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Monday, May 4, 2020 | History

4 edition of Acute ureteric obstruction found in the catalog.

Acute ureteric obstruction

a clinical and radiological study

by P. M. Bretland

  • 107 Want to read
  • 28 Currently reading

Published by Butterworths in London .
Written in English

    Subjects:
  • Ureters -- Obstructions.

  • Edition Notes

    Statement[by] P. M. Bretland.
    Classifications
    LC ClassificationsRC900.5 .B73 1972b
    The Physical Object
    Paginationxv, 219 p.
    Number of Pages219
    ID Numbers
    Open LibraryOL5521455M
    ISBN 100407102000
    LC Control Number73595264


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Acute ureteric obstruction by P. M. Bretland Download PDF EPUB FB2

Background: Acute reversible kidney injury (ARKI) secondary to bilateral ureteric obstruction (BUO) is a common urological problem. Our goals were to describe the etiology, management and outcomes of such patients identified between and and to compare them with a Cited by: 7.

Additional Physical Format: Online version: Bretland, P.M. Acute ureteric obstruction. New York, Appleton-Century-Crofts [] (OCoLC) Document Type. With my bias now clear, it becomes more difficult to criticize anyone seeking a fresh approach to the obstructing ureteric stone vexation.

The author's thesis (which is indeed his M.D. thesis) is that the pathophysiology Acute ureteric obstruction book acute ureteral obstruction is not adequately taught and that information found in standard textbooks is often misleading. Ureteric obstruction at the ureteropelvic junction (UPJ) is the most common lesion of the fetal urinary tract, occurring in 1 in newborns.

The cause can be intrinsic (e.g., abnormal muscle arrangement at the UPJ, anomalous collagen collar or urothelial fold) or extrinsic (e.g., compression of the ureter by a crossing vessel).

Additional Physical Format: Online version: Bretland, P.M. Acute ureteric obstruction. London, Butterworths, (OCoLC) Document Type: Book. The management of ureteric obstruction depends on the degree of renal impairment, the physical condition of the patient, and the site and severity of the obstruction.

In most patients with minor degrees of obstruction, monitoring the patient with ultrasound or computed tomography at 3- to 6-month intervals is all that is required. Abstract. The records of 50 patients with acute renal failure secondary to bilateral ureteric obstruction were reviewed.

An underlying malignant disorder was the cause of the obstruction in 38 of the patients and had not previously been diagnosed in almost half of by: Renal or ureteric colic - acute: Summary Renal or ureteric colic generally describes an acute and severe loin pain caused when a urinary stone moves from the kidney or obstructs the flow of urine.

It is common, with an annual incidence of 1–2 cases per people, and recurrence rates are high. Ureteric rupture is rare but has been described.

It may be spontaneous or secondary to another pathology or intervention. Clinical presentation The most common symptoms are sudden, severe, persistent lower abdominal pain with severe peritoneal. ureteral obstruction: Acute unilateral obstructive uropathy Urology A unilateral block of urine flow through the ureter of 1 kidney, resulting in a backup Acute ureteric obstruction book urine, distension of the renal pelvis and calyces, and hydronephrosis Etiology Kidney stone, trauma, stricture in children–of one ureter causes acute unilateral obstructive uropathy.

Bretland, P.Acute ureteric obstruction: a clinical and radiological study [by] P. Bretland Butterworths London Wikipedia Citation Please see Wikipedia's template documentation for further citation fields that may be required.

The characteristic pathophysiological changes that occur depends on the degree of obstruction and whether it is acute or chronic. Obstruction may precipitate changes within the renal parenchyma including inflammation, tubular atrophy, and interstitial fibrosis with nephron loss Author: Alexander P.

Jay, David L. Nicol, David L. Nicol. This preliminary study examined reno-vascular injury sustained by the multipapillary porcine kidney in acute and chronic complete ureteric obstruction. In combination with measurement of upper tract pressure, regional function was assessed by [99mTc]-dimercaptosuccinic acid (DMSA) uptake and Acute ureteric obstruction book renal perfusion, by resin casting of the arterial tree prior to scanning electron Cited by: 6.

