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Pelvic lipomatosis with ureteral calculi managed by flexible ureteroscopy: A case report
RATIONALE: Pelvic lipomatosis (PL) is a benign disease characterized by overgrowth of adipose tissue in pelvic space. Hydronephrosis and ureterectasis are common complications caused by PL in urinary system. But PL accompanied with upper urinary tract calculi is rare. Also there has been no report o...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Wolters Kluwer Health
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6358402/ https://www.ncbi.nlm.nih.gov/pubmed/30681625 http://dx.doi.org/10.1097/MD.0000000000014265 |
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author | Yang, Lei Tang, Wei |
author_facet | Yang, Lei Tang, Wei |
author_sort | Yang, Lei |
collection | PubMed |
description | RATIONALE: Pelvic lipomatosis (PL) is a benign disease characterized by overgrowth of adipose tissue in pelvic space. Hydronephrosis and ureterectasis are common complications caused by PL in urinary system. But PL accompanied with upper urinary tract calculi is rare. Also there has been no report of PL with ureteral calculi managed by flexible ureteroscopy (fURS). PATIENT CONCERNS: A 62-year-old man who has been diagnosed of PL was found to have a right-side ureteral calculi by ultrasound in the routine health examination. In addition, the patient has a history of open surgery of uretero-vesical reimplantation in the left side 13 years ago because of heavy hydronephrosis in the left side. DIAGNOSES: The diagnosis was PL with ureteral calculi in the right side and heavy hydronephrosis in the left side. INTERVENTIONS: FURS was performed to remove the right ureteral calculi. OUTCOMES: A follow-up of 1 year showed that there was no progression of the hydronephrosis in right side and serum creatinine was stable. LESSONS: FURS is a suitable option for the upper urinary tract calculi accompanied with anatomical abnormality such as horseshoe kidney, pelvic ectopic kidney and so on. For patient of PL accompanied with upper urinary tract calculi, fURS is suitable and indicated. |
format | Online Article Text |
id | pubmed-6358402 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Wolters Kluwer Health |
record_format | MEDLINE/PubMed |
spelling | pubmed-63584022019-02-15 Pelvic lipomatosis with ureteral calculi managed by flexible ureteroscopy: A case report Yang, Lei Tang, Wei Medicine (Baltimore) Research Article RATIONALE: Pelvic lipomatosis (PL) is a benign disease characterized by overgrowth of adipose tissue in pelvic space. Hydronephrosis and ureterectasis are common complications caused by PL in urinary system. But PL accompanied with upper urinary tract calculi is rare. Also there has been no report of PL with ureteral calculi managed by flexible ureteroscopy (fURS). PATIENT CONCERNS: A 62-year-old man who has been diagnosed of PL was found to have a right-side ureteral calculi by ultrasound in the routine health examination. In addition, the patient has a history of open surgery of uretero-vesical reimplantation in the left side 13 years ago because of heavy hydronephrosis in the left side. DIAGNOSES: The diagnosis was PL with ureteral calculi in the right side and heavy hydronephrosis in the left side. INTERVENTIONS: FURS was performed to remove the right ureteral calculi. OUTCOMES: A follow-up of 1 year showed that there was no progression of the hydronephrosis in right side and serum creatinine was stable. LESSONS: FURS is a suitable option for the upper urinary tract calculi accompanied with anatomical abnormality such as horseshoe kidney, pelvic ectopic kidney and so on. For patient of PL accompanied with upper urinary tract calculi, fURS is suitable and indicated. Wolters Kluwer Health 2019-01-25 /pmc/articles/PMC6358402/ /pubmed/30681625 http://dx.doi.org/10.1097/MD.0000000000014265 Text en Copyright © 2019 the Author(s). Published by Wolters Kluwer Health, Inc. http://creativecommons.org/licenses/by-nc/4.0 This is an open access article distributed under the terms of the Creative Commons Attribution-Non Commercial License 4.0 (CCBY-NC), where it is permissible to download, share, remix, transform, and buildup the work provided it is properly cited. The work cannot be used commercially without permission from the journal. http://creativecommons.org/licenses/by-nc/4.0 |
spellingShingle | Research Article Yang, Lei Tang, Wei Pelvic lipomatosis with ureteral calculi managed by flexible ureteroscopy: A case report |
title | Pelvic lipomatosis with ureteral calculi managed by flexible ureteroscopy: A case report |
title_full | Pelvic lipomatosis with ureteral calculi managed by flexible ureteroscopy: A case report |
title_fullStr | Pelvic lipomatosis with ureteral calculi managed by flexible ureteroscopy: A case report |
title_full_unstemmed | Pelvic lipomatosis with ureteral calculi managed by flexible ureteroscopy: A case report |
title_short | Pelvic lipomatosis with ureteral calculi managed by flexible ureteroscopy: A case report |
title_sort | pelvic lipomatosis with ureteral calculi managed by flexible ureteroscopy: a case report |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6358402/ https://www.ncbi.nlm.nih.gov/pubmed/30681625 http://dx.doi.org/10.1097/MD.0000000000014265 |
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