gross hematuria or macroscopic hematuria is a high risk urologic condition that might occur in different settings. in the case of continued gross hematuria, blood clot size may grow and lead to complete obstruction of urinary outflow. placement of three-way catheter, continuous bladder irrigation with normal saline, and cystoscopy are conventional treatments. here we introduce a case with urina...

OBJECTIVE The presence of an intracerebral hematoma from a ruptured aneurysm is a negative predictive factor and it is associated with high morbidity and mortality rates even though clot evacuation followed by the neck clipping is performed. Endovascular coil embolization is a useful alternative procedure to reduce the surgical morbidity and mortality rates. We report here on our experiences wi...

With new therapies and interventions in the ischemic stroke realm leading to improved outcomes, attention is turning to treatment of hemorrhagic stroke therapies that strive to improve both morbidity and mortality. The thought that “time is brain” likely also applies to damage to neural structures neighboring hemorrhagic clots and efforts to create a method for hemorrhagic clot evacuation while...

Chyluria is passage of chyle in the urine due to abnormal communication between intestinal lymphatics and urinary tract causing intermittent discharge of chyle from intestinal lymphatic into renal pelvis. Common urological presentation is in the form of passage of milky-white urine, chylo-hematuria and rarely, acute urinary retention due to clots. Methods of clot evacuation include Ellik evacua...

BACKGROUND AND PURPOSE Perihematomal edema (PHE) can worsen outcomes after intracerebral hemorrhage (ICH). Reports suggest that blood degradation products lead to PHE. We hypothesized that hematoma evacuation will reduce PHE volume and that treatment with recombinant tissue-type plasminogen activator (rt-PA) will not exacerbate it. METHODS Minimally invasive surgery and rt-PA in ICH evacuatio...

Background: the Mitrofanoff appendicovesicostomy provides a catheterizable submucosal tunnel between umbilicus and bladder (or neobladder). In patients with closed neck, channel is only way to access bladder. We describe our case of 17 year-old girl previous surgical closure neck who developed large clot due hematuria after cystolithotomy in an augmented bladder; Methods: unsuccessful trans-app...

There is at present no clear indication for surgical removal of intracerebral haemorrhage (ICH) in the majority of patients. With deterioration from an initially good level of consciousness, many surgeons would agree that removal is life saving. The question is whether or not surgical removal of clot improves the ultimate outcome in patients who are stable or even improving. Improvement in func...

BACKGROUND Aneurysmal subarachnoid hemorrhage (SAH) with associated intracerebral hemorrhage (ICH) is often treated with concomitant surgical clipping and ICH evacuation. The aim of this study was to determine if aneurysm coiling followed by ICH evacuation is a viable alternative treatment. METHODS A retrospective review was conducted between July 2000 and March 2009 of patients with aneurysm...

OBJECTIVE To identify easily applicable guidelines for the surgical and conservative management of spontaneous cerebellar hematomas. METHODS A treatment protocol was developed and prospectively applied for the management of 50 consecutive cases of cerebellar hematomas. The appearance of the fourth ventricle, adjacent to the hematoma, on computed tomographic scans was divided into three grades...