[Complications of pyelo-ureteral duplications in children and their surgical treatment. Apropos of 69 cases (78 pathogenic duplications)].
The authors report their experience on the surgical treatment of 69 infants and children with pyelo-ureteral duplication. Urinary infection was the main revealing symptom (52 cases). Vesico-ureteral reflux was the major associated anomaly (39 cases) involving most often the lower pole ureter; the surgical correction of the reflux was performed according to the technique of Cohen with a favorable outcome in all cases. Because of poorly functioning and dysplastic upper renal segment, partial upper pole nephrectomy was performed in 8 among 12 cases of associated ectopic ureteral orifice and in 9 among 15 cases of associated ureterocele. A reimplantation of the ureter was made possible in 3 cases of ectopic ureteral orifice and in 5 cases of ureterocele with little corresponding renal lesions. With the experience of one neonate who died from septic shock following partial nephrectomy there were no other post-operative complications in this series.
D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D006869:Hydronephrosis / Q000150:complications / Q000601:surgery; D007223:Infant; D007231:Infant, Newborn; D007682:Kidney Pelvis / Q000002:abnormalities* / Q000000981:diagnostic imaging; D008297:Male; D011704:Pyelonephritis / Q000000981:diagnostic imaging; D011859:Radiography; D014513:Ureter / Q000002:abnormalities* / Q000601:surgery; D014518:Ureterocele / Q000150:complications / Q000601:surgery; D014718:Vesico-Ureteral Reflux / Q000209:etiology / Q000628:therapy
Les complications des duplicités pyélo-urétérales chez l'enfant et leur traitement chirurgical. A propos de 69 observations (78 duplicités pathogènes).