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不完全重复肾中上半部分血管性输尿管肾盂连接部梗阻：弗雷利综合征的一种变异型？

Upper moiety vascular ureteropelvic junction obstruction in an incomplete duplex kidney: A variant of the Fraley's syndrome?

作者信息

Karmungikar Somanath, Yadav Siddharth, Goel Ankit

机构信息

Department of Urology and Renal Transplant, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, India.

出版信息

Indian J Urol. 2023 Jul-Sep;39(3):245-248. doi: 10.4103/iju.iju_30_23. Epub 2023 Jun 30.

DOI:10.4103/iju.iju_30_23
PMID:37575159
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10419786/
Abstract

Although duplication of the collecting system is fairly common, ureteropelvic junction obstruction of the upper moiety in a patient with duplex system is rare, more so if the obstruction is extrinsic and vascular. Herein, we report a case of obstruction of the upper moiety infundibulum by a crossing vein, in a patient with partially duplex system who presented with flank pain and focal hydronephrosis of the superior calyx, a clinical presentation similar to that of Fraley's syndrome. The infundibulum was transected and transposed anterior to the crossing vessel.

摘要

虽然集合系统重复相当常见，但重复肾患者上半部分的肾盂输尿管连接处梗阻却很罕见，若是外在性和血管性梗阻则更为罕见。在此，我们报告一例部分重复肾患者，其上部肾盂漏斗部被一条交叉静脉梗阻，患者表现为胁腹疼痛和上肾盏局灶性肾积水，临床表现与弗雷利综合征相似。切除肾盂漏斗部并将其转移至交叉血管前方。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3b6b/10419786/c110e8ada4e7/IJU-39-245-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3b6b/10419786/6be4dfd33960/IJU-39-245-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3b6b/10419786/e106f4b665e2/IJU-39-245-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3b6b/10419786/c110e8ada4e7/IJU-39-245-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3b6b/10419786/6be4dfd33960/IJU-39-245-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3b6b/10419786/e106f4b665e2/IJU-39-245-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3b6b/10419786/c110e8ada4e7/IJU-39-245-g003.jpg

相似文献

1
Upper moiety vascular ureteropelvic junction obstruction in an incomplete duplex kidney: A variant of the Fraley's syndrome?不完全重复肾中上半部分血管性输尿管肾盂连接部梗阻：弗雷利综合征的一种变异型？
Indian J Urol. 2023 Jul-Sep;39(3):245-248. doi: 10.4103/iju.iju_30_23. Epub 2023 Jun 30.
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[Upper segmental hydronephrosis in incomplete duplex system (a subtype of Fraley's syndrome)].
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本文引用的文献

1
The duplicated collecting system of the urinary tract: embryology, imaging appearances and clinical considerations.泌尿系统重复集合系统：胚胎学、影像学表现及临床考量
Pediatr Radiol. 2017 Oct;47(11):1526-1538. doi: 10.1007/s00247-017-3904-z. Epub 2017 Sep 21.
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Robot-assisted pyeloplasty for pelvi-ureteric junction obstruction of lower moiety in partial duplex system: A technical challenge.机器人辅助肾盂成形术治疗部分重复肾系统下极肾盂输尿管连接部梗阻：一项技术挑战。
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Presentation, Management and Long-Term Outcome of Ureteropelvic Junction Obstruction in Duplex Kidneys.
双肾盂输尿管连接部梗阻的临床表现、处理方法和长期预后
J Urol. 2015 Aug;194(2):427-32. doi: 10.1016/j.juro.2015.01.095. Epub 2015 Jan 29.
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Pelvi-ureteric junction obstruction in duplex kidneys.重复肾肾盂输尿管连接部梗阻
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