Bargnesi David S, Abaza Ronney, Selman Steven H
Department of Urology, University of Toledo College of Medicine, Toledo, Ohio 43614, USA.
Can J Urol. 2009 Dec;16(6):4936-8.
Fibroepthelial polyps are uniformly benign tumors of the collecting system which may cause obstruction of an affected renal unit. We present a unique case of a 34-year-old male with a solitary functioning kidney who presented with flank pain and renal insufficiency. Radiographic and ureteroscopic evaluation revealed ureteral obstruction due to extensive polyps. After ureteral stenting and normalization of renal function, successful polyp excisions were performed laparoscopically through a ureterotomy. The pathology revealed benign fibroepithelial polyps. The patient remained asymptomatic until 3 years later when ureteroscopy performed for a calculus revealed a widely patent lumen free of polyps. To our knowledge, this is the first published report of a long term follow up after laparoscopic resection of extensive ureteral fibroepithelial polyps.
纤维上皮性息肉是集合系统的良性肿瘤，可导致受累肾单位梗阻。我们报告一例独特病例，一名34岁男性，单肾有功能，出现胁腹痛和肾功能不全。影像学和输尿管镜检查显示，广泛的息肉导致输尿管梗阻。在输尿管支架置入及肾功能恢复正常后，通过输尿管切开术经腹腔镜成功切除息肉。病理显示为良性纤维上皮性息肉。患者一直无症状，直到3年后因结石行输尿管镜检查时发现管腔通畅，无息肉。据我们所知，这是第一例关于腹腔镜切除广泛输尿管纤维上皮性息肉后长期随访的报道。
