Browsing by Author "Fuentes, Alberto"

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    Contralateral necrotizing fascitis after left nephrectomy for emphysematous pyelonephritis
    (2022) Fuentes, Alberto; Rojas, Pablo A.; del Valle, Felipe; Ortega, Carlidia; Bravo, Juan Cristobal; Kompatzki, Alvaro
    Introduction: Emphysematous pyelonephritis is an acute necrotizing infection of the renal parenchyma. The management is variable, extending to total nephrectomy in severe or refractory cases. Post-nephrectomy complications are numerous and common, necrotizing fasciitis, and sepsis being among them.
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    Radiological differential diagnosis and management of retroperitoneal hematomas posterior to radical inguinal orchiectomies. A case report
    (2022) Escobar-Urrejola, Santiago; Astroza, Gaston; Del Valle, Felipe; Fuentes, Alberto; Zuniga, Alvaro
    Introduction: Retroperitoneal hematomas are rare complications of radical inguinal orchiectomy. This case report discusses their radiological differential diagnosis and management.Case presentation: A radical inguinal orchiectomy was performed on a 27-year-old patient. After discharge, he referred back pain. Computed tomography showed a retroperitoneal hematoma. A conservative approach was decided.Discussion: Traditionally, retroperitoneal hematomas have been considered possible radiologic pitfalls, which has therapeutical implications. This pitfall seems less likely in contemporary clinical practice. A conservative approach is preferred in stable patients, whereas active management should be offered to unstable patients. Conclusion: Future studies are necessary to offer evidence-based therapeutical options.