12. The kidney is implanted into the retroperitoneal space w | Figure 1

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  1. The kidney is implanted into the retroperitoneal space where the iliac vein and iliac artery (as seen in the bottom of the abdominal cavity) are exposed for eventual anastomosis to the renal vein and renal artery, respectively. What are the advantages of transplanting a kidney into the retroperitoneal space? #muscrounds #muschealth #medicalphotographer

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  1. The kidney is wrapped in a cold, moist laparotomy pad. Sutures are placed within the renal vein and artery and sewn to the iliac vein and iliac artery, respectively, in the patient. The kidney is then reperfused. Finally, the ureter is attached to the bladder, completing the living donor to recipient kidney transplant. Do the techniques involved in transplanting an organ from a living donor differ from those from a deceased donor? Do organs from living donors last longer? #muscrounds #muschealth

Images of rare radiological findings. Patient came to look for the service for evaluation of chronic pelvic pain and infertility without prior explanation, in the images of pelvic rm we observed a marked increase in the volume of the right ovary with accentuated vulval of its vascularization, so we chose to perform next to the examination a rm angiology of the Iliac arteries where we found a venous arterio fistula originating from the right uterine artery with rapid venous drainage along the right renal vein. Conclusion: complex arteriovenous fistula of the right ovary with rapid drainage to the renal vein. #RMPELVIS #Arteriovenous fistula #Case of the week to close with a golden key

A 63 year old female patient with history of renal transplant and small indeterminate vascular malformation at the transplant renal hilum was referred for progressive weight loss, abdominal pain, and recurrent urinary tract infections. Multimodality evaluation revealed an enlarging and tortuous renal vein at the graft hilum demonstrating rapid filling on arterial phase followed by early inferior vena cava opacification. Findings were consistent with an enlarging arteriovenous fistula.

#abdominal-trauma by #gunshot. #Hemoperitoneum 1500 cc + ileum-injury + bladder-injury + #vascular-trauma of left #common-iliac-vein. Tx: #Laparotomy + Hemoperitoneum #Drainage + Intestinal-resection + #ileostomy + closure of bladder + vascular repair. Ileostomy (orange), penrose (blue-green). Picture 2: iliac vein (blue), artery (orange). Sorry for no taking a better picture.

A 52-year-old man presented with a 20-minute history of chest pain radiating to the left shoulder and neck, associated with dyspnea and diaphoresis. He had a history of hypertension, long-term smoking, and a sedentary lifestyle. On physical examination, bibasilar crackles were noted on lung auscultation. An electrocardiogram (ECG) was performed in the primary care setting, and the patient was promptly referred to the emergency department.

A 28-year-old woman presented with a 3-day history of intense pruritus over the lower back. She reported no recent travel or exposure to new environments. She cares for a small kennel with approximately eight dogs rescued from the streets. Physical examination revealed multiple small vesicles, some clustered and others scattered, predominantly involving the lumbar region and the left gluteal area.

A 4-month-old male infant presented with skin lesions localized to the chin for the past 3 days. Physical examination revealed multiple small pustules with surrounding inflammatory signs on the chin, along with a few scattered papules on the chest.

Patient in late teens presenting after a collapse, no chest pain, no previous cardiac history, no history of sudden death in family, are there any features in this ekg that would warrant further work-up or is this just a pediatric ekg?