Endocrine Abstracts

Introduction: The recent advent of flexible ureteroscopy made endoscopic approach to kidney and proximal ureteral calculi evolve to a real effective procedure. However, this technique is not free of postoperative complications. The aim this study was to assess the predictive factors of septic postoperative complications following flexible ureteroscopy for upper urinary tract stones.Methods: This is a descriptive retrospective study concerning 92 patients...

Introduction: Emphysematous pyelonephritis is associated with high mortality rate. It is seen in patients with a long-standing diabetes. We report a case of a women presenting a septic shock following a severe acute right emphysematous pyelonephritis and requiring salvage nephrectomy.Case report: A 52-year-old female presented fever with right flank pain. She had a long history of uncontrolled diabetes. Physical examination revealed a with high fever (39...

Introduction: COVID-19 caused by SARS-COV-2 infection can lead to multi-organ injuries and significant mortality in severe and critical patients, especially among those individuals with type 2 diabetes. The aim of our study was to assess associations between severe COVID-19 pneumonia and clinical and biological characteristics of patients with type 2 diabetes.Methods: This was a retrospective and descriptive study including 40 Tunisians patients hospital...

Introduction: Renal cell carcinoma (RCC) is the most common type of malignant renal tumors in adults. It is often difficult to detect it precociously since early-stage renal tumors are usually asymptomatic and non-palpable. We report a case of RCC revealed by acute adrenal insufficiency (AAI).Case report: Mr. A.B, 46 years old, 30 pack-year smoker, with a medical history of gout treated with Allopurinol, was admitted to our department for acute adrenal i...

Introduction: Primary hyperparathyroidism (PHPT) is a common endocrine disorder most commonly caused by a single adenoma of the parathyroid gland and rarely related to ectopic thymic parathyroid adenoma.Observation: 1st case: we report a case of a 46-year-old woman, diagnosed with PHPT. Scintigraphy concluded to a left inferior parathyroid adenoma. She underwent a focal parathyroid surgery and the adenoma was located in the thymus. The histopa...

Introduction: Paraganglioma is a rare neuroendocrine neoplasm which tends to develop in the extra-adrenal glands. Paraganglioma in the bladder is extremely rare and accounts for 0.06% of all bladder tumors Herein we report a case of paraganglioma that was mistaken for urothelial carcinoma and revealed by an intra-operative hypertensive crisis with bradycardia.Case presentation: A 48-year-old woman was referred to the urology department for intermittent t...

Introduction: Primary hyperaldosteronism is the first cause of secondary hypertension during pregnancy. The diagnosis is too difficult due to the changes in the renin angiotensin system.Observation: We report the case of a 37 years old women with a history of pre-eclampsia during her pregnancy who consulted the emergency 20 days after delivery for severe hypertension (23/11) and severe hypokalemia (2.2 mmol/l ) resistant to intravenous treatment. The ald...

Introduction: The pituitary adenoma is the most frequent begnin pituitary tumor. They are labeled based on their size, tumors smaller than 1 cm called microadenomas and tumors bigger than 1 cm called macroadenomas. Moreover, they can be functional or non functional. Among the functional ones, gonadotroph adenomas represent 15 to 20%.ObservationWe report the case of a 27 years old women, who consulted for secondary amenorrhea for 1 ...

Introduction: Cardiothyreosis or thyrotoxic heart disease is the most dangerous complication of hyperthyroidism. This rare complication can be revealing and occurs mostly to fragile patients ; eldery or individuals with preexisting cardiac troubles.Observation: We report the case of a 59 years old male without medical history, who consulted the emergency for dyspnea and palpitations due to atrial fibrillation ( ACFA ) not well tolerated with both respira...

Introduction: Hyperthyroidism owing to Graves’ disease or toxic nodular goiter is a common condition seen in clinical practice. The available modes of therapy are antithyroid drugs, surgery and radioiodine (RAI) therapy. Radioiodine is an effective, safe and relatively inexpensive form of therapy in patients suffering from hyperthyroidism. The aim of our study is to assess the effectiveness of radioactive iodine (RAI) treatment in patients with hyperthyroidism.<p clas...