NADİR BİR OLGU; RENAL APLAZİ İLE BİRLİKTE EKTOPİK ÜRETEROSEL VE MEGAÜRETER

Doğuştan böbrek ve idrar yolu anomalilerinin insidansının 1000 doğumda 4 olduğu ve konjenital hidronefrozun en sık idrar yolu anomalisi olduğu literatürde bildirilmiştir. Bu çalışmanın amacı çok nadir görülen bir üriner sistem anomalisini BT ve US bulguları ile sunmaktır. 28 yaşında erkek hasta sol hipokondriyal ağrı ve yüksek ateş şikayeti ile acil servise başvurdu. Klinik muayene ile üriner sistem enfeksiyonu tanısı konuldu. Ultrason muayenesinde sol böbrek görülmedi. Bilgisayarlı tomografi çekildi ve mesaneye bağlı megaüreter ve üreter distalinde ektopik üreterosel saptandı.

A RARE CASE; CONCOMITANT ECTOPIC URETEROCELE AND MEGAURETER WITH RENAL APLASIA

It was reported in literature that incidence of the congenital kidney and urinary tract anomalies is 4 in 1000 birth and the congenital hydronephrosis is most frequent urinary tract anomaly. The aim of this study is to present a very rare urinary system anomaly with findings of CT and US. A 28 years old man was admitted to emergency room with left hypochondrial pain and high fever. A diagnosis of urinary system infection was made by clinical examinations. The left kidney was not seen in ultrasound examination. Computed tomography was performed and megaureter associated with bladder and ectopic ureterocele at the distal part of ureter were determined.

___

  • Postoev VA, Grjibovski AM, Kovalenko AA et al. Congenital anomalies of the kidney and the urinary tract: A murmansk county birth registry study. Birth Defects Res A Clin Mol Teratol. 2016 Mar;106(3):185-93. doi: 10.1002/bdra.23475. Epub 2016 Feb 2.
  • A. Daneman and D. J. Alton. Radiographic manifestations of renal anomalies, Radiologic Clinics of North America 1991; 29: 351–363
  • Ahmed A. Ipsilateral Renal Agenesis With Megaureter, Blind End Proximal Ureter And Ureterocele In An Adult. J Ayub Med Coll Abbottabad. 2017 Jan-Mar;29(1):150-153.
  • Keating MA. Ureteral duplication anomalies: ectopic ureters and ureteroceles. In: Docimo GD, Canning DA, Khoury AE, editors. Kelalis-King-Belman Textbook of Clinical Pediatric Urology. 5th edn. United Kingdom: Informa Healthcare; 2007. pp. 593–648.
  • Cooper SC, Snyder HM., III . The ureter. In: Gillenwater JY, Grayhack JT, Howards SS, Mitchell ME, editors. Adult and Pediatric Urology. 4th ed. Philadelphia: Lippincott Williams and Wilkins; 2002. pp. 2155–87.
  • Peters CA, Carr MC, Lais A, et al: The response of the fetal kidney to obstruction. J Urol 1992; 148:503–509