Double collecting system with ectopic ureterocele masquerading as an ovarian torsion
| Autor: | Chia-Ying Wu, Ih-Jane Yang, Chia-Yi Lee, Hung Shen, Pao-Ling Torng |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
Laparoscopic surgery
Torsion Abnormality medicine.medical_specialty Adolescent medicine.medical_treatment 030232 urology & nephrology Kidney Pelvic Pain lcsh:Gynecology and obstetrics Diagnosis Differential 03 medical and health sciences 0302 clinical medicine Adnexa Uteri medicine Humans Ovarian Diseases lcsh:RG1-991 Ultrasonography Ureterocele Intravesical Ureterocele medicine.diagnostic_test business.industry Ectopic Ureterocele Ovarian torsion Obstetrics and Gynecology Endoscopy 030208 emergency & critical care medicine Cystoscopy medicine.disease Nephrectomy Surgery Acute abdomen Female medicine.symptom business |
| Zdroj: | Taiwanese Journal of Obstetrics & Gynecology, Vol 57, Iss 6, Pp 867-870 (2018) |
| ISSN: | 1028-4559 |
| Popis: | Objective: Ureterocele in a duplex system is rare and commonly presented with urinary tract infection at neonatal age, infant or childhood. Symptomatic ureterocele in reproductive-age is a diagnostic challenge and should be highly awarded to avoid miss-diagnosis. Case report: An adolescent girl with right ectopic ureterocele presented as acute abdomen that mimicked ovarian torsion received emergent laparoscopic surgery. Right ureterocele was identified and excised. Computed tomography later showed bilateral renal duplications with visible renal parenchyma and upper ureters. Recurrent abdominal pain with pelvic abscess occurred 10 days after surgery. Laparoscopic right partial nephrectomy of the upper moiety and resection of the residual ureterocele was performed. Cystoscopy showed absence of intravesical ureterocele and her symptoms were completely resolved after surgery. Conclusion: Infected ureterocele in a duplex system is a rare condition and should be kept in mind as differential diagnosis. Keywords: Acute abdomen, Ureterocele, Duplex system |
| Databáze: | OpenAIRE |
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