Robot-assisted excision of partially obstructing ureteral fibroepithelial polyp in a child: A case report and review of the literature
Background: Fibroepithelial polyps are benign tumors located in the upper ureter and ureteropelvic junction. Given their location in rare cases they can cause hydronephrosis. Clinically and radiologically, it is difficult to distinguish them from ureteropelvic junction obstruction. Case report: A 6-...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2022-09-01
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| Series: | Journal of Pediatric Surgery Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2213576622002202 |
| _version_ | 1798038170292453376 |
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| author | Edoardo Bindi Fabiano Nino Taisia Bollettini Elisa Chiarella Giovanni Cobellis |
| author_facet | Edoardo Bindi Fabiano Nino Taisia Bollettini Elisa Chiarella Giovanni Cobellis |
| author_sort | Edoardo Bindi |
| collection | DOAJ |
| description | Background: Fibroepithelial polyps are benign tumors located in the upper ureter and ureteropelvic junction. Given their location in rare cases they can cause hydronephrosis. Clinically and radiologically, it is difficult to distinguish them from ureteropelvic junction obstruction. Case report: A 6-years boy was admitted with intermittent left flank pain. An ultrasound revealed a III degree hydronephrosis, confirmed by an MR examination which highlighted an obstruction at the level of the middle tract of the ureter. We performed a robotic intervention. During surgery the presence of ureteral polyp was evident as the cause of the obstruction. An end-to-end uretero-ureteral anastomosis was performed. Conclusion: Ureteral polyps were mainly reported in adults, but recently several series revealed higher incidence among pediatric patients. Diagnosis of ureteral polyps is challenging, but even without a definite diagnosis, the best strategy is that of a robotic approach similar to that of the pathologies of the ureteropelvic junction. |
| first_indexed | 2024-04-11T21:36:34Z |
| format | Article |
| id | doaj.art-609cbce4aa404c838ed8e6745d8fcda1 |
| institution | Directory Open Access Journal |
| issn | 2213-5766 |
| language | English |
| last_indexed | 2024-04-11T21:36:34Z |
| publishDate | 2022-09-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Pediatric Surgery Case Reports |
| spelling | doaj.art-609cbce4aa404c838ed8e6745d8fcda12022-12-22T04:01:44ZengElsevierJournal of Pediatric Surgery Case Reports2213-57662022-09-0184102393Robot-assisted excision of partially obstructing ureteral fibroepithelial polyp in a child: A case report and review of the literatureEdoardo Bindi0Fabiano Nino1Taisia Bollettini2Elisa Chiarella3Giovanni Cobellis4Pediatric Surgery Unit, Salesi Children's Hospital, Ancona, Italy; Corresponding author. Pediatric Surgery Unit, Salesi Children's Hospital, Via F. Corridoni 11, 60123, Ancona, Italy.Pediatric Surgery Unit, Salesi Children's Hospital, Ancona, ItalyPediatric Surgery Unit, Salesi Children's Hospital, Ancona, ItalyPediatric Surgery Unit, Salesi Children's Hospital, Ancona, ItalyPediatric Surgery Unit, Salesi Children's Hospital, Ancona, Italy; Università Politecnica of Marche, Ancona, ItalyBackground: Fibroepithelial polyps are benign tumors located in the upper ureter and ureteropelvic junction. Given their location in rare cases they can cause hydronephrosis. Clinically and radiologically, it is difficult to distinguish them from ureteropelvic junction obstruction. Case report: A 6-years boy was admitted with intermittent left flank pain. An ultrasound revealed a III degree hydronephrosis, confirmed by an MR examination which highlighted an obstruction at the level of the middle tract of the ureter. We performed a robotic intervention. During surgery the presence of ureteral polyp was evident as the cause of the obstruction. An end-to-end uretero-ureteral anastomosis was performed. Conclusion: Ureteral polyps were mainly reported in adults, but recently several series revealed higher incidence among pediatric patients. Diagnosis of ureteral polyps is challenging, but even without a definite diagnosis, the best strategy is that of a robotic approach similar to that of the pathologies of the ureteropelvic junction.http://www.sciencedirect.com/science/article/pii/S2213576622002202Fibroepithelial polypUreteral obstructionMinimally invasive surgeryRobot-assisted surgeryPediatric urology |
| spellingShingle | Edoardo Bindi Fabiano Nino Taisia Bollettini Elisa Chiarella Giovanni Cobellis Robot-assisted excision of partially obstructing ureteral fibroepithelial polyp in a child: A case report and review of the literature Journal of Pediatric Surgery Case Reports Fibroepithelial polyp Ureteral obstruction Minimally invasive surgery Robot-assisted surgery Pediatric urology |
| title | Robot-assisted excision of partially obstructing ureteral fibroepithelial polyp in a child: A case report and review of the literature |
| title_full | Robot-assisted excision of partially obstructing ureteral fibroepithelial polyp in a child: A case report and review of the literature |
| title_fullStr | Robot-assisted excision of partially obstructing ureteral fibroepithelial polyp in a child: A case report and review of the literature |
| title_full_unstemmed | Robot-assisted excision of partially obstructing ureteral fibroepithelial polyp in a child: A case report and review of the literature |
| title_short | Robot-assisted excision of partially obstructing ureteral fibroepithelial polyp in a child: A case report and review of the literature |
| title_sort | robot assisted excision of partially obstructing ureteral fibroepithelial polyp in a child a case report and review of the literature |
| topic | Fibroepithelial polyp Ureteral obstruction Minimally invasive surgery Robot-assisted surgery Pediatric urology |
| url | http://www.sciencedirect.com/science/article/pii/S2213576622002202 |
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