Pediatric Urology and Regenerative Medicine Research Center, Section of Tissue Engineering and Stem Cells Therapy, Children's Hospital Medical Center, Tehran University of Medical Sciences, Tehran, Iran.
Pediatric Urology and Regenerative Medicine Research Center, Section of Tissue Engineering and Stem Cells Therapy, Children's Hospital Medical Center, Tehran University of Medical Sciences, Tehran, Iran.
Urology. 2021 Mar;149:e5-e7. doi: 10.1016/j.urology.2020.12.004. Epub 2020 Dec 15.
Ureteral duplication with a blind-ending branch (BEB) is rare anomaly. The presence of fibro-epithelial polyps in duplicated ureters is also infrequent. Despite the noticeability of endoscopic polypectomy, further recurrence of polyps and persistence of pain increase the probability of further ureteral resection with surgical procedures. In such cases, BEB of duplicated ureter is an excellent reservoir to save the function of the kidney. This is the first case with concomitant presence of fibro-epithelial polyps and BEB in duplicated ureter managed with novel surgical technique of uretero-pelvic junction and BEB branch anastomosis. We followed-up the patient for 23 years.
输尿管重复畸形伴盲端分支(BEB)是一种罕见的异常。在重复输尿管中出现纤维上皮性息肉也很少见。尽管内镜息肉切除术很明显,但息肉的进一步复发和疼痛的持续存在增加了进一步进行输尿管切除手术的可能性。在这种情况下,重复输尿管的 BEB 是保存肾脏功能的绝佳储液器。这是首例同时存在纤维上皮性息肉和重复输尿管的 BEB 病例,采用了新的肾盂输尿管连接部和 BEB 分支吻合术的手术技术进行治疗。我们对患者进行了 23 年的随访。