Distal ureteral atresia, megaureter of a lower pole of a duplicated kidney: the rare clinical case
- Authors: Kagantsov I.M.1,2, Kondrateva E.A.1,2, Kokhreidze N.A.1, Karavaeva S.A.2,3, Pervunina T.M.1
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Affiliations:
- Almazov National Medical Research Centre
- North-Western State Medical University named after I.I. Mechnikov
- Children’s City Multidisciplinary Clinical Specialized Center for High Medical Technologies
- Issue: Vol 14, No 1 (2024)
- Pages: 109-115
- Section: Сlinical observations
- URL: https://journals.rcsi.science/uroved/article/view/257403
- DOI: https://doi.org/10.17816/uroved625718
- ID: 257403
Cite item
Abstract
Ureteral atresia is a rare pathology, the diagnosis of which is difficult, and a unified approach to the method of surgical correction has not been formed. The aim of this study is to demonstrate a rare clinical case of a patient with distal ureteral atresia of a non-functioning lower pole of a duplicated kidney, and also to present the method of surgical treatment. A 12-year-old female patient was diagnosed with a cystic formation of the retroperitoneal space. During the operation, it was determined that this cyst was an atretic, dilated ureter of a lower pole of the duplacated kidney. Lower heminefrureterectomy was chosen as the method of surgical correction. Ureteral atresia is rarely combined with any other anomalies of the upper urinary tract, and the presented clinical case has not previously been described in the available foreign and Russian literature. The methods of surgical correction of ureteral atresia include nephrureterectomy, ureteroureterostomy, intestinal ureteroplasty, and Boari procedure. In the presented case, heminefrureterectomy was chosen because of severe hypoplasia of the lower pole of the duplicated kidney and the almost complete absence of its parenchyma. When examining patients with cystic formations of the retroperitoneal space, it is necessary to remember about the ureteral atresia, which may be accompanied by other anomalies of the upper urinary tract.
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##article.viewOnOriginalSite##About the authors
Iliya M. Kagantsov
Almazov National Medical Research Centre; North-Western State Medical University named after I.I. Mechnikov
Email: ilkagan@rambler.ru
ORCID iD: 0000-0002-3957-1615
SPIN-code: 7936-8722
Scopus Author ID: 55358760000
MD, Dr. Sci. (Medicine)
Russian Federation, 2 Akkuratova st., Saint Petersburg, 191014; 41, Kirochnaya st., Saint Petersburg, 191015Evgeniia A. Kondrateva
Almazov National Medical Research Centre; North-Western State Medical University named after I.I. Mechnikov
Author for correspondence.
Email: zhenya-muz@mail.ru
ORCID iD: 0000-0001-5435-8487
SPIN-code: 4818-9170
Scopus Author ID: 58090859300
Junior Researcher, Research Laboratory for Surgery of Congenital and Hereditary Pathology, Postgraduate Student
Russian Federation, 2 Akkuratova st., Saint Petersburg, 191014; 41, Kirochnaya st., Saint Petersburg, 191015Nadezhda A. Kokhreidze
Almazov National Medical Research Centre
Email: kokhreidze_na@almazovcentre.ru
SPIN-code: 9382-2225
MD, Dr. Sci. (Medicine), Assistant Professor
Russian Federation, 2 Akkuratova st., Saint Petersburg, 191014Svetlana A. Karavaeva
North-Western State Medical University named after I.I. Mechnikov; Children’s City Multidisciplinary Clinical Specialized Center for High Medical Technologies
Email: swetl.karawaewa2015@yandex.ru
ORCID iD: 0000-0001-5884-9128
SPIN-code: 4224-5532
Scopus Author ID: 6603178807
Dr. Sci. (Medicine), Professor
Russian Federation, 41, Kirochnaya st., Saint Petersburg, 191015; Saint PetersburgTatiana M. Pervunina
Almazov National Medical Research Centre
Email: ptm.pervunina@yandex.ru
ORCID iD: 0000-0001-9948-7303
SPIN-code: 3288-4986
Scopus Author ID: 56572907100
Dr. Sci. (Medicine)
Russian Federation, 2 Akkuratova st., Saint Petersburg, 191014References
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