Infizierter oberer Doppelnierenanteil rechts mit paravaginalem Abszess

Autor:	K Rödder, R Olianas, Margit Fisch
Rok vydání:	2003
Předmět:	medicine.medical_specialty business.industry Ureterectomy Urology Abdominal Abscess medicine.disease Surgery Renal Abscess Ureter medicine.anatomical_structure Medicine Pyonephrosis business Abscess Hydronephrosis Pyelogram
Zdroj:	Aktuelle Urologie. 34:481-483
ISSN:	1438-8820 0001-7868
DOI:	10.1055/s-2003-45266
Popis:	INTRODUCTION Diagnosis of afunctional duplex systems may be delayed as they are often associated with misleading and atypical symptoms. A 40-year-old female with no history of urological disease exemplifies this thesis. CASE REPORT Symptoms at admission were fever with pain in the right flank and lower abdomen. Sonography showed a large unclear structure at the upper pole of the right kidney and a paravaginal abscess, which was drained primarily. Rising temperature led to examination by CT-scan, which revealed a renal abscess of the upper pole, suggesting a right extopic ureter. After percutaneous drainage, further examinations (antegrade pyelography and IVP) confirmed an ectopic, blind-ending duplex ureter with a hydropyonephrotic upper renal system on the right side. Upper poole resection with ureterectomy was performed. CONCLUSIONS In patients with unclear abscesses in the area of the external genitalia, congenital anomalies of the urinary tract should be considered as an underlying disease.
Databáze:	OpenAIRE
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