Obostrani trostruki pijelon
Sažetak
Uvod. Trostruki pijelon predstavlja izuzetno retku promenu sabirnog sistema bubrega. Koliko je autorima poznato, obostrani trostruki pijelon do sada nije opisan u literaturi. Prikaz bolesnika. Muškarac, star 55 godina, primljen je na bolničko lečenje zbog papilarnog tumora bešike viđenog tokom ultrazvučnog pregleda. Kao uzgredan nalaz, na intravenskoj urografiji viđen je i obostrani trostruki pijelon. Šest sedmica posle transuretralne resekcije tumora bešike (TURB) bolesnik je ponovo primljen radi planiranog drugog TURB. Kompjuterizovana tomografija-urografija potvrdila je postojanje obostranog trostrukog pijelona. Zaključak. Prikazan je jedinstveni slučaj obostranog trostrukog pijelona, kao izuzetno retka promena sabirnog sistema bubrega.
Reference
Dastgiri S, Stone DH, Le-Ha C, Gilmour WH. Prevalence and se-cular trend of congenital anomalies in Glasgow, UK. Arch Dis Child 2002; 86(4): 257−63.
Caiulo VA, Caiulo S, Gargasole C, Chiriacò G, Latini G, Cataldi L, et al. Ultrasound mass screening for congenital anomalies of the kidney and urinary tract. Pediatr Nephrol 2012; 27(6): 949−53.
Queisser-Luft A, Stolz G, Wiesel A, Schlaefer K, Spranger J. Malformations in newborn: results based on 30,940 infants and fetuses from the Mainz congenital birth defect monitoring system (1990-1998). Arch Gynecol Obstet 2002; 266(3): 163−7.
Bergman RA, Afifi AK, Miyauchi R. Illustrated Encyclopedia of human anatomic variation.Opus IV: Organ system: Urinary system: Kidneys, ureters, bladders and urethra. Available from: http://www.anatomyatlases.org/AnatomicVariants/OrganSystem/Text/UrinarySystem.shtml [accessed 2012 April].
Privett JT, Jeans WD, Roylance J. The incidence and importance of renal duplication. Clin Radiol 1976; 27(4): 521−30.
Anderson JK, Cadeddu JA. Surgical Anatomy of the Retroperitoneum, Adrenals, Kidneys, and Ureters. In: Wein AJ, editor. Campbell- Walsh Urology. 10th ed. Philadelphia: Saunders; 2012. p. 3−70.
Wein AJ, Kavoussi LR, Novick AC, Partin AW, Peters CA. Camp-bell-walsh Urology. 10th ed. Philadelphia: Saunders; 2012.
Glassberg KI, Braren V, Duckett JW, Jacobs EC, King LR, Lebowitz RL, et al. Suggested terminology for duplex systems, ectopic ureters and ureteroceles. J Urol 1984; 132(6): 1153−4.
Shapiro E, Bauer SB, Chow JS. Anomalies of the Upper Urinary Tract. In: Wein AJ, editor. Campbell-Walsh Urology. 10th ed. Philadelphia: Saunders; 2012. p. 3123−60.
di Giovanni V, Alday A, Chi L, Mishina Y, Rosenblum ND. Alk3 controls nephron number and androgen production via li-neage-specific effects in intermediate mesoderm. Development 2011; 138(13): 2717−27.
Park JM. Normal Development of the Genitourinary Tract. In: Wein AJ, editor. Campbell-Walsh Urology. 10th ed. Philadel-phia: Saunders; 2012. p. 2975−3001.
Hindryckx A, van Hoeck K, de Catte L. Embryology of the uro-genital tract and antenatal diagnosis of urinary tract malforma-tions. J Pédiatre Belge 2010; 12(2): 12−5.
Berry R, Harewood L, Pei L, Fisher M, Brownstein D, Ross A, et al. Esrrg functions in early branch generation of the ureteric bud and is essential for normal development of the renal papilla. Hum Mol Genet 2011; 20(5): 917−26.
Feilden FE. Kidney with Triple Pelvis. Proc R Soc Med 1929; 22(7): 924.
Sapin E, Kurzenne JY, Bargy F, Mayer M, Bienaymé J. Trifid pelvis and controlateral bifid ureter with bilateral ureteropelvic junc-tion obstruction. Eur Urol 1988; 15(1−2): 144−5.
Akkoc A, Yaðlý OF, Metin A, Eroðlu M, Kandýralý E. A case of trifid pelvis with ureteropelvic junction obstruction. Turkish J Urol 2011; 37: 272−4.
Kumar GA, Nerli RB, Devaraju S, Hiremath MB. A trifid pelvis in a patient with a solitary kidney with LUTS: An unusual presen-tation. J Sci Soc 2013; 40(3): 177−9.
