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4 results on '"Rivoli, L."'

1. [A cause of acute renal dysfunction: a giant bladder diverticulum]

Author

Rivoli, L., Leonardi, G., Scafuro, C., Ucciero, G., Palumbo, M., Galluccio, G., Mariadelina Simeoni, Capria, M., Fuiano, G., Rivoli, Laura, Leonardi, Giuseppe, Scafuro, Chiara, Ucciero, Giuseppe, Palumbo, Michele, Galluccio, Giuseppe, Simeoni, Mariadelina, Capria, Maria, and Fuiano, Giorgio

Subjects
Male, Hydronephrosi, obstructive nephropathy, Bladder diverticulum, Prostatic Hyperplasia, Urinary Bladder Diseases, Acute Kidney Injury, Diverticulum, AKI, Ascite, Edema, Aged, Human, Ultrasonography
Abstract

We describe the case of a previously 77-year-old man who accessed in our Nephrology Unit for acute kidney injury (AKI) on chronic kidney disease (CKD), gastric discomfort and vague urinary symptoms with apparently preserved diuresis and suspected "ascites". Physical examination confirmed the presence of abdominal effusion, even though ultrasound abdominal examination revealed the presence of a giant diverticular urinary bladder with bilateral hydronephrosis. We discuss the diagnostic and therapeutic approach of these rare complications by briefly reviewing the technical aspects and the possible consequences.

Published
2018

2. [A cause of acute renal dysfunction: a giant bladder diverticulum].

Author

Rivoli L, Leonardi G, Scafuro C, Ucciero G, Palumbo M, Galluccio G, Simeoni M, Capria M, and Fuiano G

Subjects
Aged, Ascites diagnostic imaging, Ascites etiology, Diverticulum diagnostic imaging, Edema etiology, Humans, Hydronephrosis etiology, Male, Prostatic Hyperplasia complications, Prostatic Hyperplasia diagnostic imaging, Ultrasonography, Urinary Bladder Diseases diagnostic imaging, Acute Kidney Injury etiology, Diverticulum complications, Urinary Bladder Diseases complications
Abstract

We describe the case of a previously 77-year-old man who accessed in our Nephrology Unit for acute kidney injury (AKI) on chronic kidney disease (CKD), gastric discomfort and vague urinary symptoms with apparently preserved diuresis and suspected "ascites". Physical examination confirmed the presence of abdominal effusion, even though ultrasound abdominal examination revealed the presence of a giant diverticular urinary bladder with bilateral hydronephrosis. We discuss the diagnostic and therapeutic approach of these rare complications by briefly reviewing the technical aspects and the possible consequences., (Copyright by Società Italiana di Nefrologia SIN, Rome, Italy.)

Published
2018

3. [Is it feasible to improve the duration and the efficiency of Ramipril anti-proteinuric response?].

Author

Simeoni M, Cianfrone P, Comi N, Gentile I, Fabiano FF, Piraina V, Talarico R, Lucisano G, Rivoli L, Andreucci M, Fuiano L, Foti D, Gulletta E, and Fuiano G

Subjects
Adult, Aged, Analysis of Variance, Angiotensin-Converting Enzyme Inhibitors administration & dosage, Antihypertensive Agents administration & dosage, Antihypertensive Agents pharmacology, Cross-Over Studies, Drug Administration Schedule, Female, Humans, Hypertension drug therapy, Kidney Diseases drug therapy, Male, Middle Aged, Pilot Projects, Prospective Studies, Proteinuria diagnosis, Ramipril administration & dosage, Time Factors, Angiotensin-Converting Enzyme Inhibitors pharmacology, Proteinuria drug therapy, Ramipril pharmacology
Abstract

Background: Ramipril administered once daily is characterized by an attenuation of its pharmacological activity in the following 24 hours, whose effects on antiproteinuric activity have not yet been investigated., Methods: The antiproteinuric efficacy of Ramipril has been evaluated in a cross-over study in 20 patients with renal disease, proteinuria and hypertension (GFR50 mL / min, proteinuria <3 g / day; SBP/DBP 150/90 mmHg). Proteinuria was measured over 24 hours on three consecutive urine collections (morning, afternoon and night) in the absence of antiproteinuric drugs and after ten days of treatment with single morning administration of Ramipril 2.5 mg or Ramipril 10 mg., Results: At baseline: mean proteinuria was not significantlychanged over the course of the three urinary collections (88 7.2 mg/h in the morning of 80 10.5 mg/h in the afternoon and 81 10.1 mg/hr during the night). After Ramipril 2.5 mg/day: slight reduction in mean proteinuria, with no significant differences between collections (80 11 mg/h in the morning, 69 7.4 mg/h in the afternoon and 75 9.1 mg/h during the night). After Ramipril 10 mg/day: afternoon and night values of proteinuria were significantly reduced compared to baseline; noctural proteinuria was significantly lower than morning value (51 7.5 mg/h vs. 81 10 mg/h, p <0.05)., Conclusion: The antiproteinuric effectiveness of Ramipril tends to decrease significantly over the 24hours after a single daily administration. An increase and/or division of Ramipril dose might help to stabilize and to maximizeits antiproteinuric effectiveness.

Published
2015

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