通过对复发性发热性尿路感染的评估诊断出的伴有髂后输尿管的13三体综合征。
Trisomy 13 with retroiliac ureter diagnosed by assessment for recurrent febrile urinary tract infections.
作者信息
Morizawa Yosuke, Tomizawa Mitsuru, Shimizu Takuto, Onishi Kenta, Hori Shunta, Gotoh Daisuke, Nakai Yasushi, Miyake Makito, Torimoto Kazumasa, Fujimoto Kiyohide
机构信息
Department of Urology Nara Medical University Kashihara Nara Japan.
出版信息
IJU Case Rep. 2024 Jan 23;7(2):161-164. doi: 10.1002/iju5.12692. eCollection 2024 Mar.
INTRODUCTION
Patients with trisomy 13 have multiple malformations, including urological anomalies, and severe cognitive and psychomotor disabilities. We conducted a ureteroureterostomy for a mid-ureteral stricture due to a retroiliac ureter in a patient with trisomy 13.
CASE PRESENTATION
A 6-month-old girl with trisomy 13 developed a urinary tract infection. Computed tomography for assessing recurrent urinary tract infection revealed a left mid-ureteral stricture due to the retroiliac ureter. At the age of 2, a ureteroureterostomy was performed. Two years after surgery, the urinary tract infection did not recur.
CONCLUSION
Ureteroureterostomy is a safe procedure for children with trisomy 13 and multiple comorbidities. Surgical treatment should be considered for patients with trisomy 13 when agreed upon by the family and comorbidities are well-controlled.
引言
13三体综合征患者存在多种畸形，包括泌尿系统异常以及严重的认知和精神运动障碍。我们为一名患有13三体综合征的患者进行了输尿管输尿管吻合术，该患者因髂后输尿管导致输尿管中段狭窄。
病例介绍
一名6个月大的13三体综合征女童发生了尿路感染。用于评估复发性尿路感染的计算机断层扫描显示，因髂后输尿管导致左输尿管中段狭窄。在2岁时进行了输尿管输尿管吻合术。术后两年，尿路感染未复发。
结论
输尿管输尿管吻合术对于患有13三体综合征及多种合并症的儿童是一种安全的手术。当家庭同意且合并症得到良好控制时，对于13三体综合征患者应考虑手术治疗。
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