Several complications are also described related to intramedullary implants, including malalignment, cut-out, infection, false drilling, wrong lag screw length and drill bit breakage during the interlocking procedure, external or internal malrotation ([less than or equal to]20[degrees]) of the femoral diaphysis, elongation of the femur (up to 2 cm), impaired bone healing, periprosthetic fracture distal to the tip of the nail, fracture collapse, implant failure, lag screw intrapelvic
migration, neurovascular injury, secondary varus deviation, complications after implant removal, trochanteric pain, and refracture (17).
According to version 4.2018 of the National Comprehensive Cancer Network guidelines for bladder cancer, nephron-sparing endoscopic (ureteroscopic and percutaneous approaches) interventions can be recommended alone or in combination with postoperative intrapelvic
adjuvant therapies or bacillus Calmette-Guerin (BCG) for low-risk patients.
Regarding the effect of intrapelvic
pressure on SWS values in all measurements, the median of SWS by defined pressure levels revealed a SWS of 1.47 m/s (interquartile range [IQR], 0.38 m/s) at a pressure level of 0 mmHg, 1.94 m/s (IQR, 0.42 m/s) at 30 mmHg, 2.07 m/s (IQR, 0.43 m/s) at 60 mmHg and 2.24 m/s (IQR, 0.49) at 90 mmHg as shown in Table 1.
Different mechanisms have been suggested for the development of SRH following ureteroscopy, including guide wire manipulation; fornix rupture secondary to high irrigation pressure; postoperative double-j stent placement; increased intrapelvic
pressure in hydronephrotic kidneys, which results in tension, kinking and/or obstruction in the main vascular structures; recanalization of ureters following ureteroscopy; and sudden expansion and rupture of the compressed parenchyma.
Contrast-enhanced computed tomography of the abdomen and pelvis demonstrated multiple right-sided pelvic fractures with an associated intrapelvic
hematoma and active contrast extravasation, compatible with hemorrhage secondary to traumatic lacerations (Figure 1a).
At the lower pole of the postoperative scar, inflammatory process spread in the intrapelvic
region without extending to the left iliac muscle, but with no cleavage plane toward the ileal loops.
[3, 4] This is likely due to the close anatomical relationship between the sacroiliac (SI) joint , hip, lumbosacral plexus and the intrapelvic
This paradoxical spread of the tumors originating from intrapelvic
organs can occur through Batson's venous plexus.
hematoma following labor not associated with lesions of the uterus.
endometriosis can be located superficially on the peritoneum (peritoneal endometriosis), can extend 5 mm or more beneath the peritoneum (deep endometriosis) or can be present as an ovarian endometriotic cyst (endometrioma)." (1) Always consider endometriosis in the infertile patient.
Since urethra dissection was carried out close to the pelvis and over the intrapelvic
urethra, neurovascular damage close to the vesicourethral junction was safely avoided.
Rommens, "Transverse sacral fracture with intrapelvic
intrusion of the lumbosacral spine: Case report and review of the literature," Journal of Trauma--Injury Infection and Critical Care, vol.