We present a case of a 44-year-old female who was evaluated for left recurrent flank and abdomina... more We present a case of a 44-year-old female who was evaluated for left recurrent flank and abdominal pain. Abdominal ultrasonography demonstrated a large cystic mass on the upper pole of the left kidney. Magnetic resonance imaging showed a large, homogenous cystic mass measuring cm with well-defined contours, being hypointense on T1-weighted images and hyperintense on T2-weighted images on the upper pole of the left kidney without a distinct plan between adrenal gland. According to clinical and radiological findings, surgical excision was carried out with a subcostal flank incision. Histologic and immunohistochemical examination demonstrates that the definite diagnosis is cystic lymphangioma of the left adrenal gland. Adrenal lymphangioma is a very rare lesion. This is the unique case of an adrenal lymphangioma considered as a renal cyst because of its radiological appearance.
We report the results of a collaborative care program that has been developed for radical cystect... more We report the results of a collaborative care program that has been developed for radical cystectomy and urinary reconstruction. All patients undergoing surgery after July 1993 were placed on a collaborative care pathway and were compared to patients undergoing the same procedure before this period. Total adjusted hospital charges decreased from $31,174 to $19,479. Hospital stay decreased from 12.7 to 10.3 days. There were also decreases in duration of surgery, blood loss, intensive care unit use and postoperative morbidity rates. Collaborative care pathways favorably affect the cost efficiency of care and provide favorable surgical outcomes.
Background and Purpose: Data concerning extracorporeal shock wave lithotripsy (SWL) management of... more Background and Purpose: Data concerning extracorporeal shock wave lithotripsy (SWL) management of small (5 mm) asymptomatic renal caliceal stones are lacking in the literature. In this study, we aimed to deter-mine the effectiveness of SWL in a special group of patients who had ...
We present a case of a 44-year-old female who was evaluated for left recurrent flank and abdomina... more We present a case of a 44-year-old female who was evaluated for left recurrent flank and abdominal pain. Abdominal ultrasonography demonstrated a large cystic mass on the upper pole of the left kidney. Magnetic resonance imaging showed a large, homogenous cystic mass measuring cm with well-defined contours, being hypointense on T1-weighted images and hyperintense on T2-weighted images on the upper pole of the left kidney without a distinct plan between adrenal gland. According to clinical and radiological findings, surgical excision was carried out with a subcostal flank incision. Histologic and immunohistochemical examination demonstrates that the definite diagnosis is cystic lymphangioma of the left adrenal gland. Adrenal lymphangioma is a very rare lesion. This is the unique case of an adrenal lymphangioma considered as a renal cyst because of its radiological appearance.
We report the results of a collaborative care program that has been developed for radical cystect... more We report the results of a collaborative care program that has been developed for radical cystectomy and urinary reconstruction. All patients undergoing surgery after July 1993 were placed on a collaborative care pathway and were compared to patients undergoing the same procedure before this period. Total adjusted hospital charges decreased from $31,174 to $19,479. Hospital stay decreased from 12.7 to 10.3 days. There were also decreases in duration of surgery, blood loss, intensive care unit use and postoperative morbidity rates. Collaborative care pathways favorably affect the cost efficiency of care and provide favorable surgical outcomes.
Background and Purpose: Data concerning extracorporeal shock wave lithotripsy (SWL) management of... more Background and Purpose: Data concerning extracorporeal shock wave lithotripsy (SWL) management of small (5 mm) asymptomatic renal caliceal stones are lacking in the literature. In this study, we aimed to deter-mine the effectiveness of SWL in a special group of patients who had ...
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