Calcolosi Reno-ureterale Nella Sindrome di V.A.C.T.E.R.L. Risoluzione Endourologica
| Autor: | Antonio Frattini, P. Salsi, Antonio Cisternino, Matteo Moretti, Davide Campobasso, Pietro Granelli, Pietro Cortellini, Stefania Ferretti, Giuseppe Cretì |
|---|---|
| Rok vydání: | 2013 |
| Předmět: | |
| Zdroj: | Urologia Journal. 80:11-15 |
| ISSN: | 1724-6075 0391-5603 |
| Popis: | BackgroundThe endourological technique is a safe and effective approach in the treatment of large stones in the pediatric population with congenital malformations.IntroductionThe VACTERL association is a group of congenital malformations that include vertebral defects, anal atresia, cardiac defects, tracheoesophageal fistula with atresia, renal defects, and radial upper limb dysplasia. Renal anomalies are found in approximately 90% of patients.Materials and MethodsWe present a case of a 7-year-old girl with VACTERL association and cloacal malformations, undergoing multiple surgeries with subsequent Mitrofanoff continent appendico-vesicostomy. She presented at our attention for centimetric left ureteral and inferior pyelo-calyceal stones. She underwent flexible ureteroscopy with laser lithotripsy of both stones. A ureteral catheter and a nephrostomy tube have been left at the end of the procedure.ResultsThe ureteral catheter was removed in the 2nd post-operative day, the tubes were removed after a nephrostogram in the 8th post-operative day. The patient is stone-free. No complications were observed in the post-operative time.ConclusionsEndoscopy is the method of choice for the management of pediatric urolithiasis with complex renal calculi, due to its low incidence of major complications and a high stone-free rate. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|