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Pesquisa : C12.706.445 [Categoria DeCS]
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Id: biblio-989997
Autor: Balawender, Krzysztof; Cisek, Agnieszka; Cisek, Ewelina; Orkisz, Stanislaw.
Título: Anatomical and clinical aspects of horseshoe kidney: a review of the current literature / Aspectos anatómicos y clínicos del riñón en herradura: una revisión de la literatura actual
Fonte: Int. j. morphol;37(1):12-16, 2019. graf.
Idioma: en.
Resumo: SUMMARY: Horseshoe kidney (HSK) is the most common kidney malformation. This review analyses the literature surrounding the etiology, morphology and clinical anatomy of these kidney fusion anomalies. A systematic literature search was carried out using the Science Direct and Scopus applications. HSK is characterized by three anatomic abnormalities: ectopia, malrotation and vascular changes. The study put emphasis especially on blood supply and upper urinary tract changes in HSK's patients. Arterial blood supply was analysed not only basing on Graves pattern, but also a new model of supply created on horseshoe kidneys computed tomography was taken into account. In addition, study presents clinical aspects of especially significant pathology of HSK, like hydronephrosis, stones and urinary tract infection. This study focuses also on congenital anomalies associated with horseshoe kidney.

RESUMEN: El riñón en herradura (RH) es la malformación renal más común reportada en la literatura. Esta revisión analiza la literatura que rodea la etiología, morfología y anatomía clínica de esta anomalía de fusión renal. Se realizó una búsqueda sistemática de la literatura utilizando las aplicaciones Science Direct y Scopus. El riñón en herradura se caracteriza por tres anomalías anatómicas: ectopía, malrotación y cambios vasculares. El estudio puso énfasis especialmente en el suministro de sangre y los cambios del tracto urinario superior en los pacientes con RH. El suministro de sangre arterial se analizó no solo basándose en el patrón de Graves, sino que también se tuvo en cuenta un nuevo modelo de suministro creado en los riñones en herradura. Además, el estudio presenta aspectos clínicos de patología especialmente significativa de RH, como hidronefrosis, cálculos e infección del tracto urinario. Este estudio se centró también en las anomalías congénitas asociadas con el riñón en herradura.
Descritores: Rim Fundido
Rim/anormalidades
Rim/irrigação sanguínea
Limites: Humanos
Tipo de Publ: Revisão
Responsável: CL1.1 - Biblioteca Central


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Id: lil-777336
Autor: Gokce, Mehmet Ilker; Tokatli, Zafer; Suer, Evren; Hajiyev, Parviz; Akinci, Aykut; Esen, Baris.
Título: Comparison of shock wave lithotripsy (SWL) and retrograde intrarenal surgery (RIRS) for treatment of stone disease in horseshoe kidney patients
Fonte: Int. braz. j. urol;42(1):96-100, Jan.-Feb. 2016. tab.
Idioma: en.
Resumo: ABSTRACT Objectives In this study it is aimed to compare the success and complication rates of SWL and RIRS in treatment of HSK stone disease. Materials and methods In this retrospective study data of 67 patients treated with either SWL (n=44) or RIRS (n=23) for stone disease in HSK between May 2003 to August 2014 was investigated. age, gender, stone size and multiplicity, stone free status, renal colic episodes and complication rates of the SWL and RIRS groups were compared. Results Mean age of the population was 42.5±8.2 (range: 16-78) years and mean stone size was 16.9±4.1 mm. SWL and RIRS groups were similar with regard to demographic characteristics and stone related characteristics. SFR of the SWL and RIRS groups were 47.7%(21/44 patients) and 73.9% (17/23 patients) respectively (p=0.039).Renal colic episodes were observed in 3 and 16 patients in the RIRS and SWL groups respectively (p=0.024). No statistically significant complications were observed between the SWL (8/44 patients) and RIRS (4/23) groups (p=0.936). Conclusions In HSK patients with stone disease, both SWL and RIRS are effective and safe treatment modalities. However RIRS seems to maintain higher SFRs with comparable complication rates.
Descritores: Litotripsia/métodos
Cálculos Renais/cirurgia
Ureteroscopia/métodos
Rim Fundido/cirurgia
-Complicações Pós-Operatórias
Fatores de Tempo
Reprodutibilidade dos Testes
Estudos Retrospectivos
Resultado do Tratamento
Intervalo Livre de Doença
Período Perioperatório
Complicações Intraoperatórias
Tempo de Internação
Pessoa de Meia-Idade
Limites: Humanos
Masculino
Feminino
Adolescente
Adulto
Idoso
Tipo de Publ: Relatos de Casos
Responsável: BR1.1 - BIREME


