Alternative approach of a Fibroepithelial polyp
AUTOR(ES)
Pazeto, Cristiano Linck, Baccaglini, Willy, Lima, Thiago Fernandes Negris, Simões, Alexandre Gomes S., Glina, Sidney
FONTE
Int. braz j urol.
DATA DE PUBLICAÇÃO
2017-12
RESUMO
ABSTRACT A 41-year-old male presented at Emergency Department (ED) with right flank pain associated with hematuria for 3 days. Patient had a previous history of nephrolithiasis. The physical examination and blood tests were normal. Urine analyses showed haematuria > 1.000.000/μL. After clinical evaluation, a computer tomography (CT) showed right ureteral dilatation caused by a 5 mm proximal stone and a distal intraluminal mass of 8 cm in length. In this setting, an ureteroscopic biopsy was performed and revealed a large polypoid lesion histologically suggestive of fibroepithelial polyp. Due to technical difficulties (intraluminal mass length and technical issue for the passage of guidewire) and after discussing all available minimally invasive options, we opted for a laparoscopic approach. Instead of ureterectomy of the affected segment of the ureter, as classically performed, we proceeded with an ureterotomy, blunt dissection of the tumor and ureterolithotomy, with complete removal of the mass. This approach did not require ureteral anastomosis and the ureteral dilatation facilitated its primary closure. No complications occurred, even after 3 years of follow-up.
Documentos Relacionados
- Fibroepithelial polyp of the urethra
- Atypical presentation of fibroepithelial polyp: a report of two cases
- Fibroepithelial polyp of the ureter: the value of magnetic resonance imaging of the urinary tract in diagnosis and therapeutic planning
- An alternative approach to corneoscleral repair.
- Postoperative cardiac surgical care: an alternative approach