Case Gallery

Percutaneous insertion of a nephrostomy catheter. Ken U. Ekechukwu, MD, MPH, FACP.

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Percutaneous nephrostomy is the insertion of a drainage catheter through the skin into the collecting system of a kidney to relieve obstruction of its drainage system. Kidney cells produce urine which passes into the renal tubules and empties into the renal calyces. From the calyces, urine passes into the renal pelvis through the renal infundibula […]

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Transcervical recanalization of obstructed fallopian tubes. Ken U. Ekechukwu, MD, MPH, FACP

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One of the causes of infertility in women is obstruction of the fallopian tubes, the two trumpet-like canals that extend from the corners of the uterine fundus towards the ovaries. They conduct eggs released by the ovaries towards the inner chamber of the uterus called the endometrial cavity and may become occluded by disease, typically […]

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Limb-saving interventions. Ken Ekechukwu, MD, MPH, FACP.

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These images illustrate efforts to save a limb from amputation, or, at least delay the event, when the limb is threatened by severe diabetic angiopathy and a non-healing ulcer.    Neuropathy and vasculopathy due to diabetes substantially contribute to limb loss all over the world, which in turn reduces an amputee’s longevity. Revascularization of chronic total occlusions (CTOs) or […]

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Stenosis of the left iliac artery. Ken U. Ekechukwu, MD, MPH, FACP.

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Smoking, dyslipidemias (disorders of lipids such as hypercholesterolemia), hypertension, and diabetes, individually and severally, may narrow or occlude arteries in all parts of the body. Amongst arteries that may suffer are the ones that carry blood from the abdominal aorta (the large artery that carries blood from the heart across the abdomen towards the lower […]

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Blue toe syndrome of the left great toe. Ken U. Ekechukwu, MD, MPH, FACP

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The blue toe syndrome results when the arterial supply to a digit of the foot is acutely interrupted. Since digital arteries are end arteries and the interruption sudden, the affected toe quickly develops ischemia, which manifests as acute pain and discoloration. Often the obstructing agent is a fragment of clot dislodged off diseased segments of […]

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