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Kidney ultrasonography

John Wing Li, Germaine Wong, Jennifer Li, Simon Gruenewald, Jeremy Robert Chapman
Kinking of the kidney transplant vessels late after the operation is a rare complication that can lead to significant morbidity and mortality. We present a case of positional ischemia of the renal allograft resulting from dynamic and positional kinking of the graft vasculature, which was diagnosed by ultrasonography with the patient standing. The graft was repositioned into the sub-rectus pocket and the ischaemic injury resolved.
February 18, 2019: Journal of Clinical Ultrasound: JCU
Jessica G Fried, Matthew A Morgan
Renal imaging has become a fundamental part of clinical care for patients with kidney disease. Imaging strategies for the kidney have been evolving during the past hundred years and have been even more rapidly changing during the past couple of decades due to the development of modern computed tomographic techniques, magnetic resonance imaging, and more sophisticated ultrasonographic techniques, such as contrast-enhanced ultrasonography. Applying the correct radiologic study for the clinical situation maximizes the diagnostic accuracy of the imaging, and a judicious choice between techniques helps limit radiation dose and potential adverse events...
February 15, 2019: American Journal of Kidney Diseases: the Official Journal of the National Kidney Foundation
Mohamed Balaha, Torki Al-Otaibi, Osama A Gheith, Medhat A Halim, Mohamed Shaker, Zohair Fayyad, Prasad Nair, Zakaria Zakaria, Hasaneen Abo-Atya, Yahya Makkeyia
To avoid graft rejection during pregnancy, frequent monitoring of serum drug levels is recommended. Pregnancy induces hyperfiltration in transplanted kidneys, as in native kidneys; therefore, detection of rejection can be difficult when monitoring by serum creatinine. If rejection is suspected, ultrasonographguided graft biopsy can be done; once proven, it can be treated with pulse steroids, but data are scarce regarding other agents. Here, we present a 28-year-old pregnant female patient with resistant acute rejection but with successful pregnancy outcome...
January 2019: Experimental and Clinical Transplantation
T Revuelto Artigas, N Zaragoza Velasco, X Gómez Arbones, T Vidal Ballester, C Piñol Felis, J M Reñe Espinet, A Betriu Bars
BACKGROUND: The association between subclinical atheromatosis and chronic hepatitis C virus (HCV) infection is unknown but is relevant now that antivirals are improving the survival of patients with the infection. OBJECTIVES: To determine whether HCV is an independent risk factor for subclinical atheromatosis and to analyse the changes in lipid profiles according to viral RNA levels and hepatic fibrosis. PATIENTS AND METHODS: We conducted an observational, cross-sectional study that included 102 HCV-positive patients and 102 HCV-negative patients with parity in terms of sex and age, with no history of cardiovascular or kidney disease or diabetes...
February 14, 2019: Revista Clínica Española
Lufee Wong, Fabricio Da Silva Costa, Edward Araujo Júnior, Simon Meagher
No abstract text is available yet for this article.
February 13, 2019: Journal of Obstetrics and Gynaecology Canada: JOGC, Journal D'obstétrique et Gynécologie du Canada: JOGC
Jorge Lamarche, Alfredo Peguero Rivera, Craig Courville, Mohamed Taha, Marina Antar-Shultz, Andres Reyes
Imaging at the nephrology point of care provides an important and continuously expanding tool to improve diagnostic accuracy in concert with history and physical examination.
December 2018: Federal Practitioner: for the Health Care Professionals of the VA, DoD, and PHS
Alessandro Mantovani, Chiara Zusi, Elena Sani, Antonio Colecchia, Giuseppe Lippi, Gianluigi Zaza, Luca Valenti, Christopher D Byrne, Claudio Maffeis, Enzo Bonora, Giovanni Targher
AIM: - Evidence is emerging that PNPLA3 rs738409 polymorphism (the major genetic variant associated with susceptibility to non-alcoholic fatty liver disease [NAFLD]) is associated with chronic kidney disease (CKD) in non-diabetic individuals. Currently, little is known about this association in type 2 diabetic (T2DM) patients with and without NAFLD. METHODS: - We studied 101 Caucasian post-menopausal women with T2DM, consecutively attending our diabetes outpatient service during a 3-month period...
February 11, 2019: Diabetes & Metabolism
Sally Griffin
PRACTICAL RELEVANCE: Abdominal ultrasound plays a vital role in the diagnostic work-up of many cats presenting to general and specialist practitioners. Ultrasound examination of the liver can be key in the diagnosis of diseases such as hepatic lipidosis and hepatic neoplasia. CLINICAL CHALLENGES: Despite ultrasonography being a commonly used modality, many practitioners are not comfortable performing an ultrasound examination or interpreting the resulting images...
