Retroperitoneoscopic left upper moiety heminephroureterectomy for dribbling incontinence
| Autor: | Esther Chan, N. Madden, M.-K. Farrugia, Henrik A. Steinbrecher |
|---|---|
| Rok vydání: | 2014 |
| Předmět: |
medicine.medical_specialty
Urology Ultrasound scan Asymptomatic Ureter medicine Humans Moiety Child Left kidney medicine.diagnostic_test business.industry Magnetic resonance imaging medicine.disease Surgery Urinary Incontinence medicine.anatomical_structure Dimercaptosuccinic acid Pediatrics Perinatology and Child Health Urologic Surgical Procedures Female Laparoscopy Ectopic ureter medicine.symptom business Dilatation Pathologic medicine.drug |
| Zdroj: | Journal of Pediatric Urology. 10:193.e1-193.e3 |
| ISSN: | 1477-5131 |
| DOI: | 10.1016/j.jpurol.2013.09.021 |
| Popis: | A 7-year-old girl underwent a prone, retroperitoneoscopic left upper moiety heminephroureterectomy for a non-functioning upper moiety associated with a dilated, ectopic ureter. The dilated ureter was noted prenatally, but postnatal investigations failed to demonstrate the duplex system. The child remained asymptomatic until she represented at 6 years of age, with dribbling of urine. She went on to have an ultrasound scan, dimercaptosuccinic acid and magnetic resonance urogram, which identified a grossly-dilated fluid-filled structure in proximity of the left kidney, but failed to demonstrate the small non-functioning left upper moiety. A computed tomography urogram was more helpful in establishing the diagnosis. Retroperitoneoscopy via three 5-mm ports allowed clear visualisation of both the left duplex ureters, as well as the small non-functioning upper moiety, which had been challenging on the pre-operative imaging. The procedure is described in the accompanying video. The child was discharged home the following day and has been completely well and dry at 6 months' follow-up. |
| Databáze: | OpenAIRE |
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