Raslan Hasan, Danial Aghyad K, Khallouf Fatima, Hamsho Ola, Abdullatif Shahd, Assaf Ragheb
Faculty of Medicine, University of Aleppo.
Departments of Surgery.
Ann Med Surg (Lond). 2023 Feb 7;85(2):242-245. doi: 10.1097/MS9.0000000000000210. eCollection 2023 Feb.
The association of multicystic renal dysplasia with ureteropelvic junction obstruction is noteworthy in newborn. However, the possibility of conservative management is still a primary requirement, unless there are complications that suggest surgery. The authors are studying a case of a newborn in which an incorrect nephrostomy led to complications that required emergency surgery.
A newborn girl with left-side ureteropelvic junction obstruction and an enlarged and multicystic right kidney was operated on at an early age by unexpert hands, leading to complications. Was monitored daily, and an emergency procedure was done. Following up shows the success of the emergency operation.
The age and the precise timing of intervention are controversial. In this case, several postnatal diagnostic tests were made due to the severity of the hydronephrosis in the antenatal period, which resulted in the implementation of percutaneous nephrostomy.
Authors suggest that it is better to not operate as long as the patient's condition is stable.
多囊性肾发育不良与肾盂输尿管连接部梗阻在新生儿中并存值得关注。然而，保守治疗的可能性仍是首要考量，除非出现提示需手术的并发症。作者正在研究一例新生儿病例，其中错误的肾造瘘术导致了需要急诊手术的并发症。
一名患有左侧肾盂输尿管连接部梗阻且右侧肾脏增大并多囊性变的新生女婴，在早期由非专业人员进行了手术，导致了并发症。每天进行监测，并实施了急诊手术。随访显示急诊手术成功。
干预的年龄和确切时机存在争议。在此病例中，由于产前肾积水的严重程度，进行了多项产后诊断检查，这导致了经皮肾造瘘术的实施。
作者建议，只要患者病情稳定，最好不要进行手术。
