RESUMEN
INTRODUCTION: Duplex collecting system is a common congenital urinary system anomaly and is usually asymptomatic. Vascular variations associated with a duplex system are common but haven't been reported as obstructive. CASE REPORT: 14-month-old female had a right sided incomplete ureteral duplication complicated by lower pole hydroureteronephrosis due to distal ureteral obstruction by an aberrant vessel crossing the bifid ureters at ureteric junction of these bifid ureters. Prenatal imaging detected right hydronephrosis. Magnetic resonance suggested a diagnosis of duplicated ureters. At surgery, an aberrant artery compressed the lower moiety ureter at the bifid ureteric junction. The stenotic section was resected and ureter segments were anastomosed. The occluding small artery was not resected to preserve vascularization. DISCUSSION/CONCLUSION: An anatomical vascular variation can cause proximal ureteral dilatation and segmental hydronephrosis in a bifid system.
Asunto(s)
Hidronefrosis , Uréter , Obstrucción Ureteral , Femenino , Humanos , Lactante , Riñón/diagnóstico por imagen , Riñón/anomalías , Estudios Retrospectivos , Hidronefrosis/diagnóstico por imagen , Obstrucción Ureteral/cirugía , Obstrucción Ureteral/complicaciones , Uréter/diagnóstico por imagen , Uréter/anomalías , Uréter/cirugíaAsunto(s)
Quistes , Humanos , Quistes/diagnóstico por imagen , Quistes/cirugía , Diagnóstico DiferencialRESUMEN
The caecum is one of the rarest sites of intestinal duplication cysts. The most common symptomatology includes vomiting, abdominal pain, abdominal distention, palpable mass and rectal bleeding. Most of the duplications are diagnosed within the first two years of life, including prenatal diagnosis. Only few cases of caecal duplication have been reported in the literature up to the present day. We are going to present a case of a five-years old girl with caecum duplication who reached our ward due to abdominal distension with no other symptoms.