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Id: biblio-1056327
Autor: Mercader, Clàudia; Vilaseca, Antoni; Moreno, Javier Luis; López, Antonio; Sebastià, Maria Carmen; Nicolau, Carles; Ribal, Maria José; Peri, Luís; Costa, Mertixell; Alcaraz, Antonio.
Título: Role of the three-dimensional printing technology in complex laparoscopic renal surgery: a renal tumor in a horseshoe kidney
Fonte: Int. braz. j. urol;45(6):1129-1135, Nov.-Dec. 2019. graf.
Idioma: en.
Resumo: ABSTRACT Purpose: To report our initial experience using a patient-specific 3D-printed renal tumor model for the surgical planning of a complex heminephrectomy in a horseshoe kidney. Materials and Methods: We selected a clinical case for a complex laparoscopic surgery consisting in a 53 year-old male presenting a local recurrence of a renal tumor in a horseshoe kidney with aberrant vascularisation previously treated with a laparoscopic partial nephrectomy. He is now proposed for a laparoscopic left heminephrectomy. Along with conventional imaging, a real-size 3D-printed renal model was used to plan de surgical approach. The perioperative experience of the surgical team was recorded. Results: The surgical team found the patient-specific 3D printed model useful for a better understanding of the anatomy and an easier surgical planning. Conclusion: The use of patient-specific 3D-printed renal models seem to be helpful for the surgical planning in complex renal tumors.
Descritores: Carcinoma de Células Renais/cirurgia
Laparoscopia/métodos
Impressão Tridimensional
Rim Fundido/cirurgia
Neoplasias Renais/cirurgia
Modelos Anatômicos
-Carcinoma de Células Renais/diagnóstico por imagem
Reprodutibilidade dos Testes
Resultado do Tratamento
Imageamento Tridimensional/métodos
Angiografia por Tomografia Computadorizada
Neoplasias Renais/diagnóstico por imagem
Pessoa de Meia-Idade
Nefrectomia/métodos
Limites: Humanos
Masculino
Tipo de Publ: Relatos de Casos
Estudo de Avaliação
Responsável: BR1.1 - BIREME


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Id: biblio-1092998
Autor: Vásquez-Guarín, Catalina; Rojo-González, Frank; Ríos-Salazar, Juan; Ruiz-Naranjo, Karen; Sarmiento-Rodríguez, Jineth Carolina.
Título: Horseshoe Kidney / Riñón en herradura
Fonte: Rev. colomb. nefrol. (En línea);4(2):217-225, July-Dec. 2017. graf.
Idioma: en.
Resumo: Abstract We present the clinical case of a 39 year old male that presented with a violent death in the city of Medellin. During the necropsy, a horseshoe Kidney was found, which was never diagnosed according to the patients' medical history. It is a case relevant in the medical field given the unusual vasculature that was found, because it's not a usual arrangement. The lack of symptoms and its spontaneous finding during the necropsy, shows us that it's not a rare find in our environment and that it has a big impact in the surgical fields, and in occasions, with urinary tract infections. Methodology: Descriptive. Informed consent was given by the deceased relatives for the use and analysis of the medical history.

Resumen Se expone el caso de un hombre de 39 años que presenta muerte violenta en la ciudad de Medellín. Durante la necropsia se encuentra un riñón en herradura, que no tuvo diagnóstico clínico en su momento, según los hallazgos en su historial médico. Es un caso que puede tener implicaciones en el campo médico, dada la vasculature accesoria que presenta, presentación que no es comúnmente observada. La falta de sintomatología y su hallazgo espontáneo durante la necropsia hacen ver que, a pesar de la poca incidencia, no es extraño encontrar el caso en pacientes de nuestro entorno. Este tiene mayor impacto en el campo quirúrgico y, en ocasiones, en las afecciones urinarias. Metodología: descriptivo. Se obtuvo consentimiento informado, de la familia del occiso, para el estudio de su historial médico.
Descritores: Rim Fundido
Rim
-Circulação Renal
Colômbia
Limites: Humanos
Masculino
Feminino
Tipo de Publ: Relatos de Casos
Responsável: CO661.9


