A. Cumming, V.E. Corona Montes, J. Monjaras Guerra, J. Rodríguez Robles, J.E. Rosas Nava
{"title":"Resección laparoscópica de pólipo fibroepitelial ureteral. Reporte de caso del Hospital General de México «Dr. Eduardo Liceaga»","authors":"A. Cumming, V.E. Corona Montes, J. Monjaras Guerra, J. Rodríguez Robles, J.E. Rosas Nava","doi":"10.1016/j.uromx.2016.06.003","DOIUrl":null,"url":null,"abstract":"<div><h3>Introduction</h3><p>The incidence of primary tumors of the ureter is <1% and fibroepithelial polyps make up 20% of them. These polyps are related to chronic inflammation, chronic damage, or chronic stimulation. They are asymptomatic and can cause obstructive uropathy or hematuria.</p></div><div><h3>Aim</h3><p>To present a case of fibroepithelial polyp managed laparoscopically at the <em>Hospital General de México «Dr. Eduardo Liceaga».</em></p></div><div><h3>Materials and methods</h3><p>A 46-year-old woman had oppressive pain of moderate intensity in the right renal fossa irradiating to the iliac fossa of 4-year progression. She presented with dysuria and intermittent total hematuria with no clots. A tomography scan revealed mild right pelvic ectasia and a filling defect at the lower third of the ureter. Endoscopic revision found a ureteral lesion with a pedunculated base 8<!--> <!-->cm from the right ureteral meatus. The pathology report stated fibroepithelial polyp. The polyp was laparoscopically resected, end-to-end anastomosis was performed, and a double-J ureteral stent was placed.</p></div><div><h3>Results</h3><p>The case of a patient that underwent laparoscopic treatment of a fibroepithelial polyp is presented.</p></div><div><h3>Discussion</h3><p>Few cases of fibroepithelial polyp have been treated laparoscopically. In 2011 Jin Xun-Bo et al. reported on a case of laparoscopic resolution of a ureteral fibroepithelial polyp and in 2009 M.A. Childs conducted a review of their clinical database at the Mayo Clinic within the time frame of 1945-2008 in which 27 cases of ureteral fibroepithelial polyp were identified.</p></div><div><h3>Conclusion</h3><p>Laparoscopy offers a satisfactory approach for resection of ureteral fibroepithelial polyps.</p></div>","PeriodicalId":34909,"journal":{"name":"Revista mexicana de urologia","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2016-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.uromx.2016.06.003","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Revista mexicana de urologia","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2007408516300398","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"Medicine","Score":null,"Total":0}
引用次数: 0
Abstract
Introduction
The incidence of primary tumors of the ureter is <1% and fibroepithelial polyps make up 20% of them. These polyps are related to chronic inflammation, chronic damage, or chronic stimulation. They are asymptomatic and can cause obstructive uropathy or hematuria.
Aim
To present a case of fibroepithelial polyp managed laparoscopically at the Hospital General de México «Dr. Eduardo Liceaga».
Materials and methods
A 46-year-old woman had oppressive pain of moderate intensity in the right renal fossa irradiating to the iliac fossa of 4-year progression. She presented with dysuria and intermittent total hematuria with no clots. A tomography scan revealed mild right pelvic ectasia and a filling defect at the lower third of the ureter. Endoscopic revision found a ureteral lesion with a pedunculated base 8 cm from the right ureteral meatus. The pathology report stated fibroepithelial polyp. The polyp was laparoscopically resected, end-to-end anastomosis was performed, and a double-J ureteral stent was placed.
Results
The case of a patient that underwent laparoscopic treatment of a fibroepithelial polyp is presented.
Discussion
Few cases of fibroepithelial polyp have been treated laparoscopically. In 2011 Jin Xun-Bo et al. reported on a case of laparoscopic resolution of a ureteral fibroepithelial polyp and in 2009 M.A. Childs conducted a review of their clinical database at the Mayo Clinic within the time frame of 1945-2008 in which 27 cases of ureteral fibroepithelial polyp were identified.
Conclusion
Laparoscopy offers a satisfactory approach for resection of ureteral fibroepithelial polyps.
输尿管原发肿瘤发生率为1%,纤维上皮性息肉占20%。这些息肉与慢性炎症、慢性损伤或慢性刺激有关。它们无症状,可引起梗阻性尿病或血尿。目的:报告一例纤维上皮性息肉在梅萨西总医院腹腔镜治疗的病例。爱德华多Liceaga»。材料与方法一例46岁女性患者,右侧肾窝压迫性疼痛,中度,向髂窝放射,病情进展4年。患者表现为排尿困难和间歇性全血尿,无血块。断层扫描显示轻度右侧盆腔扩张和输尿管下三分之一充盈缺损。内镜检查发现输尿管病变,底部有带蒂,距右侧输尿管道8厘米。病理报告为纤维上皮性息肉。腹腔镜切除息肉,端对端吻合,放置双j输尿管支架。结果一例患者接受腹腔镜治疗的纤维上皮息肉是提出。很少有纤维上皮性息肉在腹腔镜下治疗。2011年,Jin xon - bo等人报道了一例输尿管纤维上皮息肉的腹腔镜解决方案。2009年,M.A. Childs回顾了他们在Mayo诊所1945-2008年期间的临床数据库,其中发现了27例输尿管纤维上皮息肉。结论腹腔镜手术治疗输尿管纤维上皮息肉是一种满意的手术方法。
期刊介绍:
Revista Mexicana de Urología (RMU) [Mexican Journal of Urology] (ISSN: 0185-4542 / ISSN electronic: 2007-4085) is bimonthly publication that disseminates research by academicians and professionals of the international medical community interested in urological subjects, in the format of original articles, clinical cases, review articles brief communications and letters to the editor. Owing to its nature, it is publication with international scope that disseminates contributions in Spanish and English that are rigorously reviewed by peers under the double blind modality. Neither journalistic documents nor those that lack rigorous medical or scientific support are suitable for publication.