptured kidney in a teen, caused by a primary megaureter, led to severe flank pain and hematuria. Successful treatment involved ureteral stenting and reconstructive surgery.

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Area of Science:

  • Urology
  • Pediatric Nephrology
  • Medical Imaging

Background:

  • Primary megaureter is a congenital condition affecting the ureter.
  • Ruptured kidney is a rare but serious complication.

Observation:

  • A 17-year-old male presented with acute severe left flank pain and gross hematuria after physical activity.
  • Initial laboratory tests revealed massive hematuria with normal renal function.
  • Abdominal CT scan identified a primary megaureter and a ruptured kidney.

Findings:

  • The patient's condition was diagnosed as a ruptured kidney secondary to a primary megaureter.
  • Successful management was achieved through a multi-step surgical approach.
  • The treatment included ureteral stenting, endoscopic ureterotomy, and ureteroneocystostomy.

Implications:

  • This case highlights the importance of considering congenital anomalies in young patients with unexplained abdominal trauma symptoms.
  • Prompt diagnosis and surgical intervention are crucial for managing ruptured kidney secondary to primary megaureter.
  • The described surgical techniques offer a viable treatment option for this rare condition.