Urinary Stones in a Horseshoe Kidney with Ipsilateral Ureteral Reimplantation: Case Report
Autor(a) principal: | |
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Data de Publicação: | 2019 |
Outros Autores: | , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://doi.org/10.24915/aup.35.3-4.66 |
Resumo: | Horseshoe kidney is a common congenital renal anomaly and is often associated with urinary tract infections and renal calculi as a consequence of anatomical changes that impair the efficient drainage of the urine. The treatment of urinary stones in these cases becomes a challenge due to the underlying anatomical abnormalities requiring an adaptation of the techniques normally used for the treatment of renal lithiasis. We report the case of a 44-year-old woman with a past history of Cohen left ureteral reimplantation due to vesico-ureteral reflux in childhood and renal lithiasis. The patient had two 12 and 10 mm stones in the upper calix of the left hemi-kidney, with a narrow infundibulum. A flexible ureteroscopy with laser Holmium lithotripsy was performed by placement of a ureteral sheath over the narrowed infundibulum and the patient was left stone-free at the end of the procedure. It is important, in cases of horseshoe kidney stones, to think and adapt the various techniques available for the treatment of renal lithiasis, and to choose the one that will provide a higher success rate with fewer complications. |
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Urinary Stones in a Horseshoe Kidney with Ipsilateral Ureteral Reimplantation: Case ReportLitíase em Rim em Ferradura em Doente com Ureter Reimplantado: A Propósito de um Caso ClínicoKidney/abnormalitiesKidney CalculiReplantationUreteral ObstructionCálculos RenaisObstrução UreteralReimplanteRim/anomalias congénitasHorseshoe kidney is a common congenital renal anomaly and is often associated with urinary tract infections and renal calculi as a consequence of anatomical changes that impair the efficient drainage of the urine. The treatment of urinary stones in these cases becomes a challenge due to the underlying anatomical abnormalities requiring an adaptation of the techniques normally used for the treatment of renal lithiasis. We report the case of a 44-year-old woman with a past history of Cohen left ureteral reimplantation due to vesico-ureteral reflux in childhood and renal lithiasis. The patient had two 12 and 10 mm stones in the upper calix of the left hemi-kidney, with a narrow infundibulum. A flexible ureteroscopy with laser Holmium lithotripsy was performed by placement of a ureteral sheath over the narrowed infundibulum and the patient was left stone-free at the end of the procedure. It is important, in cases of horseshoe kidney stones, to think and adapt the various techniques available for the treatment of renal lithiasis, and to choose the one that will provide a higher success rate with fewer complications.O rim em ferradura é uma anomalia renal congénita muito comum, estando muitas vezes associada a infeções do trato urinário e a litíase renal como consequência das alterações anatómicas que dificultam uma drenagem eficaz de urina. O tratamento dos cálculos nestes casos torna-se um desafio devido às anomalias anatómicas subjacentes exigindo uma adaptação das técnicas normalmente utilizadas para o tratamento da litíase renal. O artigo reporta o caso de uma mulher de 44 anos, com uma história de reimplantação ureteral à esquerda do tipo Cohen por refluxo vesico-ureteral na infância e com litíase renal. A doente apresentava dois cálculos com 12 e 10 mm de maior diâmetro no pielão superior do hemi-rim esquerdo, cujo infundíbulo tinha um calibre estreito. Procedeu-se a uma ureterorrenoscopia flexível com litotrícia laser Holmium através da colocação de uma baínha ureteral acima do infundíbulo estreitado tendo a doente ficado sem cálculos no final do procedimento. Torna-se importante, nos casos de litíase em rim em ferradura, pensar e adaptar as várias técnicas disponíveis para o tratamento da litíase renal e eleger aquela que, à partida, proporcionará uma maior taxa de sucesso com menos complicações.Associação Portuguesa de Urologia2019-01-19T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttps://doi.org/10.24915/aup.35.3-4.66oai:oai.actaurologicaportuguesa.com:article/66Acta Urológica Portuguesa; Vol. 35 No. 3-4 (2018): July-September; October-December; 33-36Acta Urológica Portuguesa; v. 35 n. 3-4 (2018): Julho-Setembro; Outubro-Dezembro; 33-362387-04192341-4022reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPporhttp://www.actaurologicaportuguesa.com/index.php/aup/article/view/66https://doi.org/10.24915/aup.35.3-4.66http://www.actaurologicaportuguesa.com/index.php/aup/article/view/66/45Copyright (c) 2018 Portuguese Association of Urologyinfo:eu-repo/semantics/openAccessNunes-Carneiro, DiogoOliveira, RuiCavadas, Vítor2022-09-21T09:04:46Zoai:oai.actaurologicaportuguesa.com:article/66Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T15:55:53.590519Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Urinary Stones in a Horseshoe Kidney with Ipsilateral Ureteral Reimplantation: Case Report Litíase em Rim em Ferradura em Doente com Ureter Reimplantado: A Propósito de um Caso Clínico |
