Unilateral T-shaped incomplete duplex nephrectomy in an adolescent under laparoscopy
| Autor: | Yongpeng Li, Xian Long, Yuanbi Huang, Xianlin Yi, Qiguang Li, Huajie He, Rongchao Chen, Lu Yu |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Male
Laparoscopic surgery medicine.medical_specialty Adolescent medicine.medical_treatment Urinary system Blood Loss Surgical Kidney Nephrectomy Asymptomatic 03 medical and health sciences 0302 clinical medicine medicine Humans Kidney Pelvis 030212 general & internal medicine Ultrasonography Doppler Color Laparoscopy Hydronephrosis medicine.diagnostic_test business.industry General Medicine medicine.disease Surgery medicine.anatomical_structure 030220 oncology & carcinogenesis Left upper urinary tract Ureter medicine.symptom Tomography X-Ray Computed business Low Back Pain |
| Zdroj: | Medicine. 100:e25187 |
| ISSN: | 1536-5964 0025-7974 |
| DOI: | 10.1097/md.0000000000025187 |
| Popis: | INTRODUCTION Duplicate kidneys are the most common congenital abnormality of the urinary system. The location of duplicate kidneys varies. We report a case of an adolescent with upper and lower kidneys that are arranged vertically and approximately T-shaped. PATIENT CONCERNS A 16-year-old male teenager was examined for pain in the left side of the waist. The Computed Tomography scan revealed that the left kidney was incompletely duplicated and fused; the left upper urinary tract was incompletely obstructed. DIAGNOSIS The abdominal tomography confirmed the diagnosis of incomplete duplicate kidney. INTERVENTIONS The patient underwent laparoscopic surgery. The failure to ligate the renal pedicle resulted in increased bleeding during the operation and an open ureteral stump. OUTCOMES No urine leakage occurred after the operation. Doppler ultrasound of the urinary system showed no hydronephrosis, and the patient was asymptomatic. CONCLUSION Through this case report, we found that the duplicate kidneys could be arranged in a T-shape under laparoscopy. Although only the supply of the duplicate renal arteries can be ligated during surgical resection, the renal pedicle must also be ligated during the operation if there is a lot of bleeding. |
| Databáze: | OpenAIRE |
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