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一名患有威廉姆斯-博伦综合征的3岁患者在开放性输尿管再植术后出现双侧输尿管梗阻。

Bilateral ureteral obstruction after open ureteral reimplantation in a 3-year-old patient with Williams Beuren syndrome.

作者信息

Rainey Shane C, Chang Barry

机构信息

University of Arizona College of Medicine, Phoenix, AZ, USA.

Banner Children's at Desert Medical Center, Mesa, AZ, USA.

出版信息

Radiol Case Rep. 2024 Sep 12;19(12):5762-5765. doi: 10.1016/j.radcr.2024.08.113. eCollection 2024 Dec.

DOI:10.1016/j.radcr.2024.08.113
PMID:39308611
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11416460/
Abstract

Vesicoureteral reflux (VUR) is a common urological problem in the pediatric population and can be corrected by ureteral reimplantation in severe or persistent cases. This procedure is generally well tolerated, although complications, including ureteral obstruction, may occur in the postoperative period. We present a rare case of a 3-year-old with Williams Beuren syndrome who underwent bilateral ureteral reimplantation for VUR and subsequently developed bilateral ureteral obstruction with acute renal failure requiring nephrostomy tube placement within 48 hours of surgery.

摘要

膀胱输尿管反流(VUR)是儿科人群中常见的泌尿系统问题,在严重或持续性病例中可通过输尿管再植术进行纠正。尽管术后可能会出现包括输尿管梗阻在内的并发症,但该手术一般耐受性良好。我们报告了一例罕见病例,一名3岁患有威廉姆斯-贝伦综合征的患儿因VUR接受了双侧输尿管再植术,随后在术后48小时内出现双侧输尿管梗阻并伴有急性肾衰竭,需要放置肾造瘘管。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6eee/11416460/b4cb691d443c/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6eee/11416460/82e114296b3b/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6eee/11416460/b4cb691d443c/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6eee/11416460/82e114296b3b/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6eee/11416460/b4cb691d443c/gr2.jpg

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本文引用的文献

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Surg Endosc. 2023 Apr;37(4):2682-2687. doi: 10.1007/s00464-021-08985-y. Epub 2022 Nov 22.
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Health Care Supervision for Children With Williams Syndrome.儿童威廉斯综合征的保健监督。
Pediatrics. 2020 Feb;145(2). doi: 10.1542/peds.2019-3761. Epub 2020 Jan 21.
3
Multi-Institutional Review of Outcomes and Complications of Robot-Assisted Laparoscopic Extravesical Ureteral Reimplantation for Treatment of Primary Vesicoureteral Reflux in Children.
多机构对机器人辅助腹腔镜膀胱外输尿管再植术治疗儿童原发性膀胱输尿管反流的结果和并发症的综述。
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4
Lower urinary tract symptoms in children and adolescents with Williams-Beuren syndrome.患有威廉斯-贝伦综合征的儿童和青少年的下尿路症状
J Pediatr Urol. 2017 Apr;13(2):203.e1-203.e6. doi: 10.1016/j.jpurol.2016.10.003. Epub 2016 Nov 2.
5
Vesicoureteral reflux and the extracellular matrix connection.膀胱输尿管反流与细胞外基质的联系
Pediatr Nephrol. 2017 Apr;32(4):565-576. doi: 10.1007/s00467-016-3386-5. Epub 2016 May 2.
6
Renal Scarring in the Randomized Intervention for Children with Vesicoureteral Reflux (RIVUR) Trial.儿童膀胱输尿管反流随机干预试验(RIVUR)中的肾瘢痕形成
Clin J Am Soc Nephrol. 2016 Jan 7;11(1):54-61. doi: 10.2215/CJN.05210515. Epub 2015 Nov 10.
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Pediatrics. 2015 Jul;136(1):e13-21. doi: 10.1542/peds.2015-0409. Epub 2015 Jun 8.
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Congenital genitourinary abnormalities in children with Williams-Beuren syndrome.威廉姆斯-贝伦综合征患儿的先天性泌尿生殖系统异常
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Clinical outcomes and long-term resolution in patients with persistent vesicoureteral reflux after open ureteral reimplantation.开放型输尿管再植术后持续性膀胱输尿管反流患者的临床转归和长期缓解情况。
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