| Fenestration of the Gerota's fascia as symptomatic treatment of floating kidneys. | |
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MedLine Citation:
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PMID: 18037102 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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A 16-year-old man presented with severe nephrotic syndrome complicated by massive perirenal fluid. Percutaneous drainage of fluid was performed 3 times, followed by improvement in renal function and hypertension, but perirenal fluid recurred within days. Nephrotic syndrome was unresponsive to steroid therapy. A laparoscopic bilateral fenestration of Gerota's fascia and peritoneum allowed permanent drainage of fluid into the peritoneal cavity. During the same procedure, a renal wedge biopsy was performed. Histological examination showed advanced focal glomerular sclerosis of the tip lesion variant. The glomerular disease was refractory to further treatment with cyclophosphamide, mycophenolate, and rituximab. However, perirenal fluid did not recur despite persistent nephrotic syndrome, showing that fenestration of Gerota's fascia is a successful treatment of floating kidneys in such patients. |
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Authors:
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Christian Koppelstaetter; Reinhard Peschel; Bernhard Glodny; Peter Riegler; Werner Passler; Karl Lhotta |
Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: American journal of kidney diseases : the official journal of the National Kidney Foundation Volume: 50 ISSN: 1523-6838 ISO Abbreviation: Am. J. Kidney Dis. Publication Date: 2007 Dec |
Date Detail:
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Created Date: 2007-11-26 Completed Date: 2007-12-11 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8110075 Medline TA: Am J Kidney Dis Country: United States |
Other Details:
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Languages: eng Pagination: 1020-2 Citation Subset: IM |
Affiliation:
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Department of Internal Medicine, Clinical Division of Nephrology, Medical University Innsbruck, Innsbruck, Austria. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Ascitic Fluid / physiology* Biopsy Fascia / surgery* Glomerulosclerosis, Focal Segmental / complications*, pathology, physiopathology Humans Hypertension, Pulmonary / physiopathology Kidney / pathology, physiopathology* Laparoscopy / methods Male Nephrotic Syndrome / complications*, pathology, physiopathology |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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