Ureteral obstruction (a.k.a: Hydronephrosis) happens when there is a blockage in the urinary tract, which obstructs the outflow of ureter may be blocked due to some acute and chronic kidney conditions. The blockage in the ureter may be present since birth or can be developed due to the scarring from cancer treatment, kidney stones or certain other conditions.

Ureteral Obstruction. Overview. Ureteral obstructions are blockages in your urinary tract, which includes your kidneys, bladder, the tubes that carry urine from your kidneys to your bladder (ureters), and the tube that connects your bladder to the outside of your body (urethra).

Blockages can develop for many reasons, including gastrointestinal. Etiology of Ureteric Obstruction. In book: Ureteric Stenting, pp it serves as a model both of irreversible acute kidney injury and of events taking place during human chronic kidney.

CONCLUSION. This study demonstrated an optimal approach for relieving upper urinary tract obstruction and acute infection in which percutaneous nephrostomy drainage is preferred for patients with severe pyonephrosis, large stones (>10 mm) with high-grade hydronephrosis, steinstrasse, or failure in retrograde ureteric stent placement, while retrograde ureteral catheterization using Author: Zejian Zhang, Xisheng Wang, Dong Chen, Naixiong Peng, Jicheng Chen, Qinjun Wang, Minlong Yang, Yuany.

A new and sensitive indicator of acute ureteric obstruction. Clin Radiol – PubMed CrossRef Google Scholar Reuther G, Kiefer B, Wandl E () Visualization of urinary tract dilatation: value of single-shot MR urography. Obstruction to urinary flow may occur at any site in the urinary tract.

Urinary tract obstruction (UTO) may be acute or chronic, partial or complete, and unilateral or bilateral. UTO is important to recognize since it is readily reversible if quickly corrected.

If uncorrected, UTO may predispose to urinary tract infection (UTI) and even severe. Renal or ureteric colic - acute: Summary The term renal colic is generally used to describe an acute and severe loin pain caused by a urinary stone obstructing the flow of urine.

However, a more clinically accurate term is ureteric colic as the pain usually arises from obstruction of the ureter. The management of ureteric obstruction requires a comprehensive assessment of the overall health of the patient, the cause of the obstruction, and the need to preserve and protect renal function.

The ‘acute abdomen’ is defined as a sudden onset of severe abdominal pain of less than 24 hours has a large number of possible causes and so a structured approach is required.

The initial assessment should attempt to determine if the patient has an acute surgical problem that requires immediate and prompt surgical intervention, or urgent medical therapy/5. Pelvi-ureteric junction obstruction in adults Management of ureteric strictures Management of retroperitoneal fibrosis Ureteric re-implantation Repair of ureterocoele Numerous treatment options for pelvi-ureteric junction (PUJ) obstruction have been developed over the last century.• Trendelenburg: first description of open : John Reynard.

Acute renal failure due to bilateral ureteral obstruction is a rare complication after appendectomy in children. We report a case of bilateral ureteric obstruction in a year-old boy nine days after surgery for an acute appendicitis. After saline-filling of the urinary bladder, transabdominal ultrasound demonstrated bilateral hydronephrosis of moderate by: 2.

Urinary tract obstruction is a common problem encountered by urologists, primary care physicians, and emergency medicine physicians. Urinary tract obstruction can occur at any point in the urinary tract, from the kidneys to the urethral meatus.

Decreased production of osmolytes in complete obstruction better elucidates the pathophysiology of progression from renal compensatory mechanisms to irrecoverable changes. [] Tubular proteinuria has been observed following unilateral ureteral obstruction (UUO), suggesting megalin dysfunction; however, the pathophysiological mechanism has not been determined.

palliative interventions to manage malignant ureteral obstruction. Cardiovasc Intervent Radiol. ;36(5)– 2. Joshi HB, Adams S, Obadeyi OO, et al. Nephrostomy tube or ‘JJ’ ureteric stent in ureteric obstruction: assessment of patient perspectives using quality–of–life survey and utility analysis.

Eur Urol. ;39(6) Ureteral Obstruction. The urinary system is made up of the kidneys, the two tubes that carry urine from the kidneys to the bladder — the ureters — and the bladder.

