tailieunhanh - Báo cáo y học: " Successful transureteropyelostomy after heminephrectomy of a bilateral hydronephrotic horseshoe kidney: a case report"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Successful transureteropyelostomy after heminephrectomy of a bilateral hydronephrotic horseshoe kidney: a case report | Journal of Medical Case Reports BioMed Central Open Access Case report Successful transureteropyelostomy after heminephrectomy of a bilateral hydronephrotic horseshoe kidney a case report Holger Gerullis Christoph Eimer Dietmar Betz and Thomas Otto Address Urology Department Lukas Hospital Preussenstrasse Neuss 41464 Germany Email Holger Gerullis - Christoph Eimer - Dietmar Betz - dietmarbetz@ Thomas Otto - thomas_otto@ Corresponding author Published 16 July 2008 Received 20 November 2007 Journal of Medical Case Reports 2008 2 231 doi 1752-1947-2-231 Accepted 16 July 2008 This article is available from http content 2 1 23 1 2008 Gerullis et al licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract__ Introduction Horseshoe kidney is a rare congenital malformation that is found in approximately of the general population and usually remains asymptomatic. Case presentation We report a successful transureteropyelostomy after heminephrectomy of the non-functional right moiety in a 25-year-old man with horseshoe kidney who had a combined 50 functional loss and hydronephrosis due to multiple distal ureteral strictures on the functionally remaining left side. Continuous ureteral stenting of the remaining part of the former horseshoe kidney was avoided during a follow-up of 2 years. Conclusion Urologists are often faced with technically difficult cases that are not responsive to standard operative procedures and this case illustrates an individual surgical approach in a clinical situation. Introduction A horseshoe kidney is a rare non-fatal congenital