Laparoscopic Repair of a Left Retrocaval Ureter in a 16-Year-Old Girl
| Autor: | Marcel Oancea, Daniela Stoica, Anca Avram, Lorena Vatra, Anna Kadar |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
medicine.medical_treatment lcsh:Surgery 030232 urology & nephrology Case Report situs inversus Inferior vena cava left circumcaval ureter 03 medical and health sciences 0302 clinical medicine Ureter Lumbar Medicine cardiovascular diseases Laparoscopy laparoscopic ureteroureterostomy medicine.diagnostic_test business.industry lcsh:RJ1-570 Stent lcsh:Pediatrics lcsh:RD1-811 medicine.disease Surgery Situs inversus surgical procedures operative medicine.anatomical_structure medicine.vein 030220 oncology & carcinogenesis Ureteroureterostomy cardiovascular system left retrocaval ureter business Renal pelvis fish hook sign |
| Zdroj: | European Journal of Pediatric Surgery Reports, Vol 06, Iss 01, Pp e104-e107 (2018) European Journal of Pediatric Surgery Reports |
| ISSN: | 2194-7627 2194-7619 |
| DOI: | 10.1055/s-0039-1678567 |
| Popis: | Left retrocaval ureter is an extremely rare congenital malformation which is associated with situs inversus, duplicated or translated inferior vena cava (IVC). We report a female adolescent who presented with a history of intermittent, colicky lumbar pain. Diagnostic workup revealed left retrocaval ureter and left ureterohydronephrosis. The girl underwent laparoscopy. The renal pelvis and ureter posterior to the vena cava were dissected, transected at the caudal point of the dilated ureteral segment, and uncrossed and repositioned lateral to the vena cava. Ureteroureterostomy was performed over a double-J ureteral stent after spatulation of the distal ureter. The postoperative course was uneventful and the ureteral stent removed after 5 weeks. During follow-up, the patient is symptom-free. Our case demonstrates that our laparoscopic approach is feasible in this rare anatomic anomaly. |
| Databáze: | OpenAIRE |
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