A rare variant of obstruction of the pyeloureteral segment of the lower half in a child with doubling of the upper urinary tract: Сase report
- 作者: Sizonov V.1,2, Shidaev A.1,2, Kagantsov I.3, Kondrateva E.3
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隶属关系:
- Rostov State Medical University
- Rostov Regional Children’s Clinical Hospital
- Institute of Perinatology and Pediatrics, V.A. Almazov National Medical Research Center
- 期: 卷 12, 编号 2 (2022)
- 页面: 215-221
- 栏目: Case reports
- URL: https://journals.rcsi.science/2219-4061/article/view/123602
- DOI: https://doi.org/10.17816/psaic1245
- ID: 123602
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Presentation of a rare clinical case of hydronephrosis of the lower half of the kidney due to vasoureteral conflict against the background of the complete doubling of the upper urinary tract. The rarity of this anomaly is demonstrated by only a single mention of a similar case in an adult patient in the literature.
The patient, three years old, had dilatation of the upper urinary tract that was detected antenatally. According to the postnatal ultrasound results at three months, the anterior-posterior size of the pelvis of the lower half of the left kidney was 13 mm, and the parenchyma of the left kidney was 11 mm. The child was followed up on an outpatient basis. There were no laboratory or clinical manifestations of urinary tract infection. Ultrasound monitoring revealed progression of dilatation of the pelvis of the lower half max up to 40 mm and thinning of the kidney parenchyma in the projection of the lower pole up to 7 mm, in connection with which the child successfully underwent antevasal ureteropyeloanastomosis of the lower half of a completely doubled kidney. The anterior-posterior size of the pelvis of the lower half after removal of the pyelostomy was 16 mm. The child did not have any clinical and laboratory disease manifestations in the postoperative period.
The described clinical case expands our understanding of the anatomy of obstruction of the pyeloureteral segment and hydronephrosis of the lower half of the duplex kidney. It enables us to plan surgical tactics, considering the possible intraoperative detection of the described anatomical configuration.
作者简介
Vladimir Sizonov
Rostov State Medical University; Rostov Regional Children’s Clinical Hospital
编辑信件的主要联系方式.
Email: vsizonov@mail.ru
ORCID iD: 0000-0001-9145-8671
SPIN 代码: 2155-5534
Dr. Sci. (Med.), Professor, Department of Urology and Human Reproductive Health with Pediatric Urology and Andrology Courses, Chief, Pediatric Urology and Andrology Division
俄罗斯联邦, Rostov-on-Don; Rostov-on-DonAskhab Shidaev
Rostov State Medical University; Rostov Regional Children’s Clinical Hospital
Email: shidaev.a.kh@mail.ru
ORCID iD: 0000-0002-8634-6453
SPIN 代码: 8427-8260
Pediatric Surgeon, Postgraduate Student
俄罗斯联邦, Rostov-on-Don; Rostov-on-DonIlya Kagantsov
Institute of Perinatology and Pediatrics, V.A. Almazov National Medical Research Center
Email: ilkagan@rambler.ru
ORCID iD: 0000-0002-3957-1615
SPIN 代码: 7936-8722
Dr. Sci. (Med.), Chief Researcher
俄罗斯联邦, Saint PetersburgEvgeniia Kondrateva
Institute of Perinatology and Pediatrics, V.A. Almazov National Medical Research Center
Email: zhenya-muz@mail.ru
ORCID iD: 0000-0001-5435-8487
SPIN 代码: 4818-9170
Pediatric Surgeon
俄罗斯联邦, Saint Petersburg参考
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