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Bilateral Ureteropelvic Junction Disruptions in a 17-Year-Old With Bilateral Ureteral Duplications: Impact of Unrecognized Duplications and Unique Management of Nephrocutaneous Fistula.
- Source :
-
Urology [Urology] 2020 May; Vol. 139, pp. 171-174. Date of Electronic Publication: 2020 Jan 17. - Publication Year :
- 2020
-
Abstract
- A case of bilateral ureteropelvic junction (UPJ) disruptions in a patient with bilateral duplication anomalies is presented. A UPJ disruption with a duplication anomaly has not been reported let alone bilateral duplication anomalies. The unrecognized duplication anomalies led to isolated and obstructed upper pole segments that were managed by bilateral heminephrectomies. A nephrocutaneous fistula developed after one of the heminephrectomies that was successfully managed using a method of percutaneous fulguration and fibrin sealant. In UPJ disruption cases, the possibility of a duplicated collecting system should be considered as an unrecognized duplication may complicate management and prolong recovery.<br /> (Copyright © 2020 Elsevier Inc. All rights reserved.)
- Subjects :
- Adolescent
Female
Humans
Kidney Diseases etiology
Kidney Diseases therapy
Postoperative Care methods
Tomography, X-Ray Computed methods
Treatment Outcome
Ultrasonography methods
Urography methods
Cutaneous Fistula etiology
Cutaneous Fistula therapy
Electrocoagulation methods
Kidney diagnostic imaging
Kidney pathology
Nephrectomy adverse effects
Nephrectomy methods
Postoperative Complications therapy
Ureter abnormalities
Ureter diagnostic imaging
Ureteral Diseases congenital
Ureteral Diseases diagnosis
Ureteral Diseases surgery
Urinary Fistula etiology
Urinary Fistula therapy
Subjects
Details
- Language :
- English
- ISSN :
- 1527-9995
- Volume :
- 139
- Database :
- MEDLINE
- Journal :
- Urology
- Publication Type :
- Academic Journal
- Accession number :
- 31958533
- Full Text :
- https://doi.org/10.1016/j.urology.2020.01.012