Retroperitoneoscopic nephrectomy for treatment of a case of left single ectopic ureter accompanied by dysplastic kidney

We report the case of a 7-year-old girl with a single ectopic ureter who was treated with retroperitoneoscopic nephrectomy for a chief complaint of urinary incontinence. Preoperative CT showed a contrasted dysplastic kidney of 1cm in the renal fossa and a left ureteral opening into the vagina. Retro...

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Published inActa medica Okayama Vol. 65; no. 5; pp. 343 - 345
Main Authors Hara, Ryoei, Fujii, Tomohiro, Jo, Yoshimasa, Yokoyama, Teruhiko, Miyaji, Yoshiyuki, Nagai, Atsushi
Format Journal Article
LanguageEnglish
Published Japan 01.10.2011
Subjects
Child
Female
Humans
Multicystic Dysplastic Kidney - pathology
Multicystic Dysplastic Kidney - surgery
Nephrectomy - methods
Retroperitoneal Space - surgery
Tomography, X-Ray Computed
Ureter - abnormalities
Ureter - surgery
Urinary Incontinence - etiology
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Summary:We report the case of a 7-year-old girl with a single ectopic ureter who was treated with retroperitoneoscopic nephrectomy for a chief complaint of urinary incontinence. Preoperative CT showed a contrasted dysplastic kidney of 1cm in the renal fossa and a left ureteral opening into the vagina. Retroperitoneoscopic left nephrectomy was conducted with opening of the lateroconal fascia to enable identification of the dysplastic kidney. No intraoperative complications were encountered. Urinary incontinence improved immediately after surgery. This case shows that a retroperitoneal approach can be used in nephrectomy if the position of the kidney can be determined preoperatively.
Bibliography:ObjectType-Case Study-2
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ISSN:0386-300X