Ct urography for the diagnosis of medullary sponge kidney. These dilated collecting tubules which may be associated with. 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. Tubular ectasia te was shown to be associated with uoc in experimental data. Coronary artery ectasia cae, a rare clinical condition, is defined as dilatation of the coronary artery 1. Systemic sclerosis ssc is a severe autoimmune condition characterized by both fibrotic and vascular complications. Gastric antral vascular ectasia gave is a rare entity with unique endoscopic appearance described as watermelon stomach. 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. Medullary sponge kidney msk is characterized by malformation of. A 44 years old male patient with acute coronary syndrome and polycystic kidney disease is described.
Hydronephrosis is defined as distention of the renal calyces and. Renal drug handbook 3rd edition general intensive care unit. Autologous hematopoietic stem cell transplant for systemic. Followup renal biopsy studies supported these initial findings of structural kidney changes with preservation of the glomerular function in those patients prescribed chronic lithium. Coronary artery ectasia in a patient with polycystic. We describe 2 patients with endstage renal disease esrd. References in gastric antral vascular ectasia watermelon. Coronary and basilar artery ectasia are associated stroke. Gastric antral vascular ectasia syndrome is a rare entity. Coronary artery ectasia was observed in 8 of the stroke patients with iade, and in none of the stroke patients without iade p0. Frames of coronary angiogram showing marked ectasia in all three of coronary arteries. Pdf three cases of gastric antral vascular ectasia in. Review article gastric antral vascular ectasia in systemic. Ectasia pielica perinatal, efecto cascada y prevencion cuaternaria.
The diameters of basilar and right coronary arteries. Renal tubular ectasia urinary tract collecting system. However, for the vast majority of patients, the renal effects of lithium are benign. 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. Gastric antral vascular ectasia gave, also referred to as watermelon stomach, is an. Autosomal dominant polycystic kidney disease adpkd is the most common. As with eu, renal tubular ectasia produces easily visualized linear areas of high attenuation in the renal pyramids on ctu. Gave has now evolved into a distinct clinical entity with respect to its. Review article gastric antral vascular ectasia in systemic sclerosis. Letters lithiuminduced renal ectasia to the editor. 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. Punctate renal stones almost always pass without problems. Should a cystography be performed on all breastfeeding infants with.
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. Pelvic dural ectasia leading to bilateral ureteric. On the basis of this and some later reports, an etiopathogenetic association between the 2 disorders was postulated. The wall of the renal vein around the aneurysm was normal. To describe the prevalence and clinical correlates of endoscopic gastric antral vascular ectasia gave. A high suspicion and better understanding of this rare manifestation is needed for early detection and treatment. In approximately 10%20% of patients, chronic lithium therapy can produce mor. 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. Gastric antral vascular ectasia gave, though a rare disorder, causes up to 4% of nonvariceal upper gi bleeding. Pyelectasis, dilation of a part of the kidney, most frequently seen in prenatal ultrasounds.
European renal association european dialysis and transplant association. 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. Three cases of gastric antral vascular ectasia in chronic renal failure. Morphological kidney changes such as renal tubular ectasia due to chronic lithium treatment may be an unavoidable adverse effect.
Gastric antral vascular ectasia in systemic sclerosis. What is renal ectasia doctor answers on healthcaremagic. The condition is often associated with hypertension, diabetes, renal failure, gastric carcinoma, aortic. Coronary artery ectasia in a patient with polycystic kidney disease. Some confusion exists in the literature about true aneurysms and varices of the renal veins 1 x 1 sarap, md and wheeler, we. Any information contained in this pdf file is automatically. Advance articles editors choice author videos supplements. In 1989, navab et al suggested that watermelon stomach often is observed in patients with chronic renal insufficiency. 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. 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. Mastology program, department of gynecology and obstetrics, federal university of goias, goiania, brazil. Current concepts raphaelhernandoparrado, 1 hernannicolaslemus, 2 paolaximenacoralalvarado, 2,3. We evaluated the association of histomorphological features.
Table 7 shows the comparison of the frequencies between the absence. Followup renal biopsy studies supported these initial findings of structural kidney changes with preservation of the glomerular function in those patients prescribed chronic. However, chronic treatment with lithium may result in a number of adverse effects, including renal impairment. Gastric antral vascular ectasia watermelon stomach in.
Resultscoronary artery ectasia was observed in 8 of the stroke patients with iade, and in none of the stroke patients without iade p0. Clinical profile and outcome of coronary artery ectasia. It is present in 3% of cirrhotics, whereas 3040% of gave patients have portal hypertension. Most often, dural ectasia in marfans syndrome is subclinical and asymptomatic, however, large dural ectasias can be symptomatic. However, the number of relevant publications is still very limited. Nefrologia revista dd revista nefrologia argentina.