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Id: biblio-896389
Autor: Astolfi, Rafael Haddad; Freschi, Gustavo; Berti, Fernando Figueiredo; Gattas, Nelson; Molina Junior, Wilson Rica; Meller, Alex.
Título: Flexible ureterorenoscopy in position or fusion anomaly: Is it feasible? / Ureterorrenolitotripsia flexível no tratamento de cálculos em rins anômalos: Qual a viabilidade?
Fonte: Rev. Assoc. Med. Bras. (1992);63(8):685-688, Aug. 2017. tab.
Idioma: en.
Resumo: Summary Objective: To analyze the results of flexible ureterorenoscopy (F-URS) with holmium laser in the treatment of kidney stones with ectopic and fusion anomalies (horseshoe kidney and rotation anomalies). Method: We reviewed data from 13 patients with fusion and ectopic renal anomalies that underwent F-URS from April 2011 to April 2017. We analyzed demographic and clinical data (age, gender, BMI, anatomical abnormality, location and dimension of the renal calculi) and perioperative data (method of treatment, stone-free rate, number of days with DJ catheter and perioperative complications). Results: The mean stone size was 12.23 +/- 5.43 mm (range 6-22mm), located in the inferior (58.33%) and middle (16.76%) calyceal units, renal pelvis (16.67%) and multiple locations (8.33%). All 13 patients were treated with Ho-Yag laser, using dusting technique (25%), fragmentation and extraction of the calculi (58.33%) and mixed technique (16.67%). We did not have any severe perioperative complication. After 90 days, nine patients (75%) were considered stone free. Conclusion: Our data suggest that F-URS is a safe and feasible choice for the treatment of kidney stones in patients with renal ectopic and fusion anomalies.

Resumo Objetivo: Analisar os resultados da ureterorrenolitotripsia flexível (ULT-F) no tratamento de cálculos em rins com anomalia de posição e de fusão (rins em ferradura e rins com vício de rotação). Método: Realizamos a coleta prospectiva dos dados de 13 pacientes com anomalias de fusão e de posição submetidos a ULT-F entre abril de 2011 e abril de 2017. Analisaram-se dados clínicos (idade, gênero, IMC, anormalidades anatômicas, dimensão e localização dos cálculos) e perioperatórios (método de tratamento do cálculo, índice de stone free, tempo de cateter DJ e complicações perioperatórias). Resultados: Nos 13 pacientes, os cálculos mediam em média 12,23 mm +/- 5,43 mm (variando de 6 a 22 mm), em sua maioria distribuídos em apenas um grupo calicinal (58.33% em grupo calicial inferior, 16.67% em grupo calicial médio, 16,67% em pelve e 8,33% em múltiplos cálices). Todos os pacientes foram tratados com utilização de laser Ho-Yag, com fragmentação e retirada de cálculos em sete casos (58,33%), pulverização em três casos (25%) e técnica mista em dois casos (16,67%). Não houve complicações intraoperatórias ou pós-operatórias graves. Após 90 dias, nove pacientes tornaram-se stone free (75%). Conclusão: A ULT-F apresenta-se como método seguro e eficaz no tratamento de litíase em rins com anomalia de posição e de fusão.
Descritores: Anormalidade Torcional/complicações
Litotripsia/métodos
Cálculos Renais/cirurgia
Rim Fundido/complicações
-Cálculos Renais/complicações
Cálculos Renais/patologia
Estudos de Viabilidade
Estudos Prospectivos
Resultado do Tratamento
Ureteroscopia/métodos
Lasers de Estado Sólido
Pessoa de Meia-Idade
Limites: Humanos
Masculino
Feminino
Responsável: BR1.1 - BIREME


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Id: biblio-1011311
Autor: Fulgêncio, J. Q; Miranda, F. G; Santos, C. J; Moreira, G. D; Tôrres, R .C. S; Nepomuceno, A. C.
Título: Crossed renal ectopia with fusion in a female feline: case report / Ectopia renal cruzada com fusão em uma gata: relato de caso
Fonte: Arq. bras. med. vet. zootec. (Online);71(3):833-836, May-June 2019. ilus.
Idioma: en.
Resumo: A 3 year old female feline of mixed breed was sent to the diagnostic imaging sector under suspicion of bleeding due to ovariohysterectomy. An abdominal ultrasonography was performed to confirm the initial suspicion. However, no signs of bleeding were found, instead it was observed that the left renal silhouette had two pelvises and was elongated and larger than normal. The right kidney was not found. Excretory urography was requested to evaluate the condition of the ureters. The final diagnosis was crossed renal ectopia with fusion in an asymptomatic cat with no changes in renal function.(AU)

