Ureteric valves are a rare cause of ureteric obstruction. Fifty cases have been described in the literature. We report two new cases. The first is of a 12-year-old child with left multiple ureteric valves associated to bilateral vesico-ureteric reflux. The patient was treated by uretero-ileoplasty with unfavourable evolution to renal failure. The second case is that of a proximal ureteric valve discovered in a 30-year-old woman who had postpartum acute pyelonephritis. Treatment consisted in ureteric resection-anastomosis with favourable outcome. Based on a review of the literature, we discuss epidemiologic, etiologic, diagnostic and therapeutic aspects of this malformation.
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http://dx.doi.org/10.1016/j.anchir.2006.03.021 | DOI Listing |
BMC Pediatr
December 2024
School of Nursing and Midwifery, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia.
Background: Congenital anomalies of the kidney and urinary tract (CAKUT) and urinary tract infections (UTIs) are significant clinical concerns in children. Children who have UTIs are also at risk of developing long-term complications, notably kidney disease and scarring UTIs. The purpose of this study was to assess the prevalence of urinary tract infection and its determinants among under-five children with congenital anomalies of kidney and urinary tract in Addis Ababa.
View Article and Find Full Text PDFJ Surg Case Rep
November 2024
Acute Surgical Unit, Fiona Stanley Hospital, 11 Robin Warren Drive, Murdoch, Western Australia, 6150, Australia.
A rectus sheath haematoma (RSH) is a relatively rare cause of acute abdominal pain that is becoming more prevalent due to an increase in anticoagulant therapy. Of its associated complications, acute obstructive uropathy is exceedingly rare. This is a case of a 62-year-old lady who presented with abdominal pain caused by an RSH which then led to obstructive uropathy.
View Article and Find Full Text PDFInt Urol Nephrol
November 2024
Pediatric Urology and Regenerative Medicine Research Center, Children's Medical Center, Gene, Cell, and Tissue Research Institute, Tehran University of Medical Sciences, Tehran, 1419733151, Iran.
Introduction: Posterior urethral valves (PUV) and ureterovesical junction obstruction (UVJO) are common etiologies of lower urinary tract obstruction. The primary objective of therapy is to alleviate the obstruction in the urinary system. Temporary urinary diversion may be necessary in certain situations, such as Urinary tract infection (UTI), sepsis, and unchanging hydronephrosis.
View Article and Find Full Text PDFUrol Int
October 2024
Department of Urology, Philipps-University Marburg, Marburg, Germany.
Introduction: We report a progressive treatment of a 31-year-old patient with end-stage renal disease secondary to congenital posterior urethral valve and valve bladder syndrome. He underwent a laser ablation of the urethral valve at the age of six, but on continuance of renal function deterioration ultimately a bilateral ureterocutaneostomy (UC) in the left lower abdomen had to be fashioned as a supravesical urinary diversion.
Case Presentation: For the management of dialysis dependent end-stage renal disease, an allogenic renal transplantation was planned.
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