Asunto(s)
Neoplasias Encefálicas/patología , Tumor Rabdoide/patología , Teratoma/patología , Adolescente , Protocolos de Quimioterapia Combinada Antineoplásica/administración & dosificación , Protocolos de Quimioterapia Combinada Antineoplásica/uso terapéutico , Biopsia , Neoplasias Encefálicas/cirugía , Caquexia/etiología , Presión del Líquido Cefalorraquídeo/fisiología , Resultado Fatal , Humanos , Imagen por Resonancia Magnética , Masculino , Meningitis/etiología , Meningitis/patología , Tumor Rabdoide/tratamiento farmacológico , Tumor Rabdoide/cirugía , Teratoma/tratamiento farmacológico , Teratoma/cirugía , Tomografía Computarizada por Rayos X , Resultado del TratamientoRESUMEN
A 56-year-old man presents with haematuria and through extensive investigation is found to have solitary crossed renal ectopia. This congenital abnormality occurs as a result of a combination of unilateral renal agenesis and renal ectopia. With only 34 cases reported in the worldwide literature, the rarity of solitary crossed renal ectopia makes its diagnosis a challenge. We review the embryological theories behind this congenital anomaly and highlight some of the typical features demonstrated in our case that would lead one to consider a diagnosis of solitary crossed renal ectopia. We also describe features which have not previously been noted in case reports.
Asunto(s)
Riñón/anomalías , Anomalías Congénitas/diagnóstico , Humanos , Masculino , Persona de Mediana EdadRESUMEN
The monitoring of the time interval from decision to operate to delivery of the fetus (DDI) for emergency caesarean sections has become an important part of an obstetric department's continuous auditing and clinical governance. The accepted standard is that the DDI for emergency caesarean sections should be 30 minutes. Previous authors have questioned whether this 30-min benchmark is a realistic target for obstetric units. This study, the largest of its kind with 1000 subjects, shows that it is not feasible for busy obstetric units to reach this target in all emergency caesarean sections. Explanations for lengthy DDI and possible improvements are proposed.