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To report on a patient with ejaculatory-duct calculi that caused secondary obstruction and infertility.
Failure of endoscopic third ventriculocisternostomy (ETV) can be defined as primary (failure to achieve an efficient stoma) or secondary (obstruction of a previously patent stoma).
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In male cattle, bladder rupture is usually secondary to obstruction of urinary outflow [ 4], the most common cause of which is urolith-induced urethral obstruction [ 5].
Palpation could provide information in cases of dilatation secondary to obstruction of menstrual flow (hematocolpos/hematometra/hemato-cavity in cases of non-communicating uterine horns).
The highest SWV values were found in patients whose reflux had been secondary to obstruction, in whom both retrograde urinary flow and abnormal intrarenal pressure had contributed to the initial renal damage.
There is also the possibility of hydrocephalus, secondary to obstruction of the foramen of Monroe.
These situations include ascending cholangitis or pyelonephritis, secondary to obstruction, catheter-related sepsis, and intra-abdominal collections, or abscesses drained surgically or percutaneously [ 13].
It occurs in the setting of acute pyelonephritis secondary to obstruction with ascending organism such as Escherichia coli or Proteus (Fig. 7).
Sometimes patients experience symptoms directly related to LPD: urosepsis secondary to obstruction of the ureters, and an acute abdomen due to ovarian torsion [ 29].
Often, these patients are prescribed antidiarrheals for presumed incontinence, which worsen the situation with fecal impaction and overflow incontinence secondary to obstruction to defecation.
Five patients with early leaks secondary to obstruction were also treated with a gastrostomy tube (Bard® Tri-Funnel Replacement Gastrostomy Tube, 20-Fr push tube; Bard Access Systems, Salt Lake City, Utah, USA) into the bypassed stomach.
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