Congenital bilateral mid-ureteral stricture: A unique case

Domenichelli, Vincenzo; Biagi, Lorenzo De; Italiano, Francesco; Carfagnini, Filomena; Lavacchini, Alessandra; Federici, Silvana

doi:10.1016/j.jpurol.2008.01.214

Cited by 10 publications

(4 citation statements)

References 5 publications

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“…Congenital ureteral stenosis is a rare condition of children 15,16 and other young animals. [12][13][14] In humans, congenital ureteral stenosis is classically unilateral, occurring most commonly at the ureterovesicular junction, at the UPJ, and, rarely, in the midportion of the ureter adjacent to the pelvic brim.…”

Section: Discussionmentioning

confidence: 99%

Endoscopic placement of ureteral stents for treatment of congenital bilateral ureteral stenosis in a dog

Lam

Berent²,

Weisse³

et al. 2012

javma

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Section: Discussionmentioning

confidence: 99%

Endoscopic placement of ureteral stents for treatment of congenital bilateral ureteral stenosis in a dog

Lam

Berent²,

Weisse³

et al. 2012

javma

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“…CMS may be associated with other congenital renal anomalies, including crossed renal ectopia [ 2 ], multicystic dysplastic contralateral kidney [ 8 , 10 ], solitary kidney [ 11 ], contralateral blind ending ureter [ 11 , 12 ], and ectopic ureter of a duplex system [ 13 ]. However, our current cases exhibited no congenital renal anomalies other than ureteral stricture.…”

Section: Discussionmentioning

confidence: 99%

Congenital mid-ureteral stricture: a case report of two patients

Alhazmi

Neel

2018

BMC Urol

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BackgroundCongenital hydronephrosis is a common foetal anomaly. There are numerous causes of hydronephrosis. The diagnosis of ureteral anomalies remains challenging. Congenital mid-ureteral stricture (CMS) is less common than proximal and distal strictures. In most cases involving CMS, this condition is diagnosed intra-operatively. The gold standard treatment is resection of the stenosed segment and ureteroureterostomy.Case presentationWe report two patients with CMS which presented as antenatal hydronephrosis with postnatal workup showed a picture of pelviuretric junction obstruction which required surgical correction. Intraoperative retrograde pyelography (RGP) confirmed the diagnosis of mid ureteral stricture which make us to change the planned surgical intervention from pyeloplasty to excision of the ureteral stricture and ureteroureterostomy as definitive management.ConclusionCMS should be considered whenever proximal mega-ureter is an associated finding. Despite advanced radiological modalities, RGP remains the mainstay approach for diagnosing ureteral anomalies.

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“…Bilateral synchronous mid-ureteric lesions are rare and may be congenital,[ 1 ] or iatrogenic, following radiotherapy[ 2 ] or aortic aneurysmal surgery. [ 3 ] Bilateral ureteric involvement with acute renal injury has been described due to radiation-induced mid- and lower ureteric strictures; however, bilateral synchronous mid-ureteric tubercular strictures without obvious radiological renal or bladder involvement as a cause for acute renal injury has not been described in literature.…”

Section: Discussionmentioning

confidence: 99%

A rare cause of anuria: Bilateral synchronous isolated mid-ureteric tubercular lesions

et al. 2015

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A young female presenting with right flank pain, fever, raised creatinine and bilateral hydronephrosis was treated with antibiotics elsewhere, with presumptive diagnosis of bilateral pyelonephritis. She had partial relief in symptoms and her creatinine level showed an improvement. Three months later during evaluation at our center she had anuria, hypertensive crisis and pulmonary edema which were managed with emergency bilateral percutaneous nephrostomies. Cross-sectional imaging and ureteroscopy suggested bilateral synchronous intramural mid-ureteric lesions as underlying pathology. Histopathology of the ureteric segments during laparotomy revealed caseating granulomas suggestive of tuberculosis. This clinical presentation has not been previously described in urinary tuberculosis.

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Congenital bilateral mid-ureteral stricture: A unique case

Cited by 10 publications

References 5 publications

Endoscopic placement of ureteral stents for treatment of congenital bilateral ureteral stenosis in a dog

Endoscopic placement of ureteral stents for treatment of congenital bilateral ureteral stenosis in a dog

Congenital mid-ureteral stricture: a case report of two patients

A rare cause of anuria: Bilateral synchronous isolated mid-ureteric tubercular lesions

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