Kidney triplication with ectopic ureterocele: a case report
| Autor: | M V Lifanova, Osipov Ib, Lebedev Da |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Urology 030232 urology & nephrology Case Report Urinary incontinence lcsh:RC870-923 Kidney Vesicoureteral reflux 03 medical and health sciences 0302 clinical medicine medicine Humans Moiety Abnormalities Multiple Left kidney Incontinence Ureteral orifice Ureterocele urogenital system Ectopic Ureterocele business.industry General Medicine lcsh:Diseases of the genitourinary system. Urology medicine.disease Triplex kidney medicine.anatomical_structure Reproductive Medicine Child Preschool 030220 oncology & carcinogenesis Female Ureter medicine.symptom business |
| Zdroj: | BMC Urology BMC Urology, Vol 20, Iss 1, Pp 1-4 (2020) |
| ISSN: | 1471-2490 |
| DOI: | 10.1186/s12894-020-00625-2 |
| Popis: | Background Kidney triplication is a rare urological abnormality. Association of triplex kidney and ureterocele is out of ordinary. Treatment of such patients usually implies heminephrureterectomy of the upper moiety. We report a case of a saved function of the upper moiety after minimal invasive surgical procedure. Case presentations 5-year old girl complained for continuous wetting. Examination revealed 3 - segmented left kidney with pelvi-ureteric dilation of the upper moiety, IV grade vesicoureteral reflux in the upper moiety, cervical ectopic ureteral orifice of the upper moiety and a commune ureteral orifice of the lower segments. An endoscopic laser dissection of ureterocele was performed. Drainage of the upper moiety of triplex kidney was restored. Examination 18 months later showed no wetting and infection symptoms. Pelvi-ureteric dilation of the upper moiety and cavity of ureterocele decreased to minimal. Grade of vesicoureteral reflux decreased to I. Conclusion Minimal invasive elimination of obstruction of the upper moiety of triplex kidney was successful and led to regress of vesicoureteral reflux, urinary incontinence and let to avoid heminephrectomy. |
| Databáze: | OpenAIRE |
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