Obstrução da junção pieloureteral por pólipos fibroepiteliais em idade pediátrica

Maria Knoblich, Vanda Pratas Vital, Dinorah Cardoso, Fátima Alves, Filipe Catela Mota, Paolo Casella
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引用次数: 0

Abstract

Introduction

Fibroepithelial polyps are extremely rare benign tumors arising from mesodermal tissue in the ureteral wall in children, that can cause ureteropelvic junction obstruction.

Case report

In this report, we present an 11‐year‐old boy complaining of left intermitent lumbar pain related with ipsilateral hydronephrosis. Surgical exploration revealed several endoluminal polyps located at the ureteropelvic junction, obstructing the lumen of the ureter.

Discussion

Standard treatment consists in resection of the affected ureteral segment followed by open or laparoscopic dismembered pyeloplasty. The prognosis is excellent.

小儿纤维上皮息肉引起的肾盂尿道交界处梗阻
纤维上皮息肉是一种极为罕见的良性肿瘤,发生于儿童输尿管壁中胚层组织,可引起输尿管-肾盂连接处梗阻。病例报告在此报告中,我们报告一名11岁男孩主诉与同侧肾积水相关的左侧间歇性腰椎疼痛。手术探查发现几个腔内息肉位于肾盂输尿管连接处,阻塞了输尿管管腔。标准治疗包括切除受影响的输尿管段,然后进行开放或腹腔镜下的肢解肾盂成形术。预后良好。
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