Phéochromocytome et maladie de von Recklinghausen

Rabii, R.; Fekak, H; Moufid, K; Joual, A; Bennani, S; Mrini, M. El; Benjelloun, S.

doi:10.1016/s0003-4401(02)00110-9

Cited by 3 publications

(6 citation statements)

References 5 publications

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“…The initial management in pyonephrosis is urgent decompression of the urinary system, by either PCN or ureteral stenting with DJS, with neither of them showing superiority in terms of the effectiveness of drainage. 2,3 As the data were collected retrospectively, there might be missing data. There is also a likelihood of measurement bias amongst clinicians and radiologists in diagnosis cases of pyonephrosis.…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…2 Therefore, early diagnosis and prompt management among patients of pyelonephritis is the key to good outcomes. 3 If the obstruction is relieved early by urinary diversion techniques such as Double J (DJ) stenting or percutaneous nephrostomy (PCN) insertion, and the…”

Section: Introductionmentioning

confidence: 99%

“…Therefore, early diagnosis and prompt management among patients of pyelonephritis is the key to good outcomes. 3 If the obstruction is relieved early by urinary diversion techniques such as Double J (DJ) stenting or percutaneous nephrostomy (PCN) insertion, and the patient is aggressively managed with antibiotics, there is a possibility of avoiding permanent loss of renal function and subsequent nephrectomy. The existing data is generally in form of case reports or small series with very few existing studies.…”

Section: Introductionmentioning

confidence: 99%

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Pyonephrosis among Patients with Pyelonephritis Admitted in Department of Nephrology and Urology of a Tertiary Care Centre: A Descriptive Cross-sectional Study

et al. 2023

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Introduction: Pyonephrosis is a severe complication of pyelonephritis leading to rapid progression to sepsis and loss of renal function resulting in nephrectomy. Early identification of pyonephrosis based on clinical or radiological characteristics amongst pyelonephritis is paramount. This study aimed to determine the prevalence of pyonephrosis among patients with pyelonephritis admitted to the Department of Nephrology and Urology of a tertiary care centre. Methods: This descriptive cross-sectional study was done in a tertiary care centre among patients with pyelonephritis from 1 July 2016 to 31 Jan 2021. Ethical approval was obtained from Institution Ethics Committee (Reference number: IEC/56/21). The available clinical, demographic and laboratory parameters were recorded from the hospital records in a predesigned proforma. A convenience sampling method was used. Point estimate and 95% Confidence Interval were calculated. Results: Among 550 pyelonephritis patients, the prevalence of pyonephrosis was 60 (10.9%) (8.3-13.5, 95% Confidence Interval). The mean age was 54.62±12.14 years, and 41 (68.33%) were males. The most common clinical symptom was flank pain with or without fever in 46 (76.66%) patients. Escherichia coli was the most common offending organism in 20 (33.33%). Ultrasonography showed classical echogenic debris with floaters and internal echoes in 44 (73.33%) patients. Double J stenting was successfully done in 44 (73.33%) patients. Percutaneous nephrostomy was done in the remaining 16 (26.66%) patients. Conclusions: The prevalence of pyonephrosis in pyelonephritis is similar to previous studies done in similar settings.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Pyonephrosis among Patients with Pyelonephritis Admitted in Department of Nephrology and Urology of a Tertiary Care Centre: A Descriptive Cross-sectional Study

et al. 2023

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“…Recklinghausen's disease and pheochromocytoma was reported to occur in 10% of patients (10). Ventura et al 1989 (11) (12), reviewed 118 literature that characterize the clinical findings of Von Recklinghausen disease associated with pheochromocytoma from the years of 1966 to 1999, they reported that pheochromocytoma has been clinically identified in 0.1 to 5.7% of patients with Von Recklinghausen's disease .…”

Section: The Association Between Vonmentioning

confidence: 99%

ASYMPTOMATIC PHEOCHROMOCYTOMA ASSOCISATED WITH VON RECKLINGHAUSEN’S DISEASE (NEUROFIBROMATOSIS TYPE1): CASE REPORT AL GHAMDI, H., WAGIH , S., ASHOUR W. and DEWIK, Z. * King Abdel Aziz Hospital & Oncology center, Jeddah- Al Taif* , KSA

2009

The Egyptian Journal Nuclear Medicine

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Neurofibromatosis type 1 associated with pheochromocytoma: A case report and a review of the literature

Erem

Ersöz

Ükinç

et al. 2007

J Endocrinol Invest

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Pheochromocytoma (PHEO) occurs in 0.1-5.7% of patients with neurofibromatosis type 1 (NF1). We report a case of adrenal PHEO in a patient with NF1. A 30-yr-old Turkish man was admitted to our hospital for further examinations of a right adrenal mass, that was incidentally discovered by abdominal ultrasonography during examinations for acute hepatitis B infection in another hospital. In his past medical history, the patient had only had one palpitation, sweating and headache episode 4 yr before. On admission, his blood pressure was 110/70 mmHg. Physical examination revealed signs of NF1. He had multiple neurofibromas over the entire skin, café-au-lait spots on the trunk and extremities and skinfold freckling. Bilateral opthalmic examination revealed multiple Lisch nodules. The 24-h ambulatory blood pressure monitoring revealed paroximal hypertension attacks (190/148 mmHg). Urinary catecholamines were markedly increased. Magnetic resonance imaging (MRI) revealed a solid round tumor approximately 5 cm in diameter, located in right adrenal gland. A 131Iodine-metaiodobenzylguanidine (131I-MIBG) scan showed uptake in the right adrenal gland. The pre-operative treatment with an alpha-blocker (phenoxybenzamine) was performed. Right adrenalectomy was performed; the surgical specimen revealed PHEO. Urine catecholamines and their metabolites returned to normal ranges on post-operative day 7. In conclusion, an adrenal mass can be incidentally discovered in any patient. After diagnosis of NF1, patients who have episodes of hypertension, sweating, headache and palpitation should be evaluated for PHEO.

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Phéochromocytome et maladie de von Recklinghausen

Cited by 3 publications

References 5 publications

Pyonephrosis among Patients with Pyelonephritis Admitted in Department of Nephrology and Urology of a Tertiary Care Centre: A Descriptive Cross-sectional Study

Pyonephrosis among Patients with Pyelonephritis Admitted in Department of Nephrology and Urology of a Tertiary Care Centre: A Descriptive Cross-sectional Study

ASYMPTOMATIC PHEOCHROMOCYTOMA ASSOCISATED WITH VON RECKLINGHAUSEN’S DISEASE (NEUROFIBROMATOSIS TYPE1): CASE REPORT AL GHAMDI, H., WAGIH , S., ASHOUR W. and DEWIK, Z. * King Abdel Aziz Hospital & Oncology center, Jeddah- Al Taif* , KSA

Neurofibromatosis type 1 associated with pheochromocytoma: A case report and a review of the literature

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