Chronic renal failure in a patient with bilateral ureterocele

Dada, Samuel Ayokunle; Rafiu, Mojeed; Olanrewaju, T O

doi:10.15537/smj.2015.7.11786

Cited by 6 publications

(6 citation statements)

References 7 publications

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“…A case described in 2015, highlights the importance of early intervention and prenatal diagnosis. An 18-year-old girl developed chronic renal failure due to bilateral ureteroceles which progressed over several years without any therapeutic intervention [5]. Diagnosis of the ureterocele during the prenatal period would have likely prevented the irreversible structural and functional changes in the kidney.…”

Section: Discussionmentioning

confidence: 99%

Rare Case of Recurrent Fetal Familial Uretrocele

Al‐Abdulmalek¹,

Al-Thani²,

Ahmed³

2017

IPCB

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Submit Manuscript | http://medcraveonline.com performed in the prior visit revealed a single viable female fetus. The follow up ultrasound in the 19 th week of gestation showed normal amniotic fluid volume and left-sided unilateral hydroneprosis with a full-distended bladder. Additionally, thinning out of the parenchyma and a dilated left ureter ending in a large left ureterocele. Douplex kidney was suspected. There was no any other abnormal scan findings. The patient was closely monitored. In the 22nd week of gestation an ultrasound scan showed left renal anterior posterior (AP) dilation, which measured 9 mm with normal kidney function indicated by normal liquor and a distended bladder. The dilatation increased to 18 mm in the 26 th week seen by ultrasound scan, and no other abnormalities were noted (Figure 1). Subsequent antenatal and ultrasound were showed no marked changes in these findings. AbstractWe presented a rare case of familial recurrent Ureterocle and duplex right kidney. The diagnosis was made at the anomaly scan at 19 weeks. Our patient is a case of first-degree consanguineous marriage with multiple miscarriages, two daughters with congenital ureteroceles and one healthy boy. Postnatal ultrasound confirmed the diagnosis. In spite of prophylactic antibiotics the patient developed severe urinary tract infection. Voiding cysterourethrogram (VCUG) revealed aureterocele without vesicoureteric reflux. The urinary tract infection was recurrent and severe and required urgent cystoscopy and puncture of ureterocle.

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Section: Discussionmentioning

confidence: 99%

Rare Case of Recurrent Fetal Familial Uretrocele

Al‐Abdulmalek¹,

Al-Thani²,

Ahmed³

2017

IPCB

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“…During the postoperative periodic According to literature the risk of further surgery fallowing ureterocele incision in patients with orthotopic ureterocele is estimated to range between 55% and 65%, while for the patients with ectopic ureterocele the risk is even higher being estimated to be over 75% 8,16,17 . Often patients with complete ureteral duplication and ureterocele associate an obstructed upper renal unit, obstruction that will eventually lead to parenchymal atrophy and loss of the upper renal unit function, due to the increased pressure in the upper renal cavities, thus explaining the appearance of renal failure 9 .…”

Section: Case Presentationmentioning

confidence: 99%

“…According to its location the ureterocele can be orthotopic (completely located inside the bladder) or ectopic (a part of the ureterocele is located in the urethra or at the level of the bladder neck) . Regarding the pathogenesis of the ureterocele several studies have stated that persistence or incomplete dissolution of the Chwalla membrane has a major role in the appearance of this urinary tract anomaly 3,[8][9][10] .…”

Section: Introductionmentioning

confidence: 99%

“…Numerous studies have reported that patients with complete ureteral duplication are more likely to present ureterocele, especially the ureter draining the upper renal unit. Usually the ureterocele is an asymptomatic pathology, but quite often due to urinary stasis it can be associated with ureterohydronephrosis, recurrent urinary tract infections, fl ank pain, urinary lithiasis, hematuria, pyuria and it can even lead to sepsis 4,8,9 .…”

Section: Introductionmentioning

confidence: 99%

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The Management of Congenital Ureteral Duplication Anomalies Complications - Case Presentation

Marcu¹,

Spinu²,

Mischianu³

et al. 2018

Rev. Med. Mod.

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Introduction: Ureteral anomalies often represent a great challenge for physicians regarding their diagnostic and the therapeutical management, ureteral duplication being one of the most frequent urogenital congenital malformations. Material and methods: We present the case of a patient with complete right pyelo-ureteral duplication, upper right hydronephrotic destroyed renal unit secondary to a large ureterocele, patient for whom we have practiced right partial heminephroureterectomy. Results: The postoperative evolution was favorable without any immediate complications. During the periodic postoperative follow-up intravenous urography was performed, investigation that revealed a normal right renal function. Conclusions: Imagistic investigations such as contrast CT examination, magnetic resonance urography and even intravenous urography have a major role in clarifying this pathology and helping guiding the therapeutical protocol.

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“…Ectopic ureteroceles are four times more common than intravesical ones and usually coexist with duplicated ureters (1). Bilateral ureterocele in combination with other congenital anomalies is a rare entity and its mismanagement due to misdiagnosis can lead to renal failure (2). Horseshoe kidney is a congenital disorder that involves one in 400 individuals and is more frequent in males (3).…”

Section: Introductionmentioning

confidence: 99%

Bilateral Ureteroceles Along With Horseshoe Kidney in an Adult: A Case Report and Review of Literature

Ameli

Jarhi

Mahmoudabadi

2015

Thrita

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Introduction:Coexistence of horseshoe kidney and ureterocele abnormalities in one patient is a complex and rare condition. The role of heredity in this disease has not yet been proven. Moreover, its diagnosis requires various paraclinical methods. Case Presentation: A middle-aged male was known to have horseshoe kidney, bilateral ureteroceles and a stone, 1 cm in diameter, in his right ureter. He also had severe hydronephrosis in his left kidney, whereas mild hydronephrosis was detected in his right kidney. Unlike other similar cases, we performed a transverse incision on the ureterocele with no surgery on the horseshoe kidney. Similar cases to date have been treated with partial nephrectomy. Urinary complications and flank pain did not occur during the one-year follow up. Conclusions: Precise evaluation of patients with one renal abnormality could lead to detection of other associated anomalies. Application of minimally invasive procedures such as ureteroscopic incision is highly recommended in ureterocele treatment.

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Chronic renal failure in a patient with bilateral ureterocele

Cited by 6 publications

References 7 publications

Rare Case of Recurrent Fetal Familial Uretrocele

Rare Case of Recurrent Fetal Familial Uretrocele

The Management of Congenital Ureteral Duplication Anomalies Complications - Case Presentation

Bilateral Ureteroceles Along With Horseshoe Kidney in an Adult: A Case Report and Review of Literature

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