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2018 | 18 | 74 | 255–264
Article title

TRUS-guided drainage of the ectopic ureter entering the prostatic urethra and TRUS-guided transurethral neo-orifice formation using holmium laser

Content
Title variants
PL
Drenaż pod kontrolą TRUS moczowodu uchodzącego ektopowo do cewki sterczowej oraz przezcewkowe wytworzenie nowego ujścia tego moczowodu laserem holmowym pod kontrolą TRUS
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EN PL
Abstracts
EN
A fifty-nine year-old male was hospitalized for exacerbation of chronic pancreatitis. As a gigantic cyst of the pancreatic tail was identified, it was fused with the jejunal loop. Due to persistent fever and severe symptoms in the storage and voiding phases, the patient was referred to a urologist. Because transrectal ultrasound examination revealed a fluid collection resembling the left seminal vesicle filled with purulent material, a transrectal puncture procedure was performed. The analysis of computed tomography scans led to the diagnosis of duplicated collecting system of the left kidney with the enormous ureter of the upper moiety that entered the prostate gland. In order to permanently decompress the hydronephrosed upper moiety of the left kidney, the patient was deemed eligible for endoscopic treatment. A transurethral incision through the bladder wall and the adjacent segment of the ectopic ureter was made with holmium laser under transrectal ultrasonography guidance, thus creating a neo-orifice of this ureter.
PL
Pięćdziesięciodziewięcioletni mężczyzna został hospitalizowany z powodu zaostrzenia przewlekłego zapalenia trzustki. Rozpoznawszy olbrzymią torbiel ogona trzustki, dokonano jej zespolenia z pętlą jelita czczego. Ze względu na uporczywą gorączkę i nasilone objawy w fazie napełniania i wydalania moczu pacjent został skierowany na konsultację urologiczną. Ponieważ w przezodbytniczym badaniu ultrasonograficznym rozpoznano zbiornik płynowy przypominający pęcherzyk nasienny lewy wypełniony ropną treścią, dokonano jego punkcji z dostępu przezodbytniczego. Analiza obrazów tomografii komputerowej pozwoliła rozpoznać zdwojenie układu kielichowo-miedniczkowego nerki lewej z olbrzymim moczowodem górnego segmentu uchodzącym do stercza. W celu trwałego odbarczenia wodonerczowego segmentu górnego nerki lewej zakwalifikowano pacjenta do leczenia endoskopowego. Pod kontrolą przezodbytniczego badania ultrasonograficznego, przy użyciu lasera holmowego, dokonano przezcewkowego nacięcia przez ścianę pęcherza i przylegającego odcinka moczowodu ektopowego, wytwarzając nowe ujście moczowodu.
Discipline
Publisher

Year
Volume
18
Issue
74
Pages
255–264
Physical description
Contributors
  • Department of General and Transplant Surgery and Nutritional Treatment, Medical University of Lublin, Poland; Department of Urology, St. John of Dukla Center of Oncology of the Lublin Region, Lublin, Poland
author
  • Department of Radiology, 1st Military Hospital, Lublin, Poland
author
  • Department of Radiology, 1st Military Hospital, Lublin, Poland
  • Department of General and Transplant Surgery and Nutritional Treatment, Medical University of Lublin, Poland
  • Department of General and Transplant Surgery and Nutritional Treatment, Medical University of Lublin, Poland
References
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Document Type
article
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YADDA identifier
bwmeta1.element.psjd-592c9829-be1c-4c4c-9592-bcec75bf9400
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