The wall of the renal vein around the aneurysm was normal. Table 7 shows the comparison of the frequencies between the absence. Coronary artery ectasia was observed in 8 of the stroke patients with iade, and in none of the stroke patients without iade p0. From diagnosis to treatment so p h i e ma v r o g e n i onassis cardiac surgery center, athens, greece c sents a form of atherosclerotic coronary artery disease. Systemic sclerosis ssc is a severe autoimmune condition characterized by both fibrotic and vascular complications. Colonoscopy is assuming an important role in diagnosis and treatment of these. Gastric antral vascular ectasia syndrome is a rare entity. Despite the generally sanguine data on glomerular function, a very small group of patients may develop renal insufficiency due to lithium possibly in conjunction with other somatic factors in the form of interstitial nephritis. The severity of dural ectasia was positively correlated with age, and the presence of dural ectasia in 11 of 12 patients younger than age 18 suggests that dural ectasia is an early. Causes of renal pelvic ectasia pelvic pain menopause causes pelvic numbness causes chronic pelvic pain causes causes of weak pelvic muscles download here free healthcaremagic app. Advance articles editors choice author videos supplements. Morphological kidney changes such as renal tubular ectasia due to chronic lithium treatment may be an unavoidable adverse effect. These dilated collecting tubules which may be associated with.
Renal tubular ectasia is an incidental finding that is seen more commonly on intravenous pyelography ivp, but which can also occasionally be seen on ct. In approximately 10%20% of patients, chronic lithium therapy can produce mor. Letters lithiuminduced renal ectasia to the editor. Followup renal biopsy studies supported these initial findings of structural kidney changes with preservation of the glomerular function in those patients prescribed chronic. Gastric antral vascular ectasia watermelon stomach in. Current concepts raphaelhernandoparrado, 1 hernannicolaslemus, 2 paolaximenacoralalvarado, 2,3. Ecronicon is dedicated towards the promotion of open access publication of research that reduces the frontier to assess the dossier needed and carry out the research work in any field.
Ct urography for the diagnosis of medullary sponge kidney. Mastology program, department of gynecology and obstetrics, federal university of goias, goiania, brazil. Ectasia also called ectasis is dilation or distention of a tubular structure, either normal or pathophysiologic but usually the latter except in atelectasis, where absence of ectasis is the problem. Renal drug handbook 3rd edition general intensive care unit. Followup renal biopsy studies supported these initial findings of structural kidney changes with preservation of the glomerular function in those patients prescribed chronic lithium. Punctate renal stones almost always pass without problems.
Coronary and basilar artery ectasia are associated stroke. To describe the prevalence and clinical correlates of endoscopic gastric antral vascular ectasia gave. P editor,spahr and colleagues recently published a case series which described the poor response of a haemorrhage from gastric antral vascular ectasia gave to portal. Gastric antral vascular ectasia is a not so wellunderstood, and more rare, gastrointestinal manifestation of systemic sclerosis which can lead to chronic anemia. Review article gastric antral vascular ectasia in systemic sclerosis. Pdf three cases of gastric antral vascular ectasia in. Nefrologia revista dd revista nefrologia argentina. However, chronic treatment with lithium may result in a number of adverse effects, including renal impairment.
Coronary artery ectasia in a patient with polycystic kidney disease. We evaluated the association of histomorphological features. References in gastric antral vascular ectasia watermelon. Hydronephrosis is defined as distention of the renal calyces and. Gave has now evolved into a distinct clinical entity with respect to its. Medullary sponge kidney msk is characterized by malformation of. Coronary artery ectasia cae, a rare clinical condition, is defined as dilatation of the coronary artery 1. Three cases of gastric antral vascular ectasia in chronic renal failure. Renal tubular ectasia urinary tract collecting system. Gastric antral vascular ectasia gave is a rare entity with unique endoscopic appearance described as watermelon stomach.
Most often, dural ectasia in marfans syndrome is subclinical and asymptomatic, however, large dural ectasias can be symptomatic. Some confusion exists in the literature about true aneurysms and varices of the renal veins 1 x 1 sarap, md and wheeler, we. Renal tubular ectasia is an incidental finding that is seen more commonly on intravenous pyelography ivp, but which can also occasionally be seen on ct urography ctu. Frames of coronary angiogram showing marked ectasia in all three of coronary arteries. In 1989, navab et al suggested that watermelon stomach often is observed in patients with chronic renal insufficiency.
Gastric antral vascular ectasia gave, though a rare disorder, causes up to 4% of nonvariceal upper gi bleeding. Resultscoronary artery ectasia was observed in 8 of the stroke patients with iade, and in none of the stroke patients without iade p0. European renal association european dialysis and transplant association. Renal tubular ectasia renal tubular ectasia is an incidental finding that is seen more commonly on intravenous pyelography ivp, but which can also occasionally be see. On the basis of this and some later reports, an etiopathogenetic association between the 2 disorders was postulated. Ectasia pielica perinatal, efecto cascada y prevencion cuaternaria. However, for the vast majority of patients, the renal effects of lithium are benign. A high suspicion and better understanding of this rare manifestation is needed for early detection and treatment. A 44 years old male patient with acute coronary syndrome and polycystic kidney disease is described.
Pelvic dural ectasia leading to bilateral ureteric. Gastric antral vascular ectasia gave, usually manifests as irondeficiency anemia associated with occult blood loss. Coronary artery ectasia in a patient with polycystic. Pyelectasis, dilation of a part of the kidney, most frequently seen in prenatal ultrasounds. Tubular ectasia te was shown to be associated with uoc in experimental data. It is present in 3% of cirrhotics, whereas 3040% of gave patients have portal hypertension. Autologous hematopoietic stem cell transplant for systemic. This hereditary disorder causes ectasia and cystic dilatation of the renal tubules as a result of a mutation in the pkhd1 gene pkhd1 chromosomal locus 6p12, and arpkd has an. As with eu, renal tubular ectasia produces easily visualized linear areas of high attenuation in the renal pyramids on ctu. Sonographic evaluation of renal ectasia in neonates. However, the number of relevant publications is still very limited. Review article gastric antral vascular ectasia in systemic.
What is renal ectasia doctor answers on healthcaremagic. The diameters of basilar and right coronary arteries. The condition is often associated with hypertension, diabetes, renal failure, gastric carcinoma, aortic. Autosomal dominant polycystic kidney disease adpkd is the most common. Clinical profile and outcome of coronary artery ectasia. Vascular ectasia is an increasingly recognized cause of gastrointestinal tract bleeding in the elderly. Gastric antral vascular ectasia gave, also referred to as watermelon stomach, is an.
529 1313 696 1168 1315 1540 1310 1632 122 703 1231 994 1166 1650 1492 789 1198 402 1288 1268 1594 124 1519 943 305 304 408 1124 1 961 1314 1120 1229 555 1483