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Importancia de considerar el sistema colector duplicado durante los procedimientos endoureterales de rutina: un
Mahdi Mottaghi1, Pranay Manda2, Ernest A Morton2
1Department of Urology, Duke University Medical Center, Durham, USA.
Cureus
|January 30, 2026
Resumen
Un sistema colector duplicado, una anomalía poco común del tracto urinario, se diagnosticó inesperadamente durante la colocación de un stent ureteral para la pielonefritis. Reconocer tales variaciones anatómicas es vital para el éxito de los procedimientos endoureterales y el manejo del paciente.
Área de la Ciencia:
- Urología; Imagen Médica; Anatomía
Sus antecedentes:
- La pielonefritis, a menudo causada por cálculos ureterales, puede presentarse con dolor abdominal, náuseas y vómitos.; Las pruebas de imagen diagnósticas estándar, como las tomografías computarizadas, no siempre pueden identificar todas las variaciones anatómicas del tracto urinario.
Objetivo del estudio:
- Destacar la importancia de reconocer las variaciones anatómicas durante los procedimientos endoureterales.; Enfatizar que las imágenes pueden pasar por alto anomalías sutiles como un sistema colector duplicado.
Principales métodos:
- Informe de caso de una mujer de 58 años con síntomas de pielonefritis.; TC abdominopélvica con contraste y evaluación de laboratorio para el diagnóstico inicial.; Diagnóstico de un sistema colector duplicado durante la colocación de un stent ureteral.
Principales resultados:
- La evaluación inicial sugirió pielonefritis secundaria a un cálculo ureteral distal.; La TC con contraste no reveló variaciones anatómicas significativas.; Se identificó un sistema colector duplicado intraoperatoriamente durante la colocación del stent ureteral.
Conclusiones:
- La concienciación sobre las posibles variantes anatómicas es crucial para los urólogos y los proveedores de atención médica que realizan procedimientos endoureterales.; Los hallazgos inesperados durante los procedimientos exigen una cuidadosa consideración de las anomalías congénitas para un manejo eficaz del paciente.
Palabras clave:
uréter bífido o doblenefrolitiasisobstrucción ureteralstents ureteralesanomalías urogenitalesMás Videos Relacionados
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