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[Ureteral polyp in childhood: a case report].
Hinyokika Kiyo. Acta Urologica Japonica
|January 1, 1983
Summary
A benign fibrous polyp caused left flank pain and hydronephrosis in an 8-year-old boy. Surgical repair was successful, with no recurrence after one year, highlighting a rare pediatric ureteral condition.
Area of Science:
- Pediatric Urology
- Surgical Pathology
Background:
- Ureteral polyps are rare, particularly in children, often presenting with obstructive symptoms.
- This case highlights a pediatric patient with flank pain due to a pelviureteric junction obstruction.
Observation:
- An 8-year-old boy presented with left flank pain and left hydronephrosis on excretory urography.
- Imaging revealed a filling defect at the pelviureteric junction, indicative of an obstruction.
Findings:
- Surgical exploration identified a polypoid lesion and ureteric stenosis at the pelviureteric junction.
- Pathological diagnosis confirmed a benign fibrous polyp of the ureter.
- Dismembered pyeloplasty successfully treated the obstruction, with no recurrence at one-year follow-up.
Implications:
- Benign fibrous polyps can cause significant urinary tract obstruction in children.
- Early diagnosis and surgical intervention, such as pyeloplasty, lead to favorable outcomes.
- This case contributes to understanding the presentation and management of pediatric ureteral polyps.