Resección laparoscópica de pólipo fibroepitelial ureteral. Reporte de caso del Hospital General de México «Dr. Eduardo Liceaga»

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.