Native Ureter Ventriculo-Ureteral Shunt Placement for Management of Refractory Hydrocephalus in a Child With a History of Renal Transplant: Case Report and Technical Note
| Autor: | Nicholas S. Szuflita, Lisa Cartwright, Adia Kirkham, Charles A Miller, Laurence Davidson, Jason Hawksworth, Thomas Gerald, John J Delaney, Brian P Curry |
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| Rok vydání: | 2021 |
| Předmět: |
Male
Reoperation medicine.medical_specialty Urology medicine.medical_treatment 030232 urology & nephrology urologic and male genital diseases End stage renal disease 03 medical and health sciences 0302 clinical medicine Ureter Cerebrospinal fluid medicine Humans business.industry Endoscopic third ventriculostomy medicine.disease Kidney Transplantation Cerebrospinal Fluid Shunts Surgery Hydrocephalus Shunt (medical) medicine.anatomical_structure Child Preschool 030220 oncology & carcinogenesis Cauterization Kidney Failure Chronic Choroid plexus business |
| Zdroj: | Urology. 148:260-263 |
| ISSN: | 0090-4295 |
| DOI: | 10.1016/j.urology.2020.07.033 |
| Popis: | This report describes the case of a 5-year-old male with intractable hydrocephalus secondary to neonatal intraventricular hemorrhage who was ultimately managed with the placement of a ventriculo-ureteral (VU) shunt. He had previously failed numerous attempts at cerebrospinal fluid shunting, choroid plexus cauterization, and endoscopic third ventriculostomy. The patient had a history of end stage renal disease, and had previously undergone renal transplant. In an operation that involved Neurosurgeons, Pediatric Urologists, and Transplant surgeons, a Gibson incision was used to avoid the patient's multiple intra-abdominal adhesions, and his nonfunctioning renal unit was used to implant a VU shunt without early or late complications. |
| Databáze: | OpenAIRE |
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