Divjak Natalie, Birraux Jacques, Chehade Hassib, Sanchez Oliver
Centre Universitaire Romand de Chirurgie Pédiatrique, Division of Pediatric Surgery of Lausanne, CHUV, Lausanne, Switzerland.
Centre Universitaire Romand de Chirurgie Pédiatrique, Division of Pediatric Surgery of Geneva, HUG, Genève, Switzerland.
Urol Case Rep. 2021 Jan 11;36:101564. doi: 10.1016/j.eucr.2021.101564. eCollection 2021 May.
Hydronephrosis associated with kidney malrotation can be a surgical challenge. We present the case of a 3.5 y.o.-boy presenting with left pyelo-ureteric obstruction caused by kidney hyperrotation (270°) resulting in recurring urinary tract infection. After complete radiological work-up, we opted for a primary laparoscopic ureterocalicostomy, which allowed for complete resolution of the pelvic dilatation. Kidney malrotation can present with a wide variation in anatomic features. Radiological work-up is the cornerstone of surgical strategy planning. Laparoscopic ureterocalicostomy is a useful primary option in unusual anatomical situations.
与肾脏旋转不良相关的肾积水可能是一项外科挑战。我们报告一例3.5岁男孩，因肾脏过度旋转（270°）导致左肾盂输尿管梗阻，进而反复发生尿路感染。在完成全面的影像学检查后，我们选择了一期腹腔镜输尿管肾盂吻合术，该手术使盆腔扩张完全得到缓解。肾脏旋转不良可表现出广泛的解剖学特征差异。影像学检查是手术策略规划的基石。在不寻常的解剖情况下，腹腔镜输尿管肾盂吻合术是一种有用的一期选择。
