A Rare Presentation of Renal Papillary Necrosis in a COVID-19-Positive Patient
In this case report we describe an unusual presentation of severe acute papillary necrosis in a COVID-19-positive patient. An emergency flexible ureteroscopy greatly helped in the establishment of the diagnosis. In the international literature, there is a paucity of intraoperative endoscopic images...
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| Format: | Article |
| Language: | English |
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Wiley
2021-01-01
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| Series: | Case Reports in Urology |
| Online Access: | http://dx.doi.org/10.1155/2021/6611861 |
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| author | Bela Tallai Tawiz Gul Gulistan Maged Nasser Aa B. Alrayashi Salah Abdulhabeb Abdulwali Al Mughalles Hatem Mostari Kamkoum Mohamed Ali A. Ebrahim Mohamed Abdelkarim Ali Abdelkarim Morshed Ali Salah |
| author_facet | Bela Tallai Tawiz Gul Gulistan Maged Nasser Aa B. Alrayashi Salah Abdulhabeb Abdulwali Al Mughalles Hatem Mostari Kamkoum Mohamed Ali A. Ebrahim Mohamed Abdelkarim Ali Abdelkarim Morshed Ali Salah |
| author_sort | Bela Tallai |
| collection | DOAJ |
| description | In this case report we describe an unusual presentation of severe acute papillary necrosis in a COVID-19-positive patient. An emergency flexible ureteroscopy greatly helped in the establishment of the diagnosis. In the international literature, there is a paucity of intraoperative endoscopic images representing severe renal papillary necrosis. We present a case of severe acute renal papillary necrosis in a 49-year-old south-Asian, COVID-19-positive male patient who needed emergency urological intervention for macroscopic hematuria and urinary retention due to clot formation in the urinary bladder. The patient underwent emergency cystoscopy, clot evacuation, and by rigid and flexible ureteroscopy. The diagnosis was only confirmed in the postoperative period, retrospectively. Finally, the patient fully recovered due to the multidisciplinary management. Diagnosis of rare clinical entities can be sometimes challenging in the everyday routine practice. Having atypical clinical course, the surgeon should be prepared and sometimes must take responsible decisions promptly, even if needed intraoperatively, to manage unexpected findings in order to get the right diagnosis without compromising the patient’s safety. |
| format | Article |
| id | doaj-art-a30248d4da6a4cb18ec95ea84c8f61d7 |
| institution | Kabale University |
| issn | 2090-696X 2090-6978 |
| language | English |
| publishDate | 2021-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Urology |
| spelling | doaj-art-a30248d4da6a4cb18ec95ea84c8f61d72025-08-20T03:38:19ZengWileyCase Reports in Urology2090-696X2090-69782021-01-01202110.1155/2021/66118616611861A Rare Presentation of Renal Papillary Necrosis in a COVID-19-Positive PatientBela Tallai0Tawiz Gul Gulistan1Maged Nasser Aa B. Alrayashi2Salah Abdulhabeb Abdulwali Al Mughalles3Hatem Mostari Kamkoum4Mohamed Ali A. Ebrahim5Mohamed Abdelkarim Ali Abdelkarim6Morshed Ali Salah7Urology Division of Surgery Department, Hazm Mebaireek General Hospital, Hamad Medical Corporation, Industrial Area Street No. 33, PO Box 3050, Doha, QatarUrology Division of Surgery Department, Hazm Mebaireek General Hospital, Hamad Medical Corporation, Industrial Area Street No. 33, PO Box 3050, Doha, QatarUrology Division of Surgery Department, Hazm Mebaireek General Hospital, Hamad Medical Corporation, Industrial Area Street No. 33, PO Box 3050, Doha, QatarClinical Imaging Department, Hazm Mebaireek General Hospital, Hamad Medical Corporation, Industrial Area Street No. 33, PO Box 3050, Doha, QatarUrology Division of Surgery Department, Hazm Mebaireek General Hospital, Hamad Medical Corporation, Industrial Area Street No. 33, PO Box 3050, Doha, QatarUrology Division of Surgery Department, Hazm Mebaireek General Hospital, Hamad Medical Corporation, Industrial Area Street No. 33, PO Box 3050, Doha, QatarUrology Division of Surgery Department, Hazm Mebaireek General Hospital, Hamad Medical Corporation, Industrial Area Street No. 33, PO Box 3050, Doha, QatarUrology Division of Surgery Department, Hazm Mebaireek General Hospital, Hamad Medical Corporation, Industrial Area Street No. 33, PO Box 3050, Doha, QatarIn this case report we describe an unusual presentation of severe acute papillary necrosis in a COVID-19-positive patient. An emergency flexible ureteroscopy greatly helped in the establishment of the diagnosis. In the international literature, there is a paucity of intraoperative endoscopic images representing severe renal papillary necrosis. We present a case of severe acute renal papillary necrosis in a 49-year-old south-Asian, COVID-19-positive male patient who needed emergency urological intervention for macroscopic hematuria and urinary retention due to clot formation in the urinary bladder. The patient underwent emergency cystoscopy, clot evacuation, and by rigid and flexible ureteroscopy. The diagnosis was only confirmed in the postoperative period, retrospectively. Finally, the patient fully recovered due to the multidisciplinary management. Diagnosis of rare clinical entities can be sometimes challenging in the everyday routine practice. Having atypical clinical course, the surgeon should be prepared and sometimes must take responsible decisions promptly, even if needed intraoperatively, to manage unexpected findings in order to get the right diagnosis without compromising the patient’s safety.http://dx.doi.org/10.1155/2021/6611861 |
| spellingShingle | Bela Tallai Tawiz Gul Gulistan Maged Nasser Aa B. Alrayashi Salah Abdulhabeb Abdulwali Al Mughalles Hatem Mostari Kamkoum Mohamed Ali A. Ebrahim Mohamed Abdelkarim Ali Abdelkarim Morshed Ali Salah A Rare Presentation of Renal Papillary Necrosis in a COVID-19-Positive Patient Case Reports in Urology |
| title | A Rare Presentation of Renal Papillary Necrosis in a COVID-19-Positive Patient |
| title_full | A Rare Presentation of Renal Papillary Necrosis in a COVID-19-Positive Patient |
| title_fullStr | A Rare Presentation of Renal Papillary Necrosis in a COVID-19-Positive Patient |
| title_full_unstemmed | A Rare Presentation of Renal Papillary Necrosis in a COVID-19-Positive Patient |
| title_short | A Rare Presentation of Renal Papillary Necrosis in a COVID-19-Positive Patient |
| title_sort | rare presentation of renal papillary necrosis in a covid 19 positive patient |
| url | http://dx.doi.org/10.1155/2021/6611861 |
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