Geç Tanı Alan Anterior Üretral Valv Olgu Sunumu

Year 2022, , 148 - 150, 09.09.2022

Emre Soyer , Mehtap Çelakıl

https://doi.org/10.26650/jchild.2022.1074236

Abstract

Alt üriner sistemde darlığa yol açarak obstrüktif üropatiye neden olan patolojilerin başında konjenital anomaliler gelmektedir. Bu bozukluklardan anterior üretral valv (AUV), nadiren görülmekte ve klinisyenin şüphesi doğrultusunda tanı almaktadır. Tanıda ultrason bulguları, işeme sistoüretrografisi (VSUG), üretroskopi kullanılmaktadır. AUV geç tanı ve tedavi nedeniyle son dönem böbrek yetmezliği de dahil olmak üzere ciddi klinik sonuçlara yol açabilmektedir. Bu makalede anlatılan vakamızda tekrarlayan üriner enfeksiyonlar ve nefrolitiasiz nedeniyle tek taraflı böbrek kaybı meydana gelmiştir. Yapılan tanısal sistoskopi sonucu anterior üretral valv tanısı alan ve darlığı açılan hasta iyi klinik sonuçlar ile takip edilmektedir.

Keywords

Anterior Üretral Valv, Obstrüktif üropati, Prognoz

A Case Report with a Late Dıagnosis of Anterior Urethral Valves

Abstract

Congenital anomalies are the leading pathologies that cause obstructive uropathy by causing stenosis in the lower urinary tract. Among these disorders, anterior urethral valves (AUV) are rarely seen and diagnosed based on the clinician’s suspicion. Ultrasound findings, voiding cystourethrography (VCUG), and urethroscopy are used for diagnosis. AUV can lead to serious clinical consequences, including end-stage renal disease due to late diagnosis and treatment. In our case, unilateral kidney loss occurred due to recurrent urinary infections and nephrolithiasis. Our patient, who could not be diagnosed until the period of nephrectomy necessity, was found to have an AUV as a result of cystoscopy.

Keywords

Anterior urethral valves, obstructive uropathy, prognosis

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