Medicine · 2025
Laparoscopic treatment of triple ureteral with ureteral calculus: A case report.
СтатьяКлинический случайНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Yang Longyuhe, Hu Xuanfan, Wang Yueqiang, Ma Zhen, Tian Yu, Zhao Yunliang, Yang Jianbing, Zhang Zhigang, Lu Qiuyi
Аннотация
RATIONALE: Ureteral triplication (UT) is a rare congenital urinary tract anomaly, with approximately 100 cases reported globally, arising from abnormal branching of the ureteric bud during embryogenesis.
PATIENT CONCERNS: A 48-year-old male presented with recurrent left flank and abdominal pain for 3 years, worsening over the past year, accompanied by gross hematuria and purulent urine, suggesting urinary tract infection and obstruction.
DIAGNOSES: Computed tomography urography and cystoscopy confirmed left-sided ureteral triplication, with 1 malformed ureter containing a calculus and proximally occluded, and another merging with the normal ureter.
INTERVENTIONS: Laparoscopic surgery was performed to excise 2 malformed ureters (1 opening into the prostate and the other merging with the normal ureter), followed by reconstruction of the normal ureter and intraoperative placement of a double-J stent.
OUTCOMES: Postoperatively, no urinary leakage or infection occurred. Three-month follow-up demonstrated patent ureters, resolution of symptoms, and computed tomography urography-confirmed anatomical restoration.
LESSONS: Laparoscopic management is effective for complex ureteral anomalies, offering minimal invasiveness and rapid recovery. Individualized surgical strategies are critical for optimizing patient outcomes.
PATIENT CONCERNS: A 48-year-old male presented with recurrent left flank and abdominal pain for 3 years, worsening over the past year, accompanied by gross hematuria and purulent urine, suggesting urinary tract infection and obstruction.
DIAGNOSES: Computed tomography urography and cystoscopy confirmed left-sided ureteral triplication, with 1 malformed ureter containing a calculus and proximally occluded, and another merging with the normal ureter.
INTERVENTIONS: Laparoscopic surgery was performed to excise 2 malformed ureters (1 opening into the prostate and the other merging with the normal ureter), followed by reconstruction of the normal ureter and intraoperative placement of a double-J stent.
OUTCOMES: Postoperatively, no urinary leakage or infection occurred. Three-month follow-up demonstrated patent ureters, resolution of symptoms, and computed tomography urography-confirmed anatomical restoration.
LESSONS: Laparoscopic management is effective for complex ureteral anomalies, offering minimal invasiveness and rapid recovery. Individualized surgical strategies are critical for optimizing patient outcomes.