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马蹄肾合并腔静脉后输尿管:埃塞俄比亚一家教学医院的病例报告。

Horseshoe kidney with a retrocaval ureter: A case report from teaching hospital in Ethiopia.

作者信息

Gebreziher Yirgalem Teklebirhan, Assefa Yoseph Equar, Teshome Zeamanuel Berihu

机构信息

Department of Pediatric Surgery, Ayder Comprensive Specialized Hospital, Mekelle University, Ethiopia.

Department of Pediatric Surgery, Ayder Comprensive Specialized Hospital, Mekelle University, Ethiopia.

出版信息

Int J Surg Case Rep. 2024 Dec;125:110656. doi: 10.1016/j.ijscr.2024.110656. Epub 2024 Nov 23.

Abstract

INTRODUCTION

The combination of a horseshoe kidney with a retrocaval ureter in one patient is extremely rare.

PRESENTATION OF CASE

A 12-year-old adolescent presented with the compliant of absent testis in the right scrotum since birth with incidental radiologic finding of horseshoe kidney with retrocaval ureter.

CLINICAL FINDINGS AND INVESTIGATIONS

Physical examination was unremarkable except for a left non-palpable testis. A complete blood count, renal function test, urine analysis, ultrasound of the abdomen and pelvis, and computed tomography urography were performed.

INTERVENTION AND OUTCOME

Right ureteral uncrossing with ureterourererostomy and right orchidectomy was done. The patient is doing well during postoperative follow-up.

RELEVANCE AND IMPACT

Modern imaging techniques can accurately define the anatomical details, facilitating appropriate preoperative planning.

摘要

引言

马蹄肾合并腔静脉后输尿管的病例极为罕见。

病例介绍

一名12岁青少年自出生以来右侧阴囊内睾丸缺如,偶然通过影像学检查发现马蹄肾合并腔静脉后输尿管。

临床发现与检查

体格检查除左侧睾丸未触及外无异常。进行了全血细胞计数、肾功能检查、尿液分析、腹部和盆腔超声以及计算机断层扫描尿路造影。

干预与结果

实施了右侧输尿管交叉松解及输尿管输尿管吻合术和右侧睾丸切除术。患者术后随访情况良好。

相关性与影响

现代成像技术能够准确界定解剖细节,有助于进行恰当的术前规划。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7dc0/11625366/db3156f650df/gr1.jpg

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