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When Elevated Creatinine Is Not What It Seems: Intraperitoneal Urinary Leak Mimicking Acute Kidney Injury.
Cureus
December 2024
Hospital Medicine, Cleveland Clinic Abu Dhabi, Abu Dhabi, ARE.
Acute kidney injury (AKI) is typically classified as prerenal, renal, or postrenal in etiology, with postrenal often referring to obstructive causes. However, certain uncommon conditions, such as intraperitoneal urinary leaks, may not fit clearly into these categories. In patients with a recent history of pelvic procedure, a complication such as intraperitoneal urinary leak can mimic AKI due to urine reabsorption across the peritoneum.
View Article and Find Full Text PDFAnterior retroperitoneal approach in constructing thymokidney organs in swine for xenotransplantation.
Front Transplant
November 2024
Columbia Center for Transplantation Immunology, Columbia University, New York, NY, United States.
Introduction: Thymokidneys (TK) have been constructed to transplant life-supporting kidney grafts containing donor thymic tissue to induce transplant tolerance. Historically, TKs were constructed by inserting pieces of thymus tissue under the kidney capsule using an intra-abdominal or posterior retroperitoneal (lateral/flank) approach. The intra-abdominal approach is technically easier but causes intra-abdominal adhesions and makes kidney procurement more challenging.
View Article and Find Full Text PDF[Anatomical observation of the right retroperitoneal fascia and its clinical significance in complete mesocolic excision for right colon cancer].
Zhonghua Wei Chang Wai Ke Za Zhi
August 2021
Department of Colorectal Surgery, Union Hospital, Fujian Medical University, Fuzhou 350001, China.
To investigate the anatomic characteristics of the right retroperitoneal fascia and its surgical implementation while performing complete mesocolic excision (CME) for right colon cancer. A descriptive study was carried out. (1) Clinicopathological data and surgical videos of 17 non-consecutive patients undergoing laparoscopic right hemicolectomy (extended right hemicolectomy) with CME for right colon cancer at Department of Colorectal Surgery of Union Hospital, Fujian Medical University between January 2020 and October 2020 were retrospectively collected.
View Article and Find Full Text PDFTransjugular intrahepatic portosystemic shunt and alfapump® system for refractory ascites in liver cirrhosis: Outcomes and complications.
United European Gastroenterol J
October 2020
Hepatology, University Clinic for Visceral Surgery and Medicine, Bern, Switzerland.
Background: Treatment of refractory ascites in liver cirrhosis is challenging. Transjugular intrahepatic portosystemic shunt and alfapump® have been proposed for the management, but few data comparing both exist.
Aims: The aim of this study was to evaluate the characteristics and outcomes of patients treated with transjugular intrahepatic portosystemic shunt and alfapump® for refractory ascites at our centre.
Case series of extended liver resection associated with inferior vena cava reconstruction using peritoneal patch.
Int J Surg
August 2020
Department of HPB Surgery and Liver Transplantation, Beaujon Hospital, 100 Boulevard Du Général Leclerc, 92110, Clichy, Assistance Publique-hôpitaux de Paris and Université de Paris, France. Electronic address:
Introduction: Among various reported techniques for inferior vena cava (IVC) reconstruction, the superiority of one technique over another has not been clearly established. This study aimed at reporting the technical aspects of caval reconstruction using peritoneal patch during extended liver resections.
Methods: All consecutive patients who underwent extended liver resection associated with anterolateral caval reconstruction using a peritoneal patch from 2016 to 2019 were included in this study.
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