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Related Concept Videos

Urologic Endoscopic Procedure: Cystoscopic Examination01:28

Urologic Endoscopic Procedure: Cystoscopic Examination

Meaning of Cystoscopic Examination:Cystoscopy is an essential diagnostic tool in urology that is used to assess the structure and function of the genitourinary system. It provides a direct view of the urethra, bladder, and, in some cases, the ureteral openings. This procedure helps detect structural abnormalities, infections, cancers, and blockages in the urinary tract. There are two types of cystoscopy:Flexible cystoscopy is commonly performed in outpatient settings due to its less invasive...
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Ureters

The ureters are retroperitoneal tubes located on either side of the vertebral column. They are responsible for transporting urine from each kidney to the urinary bladder. These tubes have thick walls and are approximately 25-30 cm long. Their diameter is around 10 mm at the renal pelvis, gradually narrowing to 1 mm as the ureter obliquely enters the posterior bladder wall through the ureteric orifices. The shape of these orifices is slit-like, which helps to prevent urine backflow toward the...
Diverticular Disease of the Colon01:27

Diverticular Disease of the Colon

Diverticular disease involves the formation of diverticula—small sac-like outpouchings of the colonic wall—and their complications. It most commonly affects the sigmoid colon due to higher intraluminal pressure and structural vulnerability. It results from structural weakness and increased pressure in the colon, producing pseudodiverticula that may remain silent or progress to inflammation and serious complications.Structure of DiverticulaIn diverticulosis, these outpouchings are...
Urinary Tract Calculi II: Pathophysiology and Clinical Manifestations01:26

Urinary Tract Calculi II: Pathophysiology and Clinical Manifestations

Renal calculi, commonly termed kidney stones, are crystalline solid masses that form in the kidneys but can occur at any point within the urinary system, encompassing the kidneys, ureters, bladder, and urethra.The pathophysiology of renal stones involves several key factors: supersaturation of the urine with stone-forming constituents, changes in urine pH, a decrease in urine volume, and the presence of substances that promote or inhibit stone formation.Supersaturation of Urine: This is the...
Disorders of the Urinary System01:20

Disorders of the Urinary System

The urinary system is responsible for eliminating waste and excess fluids from the body. However, disorders of the urinary system can arise due to various reasons like infections, stress, age, congenital abnormalities, and lifestyle.
Urinary tract infections (UTIs) are one of the most common urinary system disorders. They are caused by bacteria that enter the urethra and can spread to the bladder resulting in cystitis. Pyelonephritis is the result of a UTI that has ascended to the level of the...
Urinary Tract Calculi VI: Surgical Management01:25

Urinary Tract Calculi VI: Surgical Management

Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...

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Transmesenteric Laparoscopic Pyeloplasty in Trendelenburg Position for Horseshoe Kidney with Hydronephrosis
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Bochdalek hernia with obstructive uropathy.

Young S Song1, Cameron Hassani, Peter M Nardi

  • 1Department of Radiology, Long Island College Hospital, Brooklyn, NY 11201, USA. yssong94@yahoo.com

Urology
|June 29, 2010
PubMed
Summary
This summary is machine-generated.

Bochdalek hernias, a type of diaphragmatic defect, can rarely affect the ureter. This case highlights how these hernias can lead to obstructive uropathy, a serious kidney condition.

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Assessing Urinary Tract Junction Obstruction Defects by Methylene Blue Dye Injection
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Published on: October 12, 2017

Area of Science:

  • Anatomy
  • Urology
  • Pediatric Surgery

Background:

  • Bochdalek hernias are congenital posteromedial diaphragmatic defects.
  • These hernias typically contain abdominal contents like peritoneal fat.
  • They often present asymptomatically, posing diagnostic challenges.

Observation:

  • A unique case of Bochdalek hernia involving the adjacent ureter is presented.
  • The ureteral involvement within the hernia defect was the primary observation.
  • This anatomical anomaly led to significant clinical consequences.

Findings:

  • The hernia sac directly impacted the ureter.
  • This impingement caused a functional obstruction of the urinary tract.
  • Obstructive uropathy was diagnosed as a direct result of the hernia.

Implications:

  • This case underscores the importance of considering genitourinary structures in diaphragmatic hernia assessment.
  • Early diagnosis and surgical intervention are crucial to prevent long-term renal damage.
  • Highlights a rare but significant complication of Bochdalek hernias.