Ureteral obstruction occurs when a ureter becomes blocked. The blockage may be a condition present since birth or may be due to scarring from kidney stones or prior surgeries. Ureteric stenosis is the most common urological complication of renal transplantation, with a prevalence ranging from 2% to 10%.

The stenosis affects the distal ureter and. Ureteric Obstruction London AKI Network. Loading Unsubscribe from London AKI Network. UROLITHIASIS - RENAL- URETERIC COLIC. Usual presentation of renal/ureteric stones is as an acute episode with severe pain (1) - renal colic or ureteric colic although some stones are picked up incidentally during imaging or may present as a history of infection the initial diagnosis is made by taking a clinical history and examination and carrying out imaging; initial management is.

Upper - nephrostomy or ureteric stent (can cause discomfort, can be helped with alpha blockers). Pyeloplasty for PUJ Lower - urethral or suprapubic catheter.

Treat underlying cause. Beware of large diuresis after relief of obstruction. Monitor weight, fluid balance and U&E closely.

Download PDF: Sorry, we are unable to provide the full text but you may find it at the following location(s): g (external link)Author: J E A Wickham.

Acute mesenteric ischemia is a life-threatening cause of acute abdominal pain which occurs predominantly in patients over 50 years old with the underlying cardiovascular disease.

It is caused by inadequate flow through the mesenteric vessels resulting in bowel ischemia and eventually gangrene of the bowel wall. Bowel obstruction; Ureteric. We evaluate the efficacy and safety of metallic ureteric stenting using the Cook Resonance® stent in the treatment of chronic ureteric obstruction of benign and malignant aetiology.

Published experience of using this stent in this context is limited. We add to the body of literature on this topic. All patients who had a Resonance® metallic stent inserted between April and November Cited by: 5.

Acute abdomen is occasionally used synonymously with peritonitis. While this is not entirely incorrect, peritonitis is the more specific term, referring to inflammation of the peritoneum.

It manifests on physical examination as rebound tenderness, or pain upon removal of pressure more than on application of pressure to the lty: Gastroenterology. The commonest intrinsic cause in men is prostate cancer, causing either bladder outflow obstruction or ureteric obstruction.

Urothelial cancers of the bladder and ureters may also cause intrinsic obstruction. Among women, the commonest cause of urinary tract obstruction is a gynaecological cancer, particularly cervical or ovarian.

Signs and symptoms. The signs and symptoms of hydronephrosis depend upon whether the obstruction is acute or chronic, partial or complete, unilateral or ephrosis that occurs acutely with sudden onset (as caused by a kidney stone) can cause intense pain in the flank area (between the hips and ribs).Historically, this type of pain has been described as "Dietl's crisis".Specialty: Urology, nephrology.

What is Extrinsic Obstruction of the Ureter. The ureter is a muscular tube that transfers urine from the kidney to the bladder.

It is about 10 inches long, with the upper half in the belly and the lower half in the pelvic area. But what happens when the ureter becomes blocked. The most common symptom of an obstruction of the ureter is pain in the side, although sometimes obstructions cause no symptoms at all.

Other symptoms may include nausea, vomiting, reduced urine output, and possibly a feeling of incomplete bladder emptying. Urinary Tract Obstruction 1. URINARY OBSTRUCTION AT UPPER AND LOWER URINARY TRACTBayu F. WibowoBag. Ilmu Bedah FK UNAND 2. Classified According: Cause (Congenital Or Acquired), Duration (Acute Or Chronic), Degree (Partial Or Complete), And Level (Upper Or Lower Urinary Tract).

3.Citation: Grimes N, McMahon S, Pahuja A, et al. Bilateral obstructive uropathy following laparoscopic appendicectomy. J Clin Nephrol Ther. ;1(1) Cin ero er 21 Voue 1 ue 1 13 Repeat imaging revealed minimal fullness of his right renal collecting system and normal left collecting system (Figure 3).Author: Nathan Grimes.

Other reported rarer causes include tumour, retroperitoneal fibrosis, pregnancy, connective tissue disorder and acute urinary retention.

The condition should be suspected in cases of ureteric colic which develop significant acute worsening of symptoms, with increased areas of tenderness, with or without a reactive peritonitis.

Imaging is Cited by: 3.