This is the case report of a forty-seven-year-old man with an ostium secun dum atrial septal defect and a very high grade of pulmonary hypertension, associated with a large bilateral perinephric fluid accumulation. The fluid accu mulation was remarkably reduced after eleven phlebotomies over a twelve- month period. A pathogenetic relation with the Eisenmenger's syndrome is discussed. No previous report of this association has been found in a survey of the literature.
Get full access to this article
View all access options for this article.
References
1.
Marshall FF, Olsson CA, Tanagho EA: Anatomy and surgical approach to the urogenital tract in the male . In: Urology, vol. 1, ed. 5, ed. by Campbell MF.Philadelphia: WB Saunders, 1986, pp 2-74.
2.
Kneeland JB, Auh YH, Rubenstein KA, et al: Perirenal spaces: Evidence for communication across the midline . Radiology164:657-664, 1987.
3.
Campbell MF: Tumors of the urogenital tract. In: Urology, vol 2, ed. 5, ed. by Campbell MF.Philadelphia: WB Saunders, 1986, pp 1268-1278.
4.
McCullough DL , Leopold GR: Diagnosis of retroperitoneal fluid collections by ultrasonography: A series of surgically proved cases. J Urol115:656-659, 1976.
5.
Kay CJ, Rosenfield AT, Armm M.: Gray-Scale ultrasonography in the evaluation of renal trauma. Radiology134:461-466, 1980.
6.
Stephens DH, Sheedy PF II, Hattery RR Jr: Diagnosis and evaluation of retroperitoneal tumors by computed tomography. AJR129:395-402, 1977.
7.
Doolittle KH , Taylor JN: Renal abscess in the differential diagnosis of mass in kidney. J Urol89:649-651, 1963.
8.
Saiki J., Vaziri ND, Barton C.: Perinephric and intranephric abscesses: A review of literature. West J Med136:95-102, 1982.
9.
Sonda LP III, Konnak JW, Diokno AC: Clinical aspects of nonvascular renal causes of hypertension. Urol Radiol3:257-260, 1981- 1982.
10.
Lee WJ, Smith A., Cubelli V.: Complications of percutaneous nephrolithotomy. AJR148:177-180, 1987.
11.
Ivory CM, Dubbins PA, Wells IP: Ultrasound assessment of local complications of percutaneous renal stone removal . J Clin Ultrasound17:345-351, 1989.
