Aplasia/hypoplasia of the patella has been described as an isolated finding or, more commonly, as a part of congenital syndromes. We describe here bilateral absence of the patella in an 11-year-old girl with absence of the ischial and inferior pubic rami bilaterally. Other associated skeletal and soft-tissue deformities are also reported. To our knowledge, the constellation of these findings has not been described previously and represents a unique syndrome.

OBJECTIVE.Our objective was to evaluate the accuracy of color Doppler sonography for assessing tumor thrombus extension into the renal veins, the inferior vena cava, and the right side of the heart in patients with renal cell carcinoma. MATERIALS

No abstract

We present a case of a 35-year-old male patient who underwent live donor kidney transplantation at our unit in 2003. While working overseas, he had deterioration in his kidney function and was treated conservatively over three years duration including acquirement of a renal biopsy. Upon presentation to our unit in June 2015, an ultrasound and computed tomography angiogram demonstrated a huge aneurysm arising from his upper renal artery. His lower renal artery was patent and normal. The aneurysm was treated by endovascular means with preservation of the kidney and improvement in his kidney function over the following 12 months. When feasible, endovascular repair of transplanted renal artery aneurysms provides a safe and less invasive modality of treatment.

Background: Central venous access devices (CVADs) are used in patients who require extended intravenous therapy. Regardless of its low rate, dislodgement is considered to be one of the delayed complications that would require a percutaneous retrieval via the femoral or jugular vein. Case Presentation: Herein we present a case of a 41-year-old woman who recently started adjuvant chemotherapy for palatal carcinosarcoma. Soon after her first cycle, the patient started to complain of palpitations followed by a failure to administer the second cycle. She presented to the emergency department and radiographic images showed a detached endovascular catheter located between the right atrium and the right hepatic vein. She underwent fluoroscopy guided percutaneous extraction. Conclusion: Any failure or difficulty in accessing CVADs must be thoroughly investigated to ensure device intactness and precise adequate management.