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Giant renal parapelvic cyst with pelvi-ureteric junction obstruction in an infant: challenges in diagnosis and laparoscopic management.婴儿巨大肾盂旁囊肿合并肾盂输尿管交界处梗阻：诊断和腹腔镜治疗的挑战。
BMJ Case Rep. 2022 May 11;15(5):e249548. doi: 10.1136/bcr-2022-249548.
2
Functional outcomes of early versus delayed pyeloplasty in prenatally diagnosed pelvi-ureteric junction obstruction.产前诊断的肾盂输尿管连接部梗阻中早期与延迟肾盂成形术的功能结局
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Vascular hitch for paediatric pelvi-ureteric junction obstruction with crossing vessels: institutional analysis and systematic review with meta-analysis.血管夹在有交叉血管的小儿肾盂输尿管交界处梗阻中的应用：机构分析和系统评价及荟萃分析。
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Laparoscopic Pyeloplasty for Ureteropelvic Junction Obstruction Following Open Pyeloplasty in Children.儿童开放性肾盂成形术后腹腔镜肾盂成形术治疗肾盂输尿管连接部梗阻
J Laparoendosc Adv Surg Tech A. 2015 Oct;25(10):858-63. doi: 10.1089/lap.2015.0074.

本文引用的文献

1
The preliminary experience of methylene blue assisted laparoscopy in the treatment of renal parapelvic cysts.甲磺酸去铁胺治疗肾周囊肿的初步经验。
Sci Rep. 2020 Oct 30;10(1):18757. doi: 10.1038/s41598-020-76006-4.
2
Flexible ureteroscopic management of symptomatic renal cystic diseases.有症状肾囊性疾病的软性输尿管镜治疗
J Surg Res. 2015 Jun 1;196(1):118-23. doi: 10.1016/j.jss.2015.02.046. Epub 2015 Feb 21.
3
Water under the bridge: 5-year outcomes after percutaneous ablation of obstructing parapelvic renal cysts.往事如烟：经皮消融梗阻性肾盂旁肾囊肿后的5年结局
J Endourol. 2007 Oct;21(10):1167-70. doi: 10.1089/end.2007.9914.
4
The parapelvic renal cyst. A rare aetiology of blood hypertension in children.肾盂旁肾囊肿。儿童高血压的一种罕见病因。
Eur J Pediatr Surg. 2006 Feb;16(1):61-3. doi: 10.1055/s-2005-873073.
5
Parapelvic renal cyst causing UPJ obstruction. Investigation by IVP, ultrasound and CT.肾盂旁肾囊肿导致肾盂输尿管连接处梗阻。通过静脉肾盂造影、超声和计算机断层扫描进行检查。
Pediatr Radiol. 1988;19(1):2-5. doi: 10.1007/BF02388397.

婴儿巨大肾盂旁囊肿合并肾盂输尿管交界处梗阻：诊断和腹腔镜治疗的挑战。

Giant renal parapelvic cyst with pelvi-ureteric junction obstruction in an infant: challenges in diagnosis and laparoscopic management.

机构信息

Pediatric Surgery, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India.

Pediatric Surgery, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India

出版信息

BMJ Case Rep. 2022 May 11;15(5):e249548. doi: 10.1136/bcr-2022-249548.

DOI:10.1136/bcr-2022-249548
PMID:35545308
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9096500/
Abstract

Renal parapelvic cysts (RPC) have an incidence of approximately 1%-3% in the general population. However, they rarely present in children with only two cases reported in literature. RPC are often misdiagnosed as it is difficult to distinguish them from hydronephrosis on preoperative imaging. We report a case of an infant with a giant RPC with associated pelvi-ureteric junction obstruction, who was managed successfully with laparoscopic complete excision of RPC and dismembered pyeloplasty. In our report, we discuss the challenges faced in the diagnosis and surgical management of this unusual case.

摘要

肾盂旁囊肿（RPC）在普通人群中的发病率约为 1%-3%。然而，RPC 在儿童中很少见，文献中仅报告了两例。RPC 常被误诊，因为术前影像学很难将其与肾积水区分开来。我们报告了一例婴儿患有巨大 RPC 并伴有肾盂输尿管连接部梗阻的病例，该病例成功地通过腹腔镜完全切除 RPC 和离断式肾盂成形术进行了治疗。在我们的报告中，我们讨论了在诊断和手术管理这种罕见病例时所面临的挑战。