January 2019: Journal of Feline Medicine and Surgery
Wanjun Ren, Yuejuan Du, Huili Jiang, Dongmei Xu
BACKGROUND:  Chronic kidney disease has become a serious public health problem in China. Our study is to explore effect of hydraulic expansion on arteriovenous fistula (AVF) of hemodialysis patients. METHODS:  A total of 190 patients with end-stage renal disease (ESRD) were randomly divided into hydraulic expansion group ( n  = 117) and conventional surgery group ( n  = 73). Age, sex, the cause of ESRD, height, weight, body mass index (BMI), blood pressure, and diameter of artery and vein from ultrasonography before surgery from patients were recorded...
February 9, 2019: Thoracic and Cardiovascular Surgeon
Renske Wiersema, Jose N Castela Forte, Thomas Kaufmann, Robbert J de Haas, Geert Koster, Yoran M Hummel, Jacqueline Koeze, Casper F M Franssen, Madelon E Vos, Bart Hiemstra, Frederik Keus, Iwan C C van der Horst
Longitudinal evaluations of critically ill patients by combinations of clinical examination, biochemical analysis and critical care ultrasonography (CCUS) may detect adverse events of interventions such as fluid overload at an early stage. The Simple Intensive Care Studies (SICS) is a research line that focuses on the prognostic and diagnostic value of combinations of clinical variables. The SICS-I specifically focused on the use of clinical variables obtained within 24 h of acute admission for prediction of cardiac output (CO) and mortality...
January 16, 2019: Journal of Visualized Experiments: JoVE
Hyuk Jae Jung, Sang Su Lee, Hyun Yul Kim, Byung Soo Park, Dong Il Kim, Kyoung Jin Nam, Ji Eun Roh, Ki Seok Choo
We aimed to investigate the association between carotid artery stenosis and peripheral artery disease (PAD) by screening carotid ultrasonography (CUS).From January 2012 to December 2015, 231 consecutive patients who had undergone preoperative CUS for PAD were included in this study. A radiologist assessed the degree of internal carotid artery (ICA) stenosis by using the North American Symptomatic Carotid Endarterectomy Trial (NASCET). Severe (>70%) ICA stenosis was evaluated based on the type of vascular surgery, PAD lesion, and ankle-brachial index (ABI)...
February 2019: Medicine (Baltimore)
Sae Lin Oh, Tae Yeon Jeon, So-Young Yoo, Se In Sung, Hye Won Kim, Yun Sil Chang, Won Soon Park, Ji Hye Kim
OBJECTIVES: To investigate the incidence of, clinical outcome of, and risk factors for perirenal subcapsular fluid collections in extremely preterm infants with acute kidney injury (AKI). METHODS: Extremely preterm infants with AKI who underwent renal ultrasonography (US) during neonatal intensive care unit stay were classified into two groups according to the presence of a perirenal subcapsular fluid collection at US. Clinical outcome was compared, and relevant data were analysed, including demographics and comorbidities of the infants, as well as maternal demographics...
February 4, 2019: European Radiology
H H Chen, S T Wu, Y C Lin, C S Lin
We report a 49-year-old woman who presented with a hypertensive crisis and acute heart failure and reduced left ventricular systolic function. An abdominal ultrasonography revealed a huge lobulated heterogeneous mass at the lower pole of the right kidney and a mass over the left suprarenal area, which were further delineated by magnetic resonance imaging. The patient underwent laparoscopic right radical nephrectomy and left adrenalectomy. Histopathological analysis confirmed the diagnoses of clear cell renal cell carcinoma of the right kidney with metastasis to the lung; and atypical pheochromocytoma of the left adrenal gland...
January 2019: Journal of Postgraduate Medicine
Koel Debnath, Amita Couthino, Anirban Chatterjee, Sadhana Shenoy
Enamel renal syndrome is a unique syndrome associated with kidney agenesis associated with kidney agenesis, amelogenesis imperfecta, and gingival hyperplasia. The prevalence rate of this rare syndrome is <1/1,000,000. A 17-year-old male patient came to the department of periodontics, with a chief complaint of dislodged crown in the anterior teeth region. On clinical examination, the patient had teeth with mottled enamel and gingival enlargement. The orthopantomograph and gingival biopsy revealed pulpal calcification and gingival calcification, respectively...
