Management of a Patient with Tuberous Sclerosis with Urological Clinical Manifestations
| Autor: | Victor Emanuel Stoenescu, Vlad Pădureanu, Octavian Dragoescu, Tomescu P, Radu Cristian Cimpeanu, Dop Dalia, Ionica Pirici, Alexandru Radu Mihailovici, Rodica Pădureanu |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Kidney Medicine (General) business.industry angiomyolipomatosis Ultrasound Case Report General Medicine tuberous sclerosis uretero-hydronephrosis medicine.disease Skull Left Lumbar Region Tuberous sclerosis medicine.anatomical_structure R5-920 medicine Dysuria Radiology medicine.symptom Presentation (obstetrics) business Pelvis angiofibromas |
| Zdroj: | Medicina Medicina, Vol 56, Iss 369, p 369 (2020) |
| ISSN: | 1648-9144 1010-660X |
| Popis: | The tuberous sclerosis complex (TSC) is highly variable as far as its clinical presentation is concerned. For the implementation of appropriate medical surveillance and treatment, an accurate diagnosis is compulsory. TSC may affect the heart, skin, kidneys, central nervous system (epileptic seizures and nodular intracranial tumors—tubers), bones, eyes, lungs, blood vessels and the gastrointestinal tract. The aim of this paper is to report renal manifestations as first clinical signs suggestive of TSC diagnosis. A 20-year-old patient was initially investigated for hematuria, dysuria and colicky pain in the left lumbar region. The ultrasound examination of the kidney showed bilateral hyperechogenic kidney structures and pyelocalyceal dilatation, both suggestive of bilateral obstructive lithiasis, complicated by uretero-hydronephrosis. The computer tomography (CT) scan of the kidney showed irregular kidney margins layout, undifferentiated images between cortical and medullar structures, with non-homogenous round components, suggestive of kidney angiomyolipomas, bilateral renal cortical retention cysts, images of a calculous component in the right middle calyceal branches and a smaller one on the left side. The clinical manifestations and imaging findings (skull and abdominal and pelvis CT scans) sustained the diagnosis. |
| Databáze: | OpenAIRE |
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