Case Report: Complex ureteral stenosis treated with ileal substitution
| Autor: | Tiago Correia, Diogo Pereira, Frederico Carmo Reis, Raquel Catarino, Carlos Ferreira, Rui Prisco, André Cardoso, Manuel Cerqueira |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
General Immunology and Microbiology business.industry Urinary system 030232 urology & nephrology Ureteral stenosis Renal function General Medicine Perioperative urologic and male genital diseases medicine.disease Asymptomatic General Biochemistry Genetics and Molecular Biology Surgery 03 medical and health sciences Stenosis 0302 clinical medicine Ureter medicine.anatomical_structure 030220 oncology & carcinogenesis medicine Ureteral Stricture General Pharmacology Toxicology and Pharmaceutics medicine.symptom business |
| Zdroj: | F1000Research. 7:273 |
| ISSN: | 2046-1402 |
| DOI: | 10.12688/f1000research.13122.1 |
| Popis: | Ileal substitution of the ureter is a complex procedure, considered a surgery of the last resort in ureteral repair and is useful in the presence of an extensive ureteral stricture. It is indicated in cases of long or multiple ureteral stenosis. There are few large studies in the literature reporting the outcome of this procedure. We present a case report of a patient with long ureteral stenosis surgically treated with ileal substitution of the right ureter, with an isoperistaltic ileal segment of 22 cm, with no detubularization. The patient had no perioperative complications and presented normal renal function. Currently, after 20 months of follow-up, the patient is asymptomatic, presents no urinary infections, no relapse of stenosis and has preserved renal function. In conclusion, ileal substitution of the ureter is a surgical technique that should be considered in cases of long, proximal or multiple ureteral stenosis, when there is no other surgical option. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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