A rare case of bilateral obstructive megaureter with a giant uretal ureterocele on the left
| Autor: | V. N. Kartashev, Marina V. Dolinina, A. I. Osipov, G. N. Rumyantseva, L. A. Alekseeva, I. B. Osipov |
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| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
business.industry Ectopic Ureterocele Megaureter medicine.medical_treatment Urinary system 030232 urology & nephrology medicine.disease Ureterocele Surgery Ureterostomy 03 medical and health sciences 0302 clinical medicine Urethra medicine.anatomical_structure Ureter 030225 pediatrics Laparotomy medicine business |
| Zdroj: | Russian Journal of Pediatric Surgery. 24:205-209 |
| ISSN: | 2412-0677 1560-9510 |
| Popis: | The article discusses a case of 4-year-old patient with a bilateral obstructive megaureter of a non-functioning left kidney and with the opening of this kidney ureter into the urethra with extravasal location of a giant ureterocele. The malformation of the urinary system was accompanied by a comorbid disease of bronchopulmonary system in the form of tuberculosis of the lungs and intra-thoracic lymph nodes. At the age of one month, due to decompensation of the only functioning right kidney, urine was withdrawn by applying a ureterostomy. Later, a proximal lateral cutaneous ureterostomy was put because of social reasons (mother refused of her baby). In two months, the next step was performed - a ureterocystoneostomy by the Cohen’s antireflux technique. After a long-term treatment for tuberculosis in clinics of Tver and St. Petersburg, at the age of 4, the girl was operated on at the first surgical department at St-Petersburg State Pediatric Medical University. Laparoscopic nephroureterectomy on the left with conversion to lower-middle laparotomy and resection of the terminal part of the left ureter with a giant ectopic ureterocele as well as closure of the ureterocutaneostomy on the right were performed. After stabilization, the child was transferred to a children’s boarding school in Tver, and currently is supervised by pediatric urologists and TB specialists. |
| Databáze: | OpenAIRE |
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