January 2019: Journal of Indian Society of Periodontology
Giulio Di Candio, Francesco Porcelli, Alessandro Campatelli, Simone Guadagni, Fabio Vistoli, Luca Morelli
The purpose of this article is to retrospectively evaluate the long-term outcome of patients treated with percutaneous thermoablation for renal cell carcinomas that have arisen in kidney grafts. Between April 2008 and February 2011, we treated 3 patients with renal cell carcinoma on a transplanted kidney: 2 cases were treated with high-intensity focused ultrasonography and 1 patient with radio frequency ablation. Postprocedural ultrasonography did not reveal any complications, and contrast-enhanced ultrasonography showed an avascular area in the treated nodules...
January 28, 2019: Journal of Ultrasound in Medicine: Official Journal of the American Institute of Ultrasound in Medicine
Mehmet Bankir, Hilmi Erdem Sumbul, Ayse Selcan Koc, Derya Demirtas, Fettah Acibucu
Elastography is a method to examine the increase in solid organs stiffness (SOS), and there is no data in the literature regarding to its use in patients with acromegaly. In this study, we aimed to investigate the change of SOS in patients with acromegaly and to determine the parameters closely related to SOS in same patient groups.We included 40 subjects with acromegaly and 40 healthy control subjects. In addition to routine renal, liver and thyroid ultrasonography (USG), SOS for 3 solid organs were measured by elastography...
January 2019: Medicine (Baltimore)
Christian Bolenz, Bernd Schröppel, Andreas Eisenhardt, Bernd J Schmitz-Dräger, Marc-Oliver Grimm
BACKGROUND: Hematuria can be either grossly visible (macrohematuria) or only detectable under a microscope (microhematuria). Microhematuria is often asymptomatic and has a prevalence of 4-5% in routine clinical practice. It may be due to an underlying disease of the kidneys or the urogenital tract. In this article, we provide an overview of the causes of hematuria and of the recommendations of current guidelines for its diagnostic evaluation. A risk-adapted diagnostic strategy for the evaluation of asymptomatic microhematuria (aMH) is presented...
November 30, 2018: Deutsches Ärzteblatt International
Juliette Garel, Mathilde Lefebvre, Marie Cassart, Valeria Della Valle, Lucie Guilbaud, Jean-Marie Jouannic, Hubert Ducou le Pointe, Eléonore Blondiaux, Catherine Garel
BACKGROUND: Autosomal dominant polycystic kidney disease (ADPKD) is the most common inherited renal disease. This pathology has been increasingly diagnosed in utero and several sonographic patterns are well described in the literature. OBJECTIVE: To present a series of fetuses with an unusual imaging pattern of ADPKD, mimicking autosomal recessive polycystic kidney disease (ARPKD). MATERIALS AND METHODS: We retrospectively reviewed second-line ultrasound (US) scans performed for suspicion of fetal kidney pathology between 2006 and 2018...
January 10, 2019: Pediatric Radiology
Toshihiro Sugiura, Fuyuko Akagaki, Yoshito Yamaguchi, Aya Nakamori
Background Renal arteriolosclerosis is a risk factor for acute reductions in the glomerular filtration rate (GFR) when renin-angiotensin system (RAS) inhibitors are administered. Renal arteriolosclerosis can be detected by an increase in the resistive index (RI) on Doppler ultrasonography. The purpose of the present study is to determine whether or not the RI can predict acute GFR reductions following RAS blockade in chronic kidney disease (CKD). Methods We surveyed all CKD patients who were hospitalized in Otemae Hospital from January 2008 to December 2017...
January 10, 2019: Internal Medicine
Doaa Mohammed Youssef, Mohamed Abdelsalam Gomaa, Ahmed El-Akhras, Sabry Abdel Rahman Tolba, Ghada Mohamed Abd Allah, Osama Daoud, Sameh Saber
INTRODUCTION: Disturbances of lipid metabolism has been reported in nephrotic syndrome (NS) and may predispose to atherosclerosis. This study aimed to investigate the correlation between cardiovascular risk factors and carotid intima-media thickness (CIMT) and brachial artery flow-mediated dilatation in patients with idiopathic NS. MATERIALS AND METHODS: This case-control study included 31 patients with NS and 31 healthy individuals as the control group. All patients were subjected to full clinical examination; laboratory investigations in the form of lipid profile, kidney function tests, serum protein, serum albumin, C-reactive protein, and ferritin; carotid ultrasonography, and brachial artery flow-mediated dilatation...
November 2018: Iranian Journal of Kidney Diseases
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