Obstrução da junção pieloureteral por pólipos fibroepiteliais em idade pediátrica
DOI:
https://doi.org/10.24915/aup.33.3.37Palavras-chave:
Pólipos fibroepiteliais, Obstrução da junção pieloureteral, Hidronefrose, Tumores benignosResumo
Introdução
Os pólipos fibroepiteliais do ureter são tumores benignos de origem mesodérmica extremamente raros em idade pediátrica, que podem causar obstrução da junção pieloureteral (JPU).
Caso clínico
Os autores apresentam o caso de um doente do sexo masculino, de 11 anos de idade, referenciado por dor no flanco esquerdo intermitente associada a hidronefrose esquerda. Intraoperatoriamente, constatou‐se a obstrução do lúmen ureteral provocada pela presença de pólipos fibroepiteliais ao nível da JPU.
Discussão
O tratamento standard consiste na ressecção do segmento ureteral afetado, seguida de pieloplastia desmembrada, por via aberta ou laparoscópica. O prognóstico é excelente.
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Referências
1. Adey GS, Vargas SO, Retik AB, Borer JC, Mandell J, Hendren WH, et al. Fibroepithelial polyps causing ureteropelvic junction obstruction in children. J Urol. 2003;169:1834-6.
2. Stuppler SA, Kandzari SJ. Fibroepithelial polyps of the ureter. A benign ureteral tumor. Urology. 1975;5:553-8.
3. Musselman P, Kay R. The spectrum of urinary tract fibroepithelial polyps in children. J Urol. 1986;136:476-7.
4. Galifer RB, Aubert D, Couture A, Veyrac C, Barneon C, Kötter R. Fibrous epithelial polyps of the pyelo-ureteral junction in children. Presentation of 3 cases and review of the literature (33 cases). Chir Pediatr. 1988;29:318-24.
5. Niu ZB, Yang Y, Hou Y. Ureteral polyps: An etiological factor of hydronephrosis in children that should not be ignored. Pediatr Surg Int. 2007;23:323-6.
6. Karaca I, Sencan A, Mir E, Sayan A, Ortac¸ R. Ureteral fibroepithelial polyps in children. Pediatr Surg Int. 1997;12:603-4.
7. Casser Delia E, Joseph VT, Sherwood W. Fibroepithelial polyps causing ureteropelvic junction obstruction in children – A case report and review article. Eur J Pediatric Surg. 2007;17:142-6.
8. Li WM, Wu WJ, Ke HL, Chai CY, Chou YH, Huang CH. Fibroepithelial polyps causing ureteropelvic junction obstruction in a child. Kaohsiung J Med Sci. 2005;21:282-5.
9. Macksood MJ, Roth DR, Chang CH, Perlmutter AD. Benign fibroepithelial polyps as a cause of intermittent ureteropelvic junction obstruction in a child: A case report and review of the literature. J Urol. 1985;134:951-2.
10. Wang XM, Jia LQ, Wang Y, Wang N. Utilizing ultrasonography in the diagnosis of pediatric fibroepithelial polyps causing ureteropelvic junction obstruction. Pediatr Radiol. 2012;42:1107-11.
11. Iwatsuki S, Kojima Y, Mizuno K, Tozawa K, Kohri K, Hayashi Y. Laparoscopic management for fibroepithelial polyp causing ureteropelvic junction obstruction in a child. J Urology. 2009, 12.062.
12. Sharma NK, Stephenson RN, Tolley DA. Endoscopic management of fibroepithelial polyps in the ureter. Br J Urol. 1996;78:131-2.
2. Stuppler SA, Kandzari SJ. Fibroepithelial polyps of the ureter. A benign ureteral tumor. Urology. 1975;5:553-8.
3. Musselman P, Kay R. The spectrum of urinary tract fibroepithelial polyps in children. J Urol. 1986;136:476-7.
4. Galifer RB, Aubert D, Couture A, Veyrac C, Barneon C, Kötter R. Fibrous epithelial polyps of the pyelo-ureteral junction in children. Presentation of 3 cases and review of the literature (33 cases). Chir Pediatr. 1988;29:318-24.
5. Niu ZB, Yang Y, Hou Y. Ureteral polyps: An etiological factor of hydronephrosis in children that should not be ignored. Pediatr Surg Int. 2007;23:323-6.
6. Karaca I, Sencan A, Mir E, Sayan A, Ortac¸ R. Ureteral fibroepithelial polyps in children. Pediatr Surg Int. 1997;12:603-4.
7. Casser Delia E, Joseph VT, Sherwood W. Fibroepithelial polyps causing ureteropelvic junction obstruction in children – A case report and review article. Eur J Pediatric Surg. 2007;17:142-6.
8. Li WM, Wu WJ, Ke HL, Chai CY, Chou YH, Huang CH. Fibroepithelial polyps causing ureteropelvic junction obstruction in a child. Kaohsiung J Med Sci. 2005;21:282-5.
9. Macksood MJ, Roth DR, Chang CH, Perlmutter AD. Benign fibroepithelial polyps as a cause of intermittent ureteropelvic junction obstruction in a child: A case report and review of the literature. J Urol. 1985;134:951-2.
10. Wang XM, Jia LQ, Wang Y, Wang N. Utilizing ultrasonography in the diagnosis of pediatric fibroepithelial polyps causing ureteropelvic junction obstruction. Pediatr Radiol. 2012;42:1107-11.
11. Iwatsuki S, Kojima Y, Mizuno K, Tozawa K, Kohri K, Hayashi Y. Laparoscopic management for fibroepithelial polyp causing ureteropelvic junction obstruction in a child. J Urology. 2009, 12.062.
12. Sharma NK, Stephenson RN, Tolley DA. Endoscopic management of fibroepithelial polyps in the ureter. Br J Urol. 1996;78:131-2.
