Philip Dundee

Publications (3)6.6 Total impact

• Source

  Available from: Nathan Lawrentschuk

  Article: Vulvar hematoma secondary to spontaneous rupture of the internal iliac artery: clinical review.

  Eleanor Egan, Philip Dundee, Nathan Lawrentschuk
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  ABSTRACT: Vulvar hematomas occur rarely outside the obstetric population but may present after other trauma to the pelvis or perineum. Spontaneous rupture of the internal iliac artery is described mostly in the presence of an aneurysm, with atherosclerosis, connective tissue disease, infection, and trauma as causative factors. It most often presents with abdominal pain and neurologic or urologic symptoms. We present an unusual case of a spontaneous rupture of the internal iliac artery that presented as a vulvar hematoma in a nulliparous woman that was successfully treated with selective arterial embolization and surgical evacuation. The literature is reviewed and management options discussed.
  American journal of obstetrics and gynecology 02/2009; 200(1):e17-8. · 3.28 Impact Factor
• Article: Renal tract calculi: comparison of stone size on plain radiography and noncontrast spiral CT scan.

  Philip Dundee, David Bouchier-Hayes, Hodo Haxhimolla, Richard Dowling, Anthony Costello
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  ABSTRACT: Noncontrast spiral CT (NCCT) has emerged as the investigation of choice in patients presenting with renal-tract calculi. As management guidelines are based on stone size measured on plain radiography of the kidneys, ureters, and bladder (KUB), it is important to assess the accuracy of stone size measured on NCCT compared with KUB films. The NCCT and KUB studies obtained from 24 patients (27 stones) presenting to the emergency department at a major metropolitan hospital were analyzed randomly and independently by two urologists and one uroradiologist. The NCCT scans were assessed separately from the KUB films. Only size in greatest dimension and stone location were recorded. The stone size was 2 to 38 mm on NCCT scans and 2 to 46 mm on KUB films. The mean stone size was 6.773 +/- 6.146 mm and 7.747 +/- 7.866 mm, respectively (P = 0.0398; Student's t-test). Almost three fourths (70%) of the stones were larger on KUB films than they were on NCCT scans, with a mean difference -0.974 mm (95% confidence interval -5.652, 3.703) for NCCT. Spiral CT underestimates stone size by approximately 12% compared with KUB films. This error may impact stone management as outlined in guidelines published by the American Urological Association, particularly for stones about 5 mm in greatest dimension. These patients may initially be managed conservatively when intervention would be more appropriate.
  Journal of Endourology 01/2007; 20(12):1005-9. · 1.85 Impact Factor
• Article: Renal calculi in a patient with Erdheim-Chester disease.

  Philip Dundee, David Bouchier-Hayes, Linda Iles, Anthony Costello
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  ABSTRACT: Erdheim-Chester Disease (ECD) is a non-inherited multifocal lipid storing histiocytosis. It is a rare disease characterised by lipid-laden monocyte infiltration of long bones causing cortical sclerosis and characteristic X-ray appearances. It also involves extraskeletal tissue in up to 50% of cases including retroperitoneal and renal infiltration. We report a patient with long standing ECD with widespread extraskeletal involvement, including significant renal infiltration, presenting with left hydronephrosis secondery obstruction from a proximal ureteric calculas.
  International Urology and Nephrology 02/2005; 37(3):453-6. · 1.47 Impact Factor