Cases reported "Ureteral Diseases"

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1/7. Bilateral ureteric replacement with ileum.

    In connection with a report of a case, authors discuss in outline the possibilities of ureter replacement. If both the ureters are injured, they can be substituted with one single segment of the intestine, as it happened in their case. Authors raise the idea that a longer segment of the intestine used for substitution provides sufficient capacity and isoperistaltic function, and this may protect from the negative effects of possible vesicoileal reflux. In this case, the reflux does not spread to the kidneys even if the ureteroileal was not made with anti-reflux technique.
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2/7. Endovascular stent graft for management of ureteroarterial fistula after orthotopic bladder substitution.

    We describe the first case of an ureteroarterial fistula developing after orthotopic neobladder substitution and its minimally invasive management using endovascular stent grafting. We outline the risk factors for the development of ureteroarterial fistulae and trace the evolution of diagnostic and therapeutic modalities used in the management of these life-threatening complications. Minimally invasive management with endovascular stent grafting and exclusion of two pseudoaneurysms in the iliac artery system was performed successfully. After successful endovascular exclusion of two pseudoaneurysms, the patient's hematuria resolved and he recovered fully. Three-dimensional computed tomography performed 3 months later documented a patent aortoiliac arterial system without evidence of pseudoaneurysm or endovascular leak. Ureteroarterial fistula after orthotopic bladder substitution was managed with an endovascular stent graft without the need for extra-anatomical vascular bypass. Early recognition, stabilization, and angiographic evaluation followed by this minimally invasive technique may avoid open operative repair and attendant morbidity.
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3/7. Giant hydroureteronephrosis. Case report and review of the literature.

    A case of giant hydroureteronephrosis in a man is reported. Diagnostic evaluation included ultrasound, urethrocystoscopy and percutaneous puncture to assess the outline of the urinary tract and to locate a suspected ectopic ureteral orifice. Standard treatment usually consists of primary nephroureterectomy. A review of the literature with respect to etiology, diagnostic criteria and treatment modalities is presented.
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4/7. Operative treatment of megaureter in adults.

    After a general outline of ideas about surgery of the megaureter, the author presents one-year postoperative results for 3 adult patients with megaureter, operated on by Prof. Hardy Hendren during his visit to Warsaw. The tapering of the ureters and reimplantation were done in all 3 cases. Though the presented material is too small to draw a definite conclusion, the results obtained in adults by a world-renowned specialist of surgery of megaureter in children can be helpful in the choice of a line of conduct in this difficult urological problem.
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5/7. Ureterouterine fistula as a complication of elective abortion.

    A rare case of ureterouterine fistula following a uterine curettage for elective abortion is presented. review of the literature and management of the present case outlines two different methods of managment of this complication of surgery. attention is called to the possibility of this complication occurring following uterine curettage for elective abortion.
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6/7. Ureteric hemorrhage in hemophilia with rapid healing.

    A rapidly regressing ureteric hemorrhage, probably intramural, in a 14-year-old hemophiliac, is demonstrated by two closely sequential intravenous urograms. In the presence of hematuria, the intravenous urogrom outlines both the complications of hemophilia and their evolution, often directing therapy, and identifies concurrent disease.
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7/7. Bilateral ureteral involvement in polyarteritis nodosa.

    A case of polyarteritis nodosa with bilateral ureteral changes in IVU is reported, because of the rarity of ureteric involvement in this entity. The urographic findings were unilateral ureteral stricture with hydronephrosis and irregular ureter outlines bilaterally. All lesions subsided after treatment.
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