Giant ureteral polyps causing proximal ureter obstruction: emphasis on the surgical method and ureteroscopy

Abstract We describe here the case of a 13-year-old boy who had right flank pain for 3 months. An intravenous pyelogram showed filling defects in the right upper part of the ureter as well as hydronephrosis. Because the diseased part of the ureter was about 5 cm in length and we wished to avoid shor...

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Bibliographic Details
Published in:Journal of pediatric surgery 2011-11, Vol.46 (11), p.e11-e15
Main Authors: Ji, Young Hwan, Cheon, Sang Hyeon, Lee, Hunjoo, Moon, Kyung Hyun, Choi, Hye Jeong, Kim, Young Min, Park, Seonghun, Park, Sungchan
Format: Article
Language:English
Subjects:
Adolescent
Anastomosis, Surgical
Carcinoma, Transitional Cell - diagnosis
Child
Diagnosis, Differential
Flank Pain - etiology
Humans
Hydronephrosis
Hydronephrosis - etiology
Male
Pediatrics
Polyp
Polyps - complications
Polyps - diagnostic imaging
Polyps - surgery
Radiography
Surgery
Ureter
Ureter - surgery
Ureteral Neoplasms - complications
Ureteral Neoplasms - diagnostic imaging
Ureteral Neoplasms - surgery
Ureteral Obstruction - etiology
Ureteroscopy
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Summary:Abstract We describe here the case of a 13-year-old boy who had right flank pain for 3 months. An intravenous pyelogram showed filling defects in the right upper part of the ureter as well as hydronephrosis. Because the diseased part of the ureter was about 5 cm in length and we wished to avoid short ureter after surgery, we performed a minimal segmental resection of the ureter including the entire stalk. Perioperative ureteroscopic examination showed another polyp 3 cm below the primary polyp, which was also removed. End-to-end ureteral anastomosis was performed without mobilization of the kidney. Frozen and formal microscopic examination showed that these polyps were fibroepithelial.
ISSN:0022-3468
1531-5037
DOI:10.1016/j.jpedsurg.2011.06.038