Hinyokika kiyo. Acta urologica Japonica
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A case report of a patient with renal arteriovenous malformation associated with horseshoe kidney detected by hemorrhage due to injury. A 71-year-old man was injured in a traffic accident and conveyed to our hospital. The computed tomographic scan showed renal injury of the horseshoe kidney with retroperitonial hemorrhage. ⋯ Hemostasis was possible by embolization of the abnormal artery. He has not had any recurrence of renal arteriovenous malformation. To our knowledge, this case is the third report of renal arteriovenous malformation associated with horseshoe kidney in Japan.
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A 62-year-old diabetic woman with right hydronephrosis was referred to our department, presenting right back pain and high fever. A ureteral stone with right hydronephrosis was pointed on DIP. ⋯ Purulent fluid with a negative cytology was acquired by percutaneous biopsy following ultrasonography-guided percutaneous drainage. The postoperative course was uneventful with antibiotic therapy.
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A 22-year-old woman presented with sudden onset gross hematuria. Drip infusion pyelography and enhanced computerized tomography yielded no unusual findings. Renal angiography demonstrated an arteriovenous malformation (AVM) in the central portion of the right kidney. ⋯ Second renal arteriography revealed the formation of the collateral vessels. By using n-butyl 2-cyanoacrylate (NBCA), TAE for AVM was performed successfully. She has been free of hematuria during the one-year follow-up.
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A 70-year-old man visited our hospital with the complaint of appetite loss. He had undergone an ileal conduit reconstruction due to bilateral ileo-ureteral stenosis 3 months before. ⋯ We concluded that reabsorption of urine from the ileal conduit due to dehydration had caused hyperchloremic metabolic acidosis. He was given sodium bicarbonate 2 g per day, and his blood gas analysis and serum electrolytes remained within normal limits.
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Review Case Reports
[Bladder cancer producing granulocyte colony-stimulating factor (G-CSF): a case report].
A case of bladder cancer producing granulocyte colony-stimulating factor (G-CSF) is reported. A 76-year-old male was admitted to our hospital with gross hematuria and leukocytosis. He was diagnosed with advanced bladder cancer. ⋯ The histopathological diagnosis was transitional cell carcinoma, grade 3, pT4, pN1. Immunohistochemical examination was positive for G-CSF and G-CSF receptor. There has been no recurrence of cancer for more than 23 months since the operation without any additional therapy.