Bilateral excision of perinephric fat and fascia (Gerota's fasciectomy) in the treatment of intractable chyluria.
Identifieur interne : 005A47 ( PubMed/Curation ); précédent : 005A46; suivant : 005A48Bilateral excision of perinephric fat and fascia (Gerota's fasciectomy) in the treatment of intractable chyluria.
Auteurs : M O Pool [Pays-Bas] ; K G Van Der Hem ; H V Stel ; W J Luth ; F M Rasker ; R O GansSource :
- The Journal of urology [ 0022-5347 ] ; 1991.
Descripteurs français
- KwdFr :
- MESH :
- anatomopathologie : Rein.
- Adulte d'âge moyen, Animaux, Biopsie, Chyle, Fasciotomie, Filariose lymphatique, Humains, Mâle, Tissu adipeux, Urine, Wuchereria bancrofti.
English descriptors
- KwdEn :
- MESH :
- complications : Elephantiasis, Filarial.
- pathology : Kidney.
- surgery : Adipose Tissue, Elephantiasis, Filarial.
- Animals, Biopsy, Chyle, Fasciotomy, Humans, Male, Middle Aged, Urine, Wuchereria bancrofti.
Abstract
A case is described of a 59-year-old black man with massive chyluria, probably due to previous infection with Wuchereria bancrofti. Notably, no edema was present despite a urinary protein loss of 40 gm. per day resulting in a serum albumin level of 13 gm./l. Conservative treatment after lymphography, including prolonged bedrest and a medium chain triglyceride diet, was unsuccessful. Bilateral excision of the perinephric fascia and fat (Gerota's fasciectomy) in 2 separate operative sessions finally resulted in complete resolution of the chyluria.
PubMed: 1942297
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<author><name sortKey="Pool, M O" sort="Pool, M O" uniqKey="Pool M" first="M O" last="Pool">M O Pool</name>
<affiliation wicri:level="1"><nlm:affiliation>Department of Medicine, Free University Hospital, Amsterdam, The Netherlands.</nlm:affiliation>
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<author><name sortKey="Stel, H V" sort="Stel, H V" uniqKey="Stel H" first="H V" last="Stel">H V Stel</name>
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<author><name sortKey="Luth, W J" sort="Luth, W J" uniqKey="Luth W" first="W J" last="Luth">W J Luth</name>
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<author><name sortKey="Rasker, F M" sort="Rasker, F M" uniqKey="Rasker F" first="F M" last="Rasker">F M Rasker</name>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adipose Tissue (surgery)</term>
<term>Animals</term>
<term>Biopsy</term>
<term>Chyle</term>
<term>Elephantiasis, Filarial (complications)</term>
<term>Elephantiasis, Filarial (surgery)</term>
<term>Fasciotomy</term>
<term>Humans</term>
<term>Kidney (pathology)</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Urine</term>
<term>Wuchereria bancrofti</term>
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<keywords scheme="KwdFr" xml:lang="fr"><term>Adulte d'âge moyen</term>
<term>Animaux</term>
<term>Biopsie</term>
<term>Chyle</term>
<term>Fasciotomie</term>
<term>Filariose lymphatique ()</term>
<term>Humains</term>
<term>Mâle</term>
<term>Rein (anatomopathologie)</term>
<term>Tissu adipeux ()</term>
<term>Urine</term>
<term>Wuchereria bancrofti</term>
</keywords>
<keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Rein</term>
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<keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Elephantiasis, Filarial</term>
</keywords>
<keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Kidney</term>
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<keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Adipose Tissue</term>
<term>Elephantiasis, Filarial</term>
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<keywords scheme="MESH" xml:lang="en"><term>Animals</term>
<term>Biopsy</term>
<term>Chyle</term>
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<term>Male</term>
<term>Middle Aged</term>
<term>Urine</term>
<term>Wuchereria bancrofti</term>
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<keywords scheme="MESH" xml:lang="fr"><term>Adulte d'âge moyen</term>
<term>Animaux</term>
<term>Biopsie</term>
<term>Chyle</term>
<term>Fasciotomie</term>
<term>Filariose lymphatique</term>
<term>Humains</term>
<term>Mâle</term>
<term>Tissu adipeux</term>
<term>Urine</term>
<term>Wuchereria bancrofti</term>
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<front><div type="abstract" xml:lang="en">A case is described of a 59-year-old black man with massive chyluria, probably due to previous infection with Wuchereria bancrofti. Notably, no edema was present despite a urinary protein loss of 40 gm. per day resulting in a serum albumin level of 13 gm./l. Conservative treatment after lymphography, including prolonged bedrest and a medium chain triglyceride diet, was unsuccessful. Bilateral excision of the perinephric fascia and fat (Gerota's fasciectomy) in 2 separate operative sessions finally resulted in complete resolution of the chyluria.</div>
</front>
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<Title>The Journal of urology</Title>
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<ArticleTitle>Bilateral excision of perinephric fat and fascia (Gerota's fasciectomy) in the treatment of intractable chyluria.</ArticleTitle>
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<Abstract><AbstractText>A case is described of a 59-year-old black man with massive chyluria, probably due to previous infection with Wuchereria bancrofti. Notably, no edema was present despite a urinary protein loss of 40 gm. per day resulting in a serum albumin level of 13 gm./l. Conservative treatment after lymphography, including prolonged bedrest and a medium chain triglyceride diet, was unsuccessful. Bilateral excision of the perinephric fascia and fat (Gerota's fasciectomy) in 2 separate operative sessions finally resulted in complete resolution of the chyluria.</AbstractText>
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