title |
Urinary Stones in a Horseshoe Kidney with Ipsilateral Ureteral Reimplantation: Case Report |
spellingShingle |
Urinary Stones in a Horseshoe Kidney with Ipsilateral Ureteral Reimplantation: Case Report Nunes-Carneiro, Diogo Kidney/abnormalities Kidney Calculi Replantation Ureteral Obstruction Cálculos Renais Obstrução Ureteral Reimplante Rim/anomalias congénitas |
title_short |
Urinary Stones in a Horseshoe Kidney with Ipsilateral Ureteral Reimplantation: Case Report |
title_full |
Urinary Stones in a Horseshoe Kidney with Ipsilateral Ureteral Reimplantation: Case Report |
title_fullStr |
Urinary Stones in a Horseshoe Kidney with Ipsilateral Ureteral Reimplantation: Case Report |
title_full_unstemmed |
Urinary Stones in a Horseshoe Kidney with Ipsilateral Ureteral Reimplantation: Case Report |
title_sort |
Urinary Stones in a Horseshoe Kidney with Ipsilateral Ureteral Reimplantation: Case Report |
author |
Nunes-Carneiro, Diogo |
author_facet |
Nunes-Carneiro, Diogo Oliveira, Rui Cavadas, Vítor |
author_role |
author |
author2 |
Oliveira, Rui Cavadas, Vítor |
author2_role |
author author |
dc.contributor.author.fl_str_mv |
Nunes-Carneiro, Diogo Oliveira, Rui Cavadas, Vítor |
dc.subject.por.fl_str_mv |
Kidney/abnormalities Kidney Calculi Replantation Ureteral Obstruction Cálculos Renais Obstrução Ureteral Reimplante Rim/anomalias congénitas |
topic |
Kidney/abnormalities Kidney Calculi Replantation Ureteral Obstruction Cálculos Renais Obstrução Ureteral Reimplante Rim/anomalias congénitas |
description |
Horseshoe kidney is a common congenital renal anomaly and is often associated with urinary tract infections and renal calculi as a consequence of anatomical changes that impair the efficient drainage of the urine. The treatment of urinary stones in these cases becomes a challenge due to the underlying anatomical abnormalities requiring an adaptation of the techniques normally used for the treatment of renal lithiasis. We report the case of a 44-year-old woman with a past history of Cohen left ureteral reimplantation due to vesico-ureteral reflux in childhood and renal lithiasis. The patient had two 12 and 10 mm stones in the upper calix of the left hemi-kidney, with a narrow infundibulum. A flexible ureteroscopy with laser Holmium lithotripsy was performed by placement of a ureteral sheath over the narrowed infundibulum and the patient was left stone-free at the end of the procedure. It is important, in cases of horseshoe kidney stones, to think and adapt the various techniques available for the treatment of renal lithiasis, and to choose the one that will provide a higher success rate with fewer complications. |
publishDate |
2019 |
dc.date.none.fl_str_mv |
2019-01-19T00:00:00Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://doi.org/10.24915/aup.35.3-4.66 oai:oai.actaurologicaportuguesa.com:article/66 |
url |
https://doi.org/10.24915/aup.35.3-4.66 |
identifier_str_mv |
oai:oai.actaurologicaportuguesa.com:article/66 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
http://www.actaurologicaportuguesa.com/index.php/aup/article/view/66 https://doi.org/10.24915/aup.35.3-4.66 http://www.actaurologicaportuguesa.com/index.php/aup/article/view/66/45 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2018 Portuguese Association of Urology info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2018 Portuguese Association of Urology |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Associação Portuguesa de Urologia |
publisher.none.fl_str_mv |
Associação Portuguesa de Urologia |
dc.source.none.fl_str_mv |
Acta Urológica Portuguesa; Vol. 35 No. 3-4 (2018): July-September; October-December; 33-36 Acta Urológica Portuguesa; v. 35 n. 3-4 (2018): Julho-Setembro; Outubro-Dezembro; 33-36 2387-0419 2341-4022 reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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RCAAP |
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RCAAP |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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