- Türkiye Çocuk Hastalıkları Dergisi
- Vol: 17 Issue: 3
- Unusual surgical treatment option for an uncommon disease: Ureterocutaneostomy in an emphysemateous ...
Unusual surgical treatment option for an uncommon disease: Ureterocutaneostomy in an emphysemateous pyelonephritis patient.
Authors : Günay Ekberli, Sevgin Taner, Nevzat Şener
Pages : 253-255
Doi:10.12956/tchd.1198673
View : 79 | Download : 131
Publication Date : 2023-05-29
Article Type : Research Article
Abstract :Emphysematous pyelonephritis (EPN) is severe necrotising inflammation of renal parenchyma. Because of the devastating consequences of the pathology aggressive treatment can prevent permanent renal damage. Fifteen-year-old-girl patient without medical follow-up applied to emergency room with fever and vomiting. Computed Tomography (CT) revealed EPN. After diagnostic procedure minimal invasive procedures like double J catheter and nephrostomy tube insertion failed. While taking into account family’s treatment and medical follow-up compliance, also severe dilatation in both ureters made bilateral ureterocutaneostomy (UC) to be considered as a feasible option. UC creation can be thought as a safe and effective alternative surgical procedure. Pediatric neurogenic bladder (NB) population incompatible to treatment and follow-up are candidates for EPN development. We also believe that UC can be beneficial in terms of acute and long-term management of EPN in NB patients who the clinician thinks will not be compatible with complex surgical intervention, follow-up and treatment.Keywords : amfizematöz piyelonefrit, nörojen mesane, çocuk