RESUMO
Laparoscopic pyeloplasty for the treatment of ureteropelvic junction obstruction (UPJO) in children is still one of the most demanding operations in urology. We report on a 12-year-old boy with UPJO in a duplicated collecting system with high ureter fissus. He was admitted with a 1-year history of recurrent flank pain and dilation of the lower duplicated collecting system. We performed a retroperitoneoscopic Anderson-Hynes pyeloplasty.
Assuntos
Hepatectomia/métodos , Rim/anormalidades , Rim/cirurgia , Laparoscopia/métodos , Espaço Retroperitoneal/cirurgia , Obstrução Ureteral/etiologia , Obstrução Ureteral/cirurgia , Criança , Humanos , Masculino , Resultado do TratamentoRESUMO
We report on a 34-year-old man who was admitted to our hospital with melena and hematemesis. Endoscopy showed a giant pedunculated polyp of the duodenum as the source of bleeding. The 10 cm long tumor was resected transduodenally by open surgery and the histological examination revealed it to be a hamartoma. This case demonstrates a very rare benign tumor of the duodenum, its possible clinical manifestation and treatment options.
Assuntos
Neoplasias Duodenais/diagnóstico , Neoplasias Duodenais/cirurgia , Hemorragia Gastrointestinal/etiologia , Hamartoma/diagnóstico , Hamartoma/cirurgia , Pólipos Intestinais/diagnóstico , Pólipos Intestinais/cirurgia , Adulto , Diagnóstico Diferencial , Neoplasias Duodenais/patologia , Duodeno/patologia , Duodeno/cirurgia , Endoscopia do Sistema Digestório , Hamartoma/patologia , Humanos , Pólipos Intestinais/patologia , MasculinoRESUMO
INTRODUCTION: Ureteral duplications are a common malformation of the urinary tract. A complete triplication however, is very rare. CASE REPORT: We report the case of a 26-year-old female patient admitted because of a septic disorder. Sonographic examination revealed right-sided hydronephrosis. A CT scan confirmed the rare anatomic abnormality of a ureter triplex. One of the three ureters was an obstructed mega-ureter. The dilated renal pelvis was punctured and pus drained. After clinical recovery of the patient, complete resection of the obstructed megaureter and the non-functional moiety was performed. CONCLUSION: This case illustrates an extraordinarily rare malformation of the urinary tract and describes an approach for treatment.