Erişkinde iki taraflı primer reflüksif ve obstrüktif olmayan megaüreter: Çok nadir bir olgu

Yıl 2017, Cilt: 14 Sayı: 1, 65 - 70, 28.04.2017

İbrahim Keleş , Mustafa Karalar , Nazan Okur , Emre Kacar Yiğit Akın , Mutlu Ateş

Öz

Reflüksif ve obstrüktif olmayan megaürter genellikle yeni doğanlarda teşhis edilir. Yetişkinlerde
çok nadirdir. Bu olgu sunumunda makroskopik hematüri ile başvuran 45 yaşındaki bir erkek hasta
sunuldu. Klinik değerlendirmelerden sonra primer reflüksif ve obstrüktif olmayan megaüreter
teşhisi kondu. Buna ek olarak, bu çok ender vaka eşliğinde mevcut literatürü gözden geçirdik. 

Anahtar Kelimeler

Erişkin, Üreter, Vezikoüreteral reflü, Üreteral obsrüksion

Primary bilateral non-refluxing non-obstructive megaureter in an adult: An extremely rare case

Öz

Non-refluxing and non-obstructive megaureter is usually diagnosed in neonates. It is very rare in
adults. Herein we presented a 45 year-old man with macroscopic hematuria. He was diagnosed
primary non-refluxing non-obstructive megaureter after clinical evaluations. In addition we
reviewed current literature in the light of this very rare condition.

Anahtar Kelimeler

: Adults, Ureter, Vesico Ureteral Reflux, Ureteral Obstruction

Kaynakça

• 1. Hodges SJ, Werle D, McLorie G, Atala A: Megaureter. Scientific World Journal 2010 (Apr 13); 10: 603-612. 2. Brown T. Mandell J. Lebowitz RL: Neonatal hydronephrosis in the era of sonography. AJR AM J Roentgenol 1987; 148(5) : 959- 963. 3. Caulk JR: Megaureter:the importance of the ureterovesical valve. J Urol 1923; 9 (2): 315-319. 4. Smith ED, Cussen LJ, Glenn J: Report of working party to establish an international nomenclature for the large ureter. Birth Defects Orig Artic Ser 1977; 13 (5): 3-8. 5. Simoni F, Vino L, Pizzini C, Benini D, Fanos V: Megaureter: classification, pathophysiology, and management. Pediatr Med Chir 2000; 22 (1): 15-24. 6. Baskin LS, Zderic SA, Snyder HM: Primary dilated megaureter: long term follow up. J Urol 1994; 152 (2 Pt 2): 618-621. 7. Rickwood AM, Jee LD, Williams MP, Anderson PA: Natural history of obstructed and pseudoobstructed megaureters detected by prenatal ultrasonography. Br J Urol 1992; 70 (3): 322-325. 8. Türkölmez S, Ors D, Korkmaz M: Megaureter visualization on Tc-99m DMSA scintigraphy. Ann Nucl Med 2005; 19 (5): 421-423. 9. Hamilton S, Fitzpatrick JM: Primary non-obstructive megaureter in adults. Clin Radiol 1987; 38 (2): 181-185. 10. Fraser L, Khan MH, Ross M, Patterson PJ: Rare case of nonrefluxingnonobstructivemegaureter in an adult. Int Urol Nep