Uma gata, sem raça definida, com três anos de idade, foi encaminhada para o setor de diagnóstico por imagem sob suspeita de hemorragia devido à ovário-histerectomia. Foi realizada ultrasonografia abdominal para confirmar a suspeita inicial, mas nenhum sinal de hemorragia foi encontrado; visibilizou-se, entretanto, a silhueta renal esquerda alongada, com presença de duas pelves. O rim direito não foi encontrado. Solicitou-se exame de urografia excretora para avaliação de ureteres. O diagnóstico foi de ectopia renal cruzada com fusão em um felino assintomático e sem alterações na função renal.(AU)
Descritores: Gatos/anormalidades
Rim Fundido/veterinária
Rim Fundido/diagnóstico por imagem
Rim/anormalidades
-Urografia/veterinária
Ultrassonografia/veterinária
Limites: Animais
Feminino
Gatos
Tipo de Publ: Relatos de Casos
Responsável: BR68.1 - Biblioteca Virginie Buff D'Ápice


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Id: biblio-905193
Autor: Hamza, Ameer; Khawar, Sidrah; Ibrahim, Ahmad; Edens, Jacob; Lalonde, Crystal; Danforth, Robert D.
Título: A second reported malignancy in a patient with Morquio syndrome
Fonte: Autops. Case Rep;7(2):9-14, Apr.-June 2017. ilus, tab.
Idioma: en.
Resumo: Morquio syndrome is a rare lysosomal storage disease that affects multiple organ systems. However, it is rarely associated with malignancy. We present the case of a 30-year old man with Morquio syndrome associated with gastric adenocarcinoma. This case also demonstrates two other findings that have not been previously described in patients with Morquio syndrome - malrotation of brainstem and cerebellum, without clinical neurologic deficit, and persistence of fetal lobulation in the kidneys.
Descritores: Doenças por Armazenamento dos Lisossomos/patologia
Mucopolissacaridose IV/patologia
-Autopsia
Tronco Encefálico/anormalidades
Cerebelo/anormalidades
Evolução Fatal
Rim Fundido/patologia
Segunda Neoplasia Primária/complicações
Neoplasias Gástricas/patologia
Limites: Humanos
Masculino
Adulto
Tipo de Publ: Relatos de Casos
Responsável: BR26.7 - Serviço de Biblioteca e Documentação Científica


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Id: lil-763067
Autor: Ding, Jie; Huang, Yunteng; Gu, Siping; Chen, Yifan; Peng, Jie; Bai, Qiang; Ye, Min; Qi, Jun.
Título: Flexible Ureteroscopic Management of Horseshoe Kidney Renal Calculi
Fonte: Int. braz. j. urol;41(4):683-689, July-Aug. 2015. tab, graf.
Idioma: en.
Resumo: ABSTRACTPurpose:To evaluate the clinical efficacy of flexible ureteroscope (F-URS) combined with holmium laser lithotripter in treating renal calculi in horseshoe kidney.Materials and Methods:From November 2010 to December 2013, the medical history and charts of sixteen patients (mean age 42.9±11.6 years, range 26-66 years), including 13 males and 3 females were analyzed retrospectively. Mean stone burden was 29±8 mm (range 17-42 mm2). Mean stone digitized surface area (DSA) was 321±94 mm2 (range 180-538 mm2). Under spinal anesthesia in a modified lithotomy position with the head down, rigid ureteroscope was placed firstly into the ureter to reach the level of the pelvis, a zebra guide wire was inserted and following the removal of the rigid ureteroscope, an ureteral access sheath was positioned along the guide wire, then passed the URF P-5 flexible ureteroscope into the renal cavities over the guidewire. After locating the stones, holmium laser lithotripsy was performed.Results:The average operative time was 92±16 minutes (range 74-127 min.). No major complications were encountered. Ten patients obtained stone-free status with one session, four obtained stone-free status after two sessions. Single session stone-free rate was 62.5%, overall stone-free rate was 87.5%. Two patients have small residual stones in the lower pole.Conclusions:F-URS combined with holmium laser lithotripter and nitinol basket, is safe and effective in dealing with moderate stone diameter (<30 mm) in HSKs with high clearance rates and low complication rates.
Descritores: Rim Fundido/complicações
Cálculos Renais/terapia
Ureteroscopia/instrumentação
-Gerenciamento Clínico
Cálculos Renais/complicações
Lasers de Estado Sólido/uso terapêutico
Litotripsia a Laser/classificação
Litotripsia a Laser
Duração da Cirurgia
Estudos Retrospectivos
Tomografia Computadorizada por Raios X
Resultado do Tratamento
Ureteroscópios
Limites: Adulto
Idoso
Feminino
Humanos
Masculino
Pessoa de Meia-Idade
Tipo de Publ: Estudo de Avaliação
Responsável: BR1.1 - BIREME



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