Öz
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.
Anahtar Kelimeler
Kaynakça
- 1. Routh JC, McGee SM, Ashley RA, Reinberg Y, Vandersteen DR. Predicting renal outcomes in children with anterior urethral valves: a systematic review. J Urol 2010;184(4):1615-9. doi:10.1016/j.juro.2010.03.119 google scholar
- 2. Scherz HC, Kaplan GW, Packer MG. Anterior urethral valves in the fossa navicularis in children. J Urol 1987;138(5):1211-3. doi:10.1016/s0022-5347(17)43552-x google scholar
- 3. Aygün C, Güven O, Tekin MI, Peşkircioğlu L, Ozkardeş H. Anterior urethral valve as a cause of end-stage renal disease. Int J Urol 2001;8(3):141-143. doi:10.1046/j.1442- 2042.2001.00270.x google scholar
- 4. Kibar Y, Coban H, Irkilata HC, Erdemir F, Seckin B, Dayanc M. Anterior urethral valves: an uncommon cause of obstructive uropathy in children. J Pediatr Urol 2007;3(5):350- 3. doi:10.1016/j. jpurol.2007.01.197 google scholar
- 5. Paulhac P, Fourcade L, Lesaux N, Alain JL, Colombeau P. Anterior urethral valves and diverticula. BJU Int 2003;92(5):506-9. doi:10.1046/j.1464-410x.2003.04380.x google scholar
- 6. Karnak I, Senocak ME, Büyükpamukçu N, Hiçsönmez A. Rare congenital abnormalities of the anterior urethra. Pediatr Surg Int 1997;12(5-6):407-9. doi:10.1007/BF01076951 google scholar
- 7. Çetin S, Koparal MY, Bulut EC, Gürocak S, Tan Ö. Anterior urethral valve and anterior urethral diverticulum with an intradiverticular stone: A case report and a literature review. J Urol Surg 2018;5:109-11. doi:10.4274/jus.1420 google scholar
- 8. Firlit RS, Firlit CF, King LR. Obstructing anterior urethral valves in children. J Urol 1978;119(6):819-21. doi:10.1016/s0022-5347(17)57642-9 google scholar
- 9. Jana M, Gupta AK, Prasad KR, Goel S, Tambade VD, Sinha U. Pictorial essay: Congenital anomalies of male urethra in children. Indian J Radiol Imaging 2011;21(1):38-45. doi:10.4103/0971-3026.76053 google scholar
- 10. Zia-ul-Miraj M. Anterior urethral valves: a rare cause of infravesical obstruction in children. J Pediatr Surg 2000;35(4):556-8. doi:10.1053/jpsu.2000.0350556 google scholar
Öz
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.
Anahtar Kelimeler
Kaynakça
- 1. Routh JC, McGee SM, Ashley RA, Reinberg Y, Vandersteen DR. Predicting renal outcomes in children with anterior urethral valves: a systematic review. J Urol 2010;184(4):1615-9. doi:10.1016/j.juro.2010.03.119 google scholar
- 2. Scherz HC, Kaplan GW, Packer MG. Anterior urethral valves in the fossa navicularis in children. J Urol 1987;138(5):1211-3. doi:10.1016/s0022-5347(17)43552-x google scholar
- 3. Aygün C, Güven O, Tekin MI, Peşkircioğlu L, Ozkardeş H. Anterior urethral valve as a cause of end-stage renal disease. Int J Urol 2001;8(3):141-143. doi:10.1046/j.1442- 2042.2001.00270.x google scholar
- 4. Kibar Y, Coban H, Irkilata HC, Erdemir F, Seckin B, Dayanc M. Anterior urethral valves: an uncommon cause of obstructive uropathy in children. J Pediatr Urol 2007;3(5):350- 3. doi:10.1016/j. jpurol.2007.01.197 google scholar
- 5. Paulhac P, Fourcade L, Lesaux N, Alain JL, Colombeau P. Anterior urethral valves and diverticula. BJU Int 2003;92(5):506-9. doi:10.1046/j.1464-410x.2003.04380.x google scholar
- 6. Karnak I, Senocak ME, Büyükpamukçu N, Hiçsönmez A. Rare congenital abnormalities of the anterior urethra. Pediatr Surg Int 1997;12(5-6):407-9. doi:10.1007/BF01076951 google scholar
- 7. Çetin S, Koparal MY, Bulut EC, Gürocak S, Tan Ö. Anterior urethral valve and anterior urethral diverticulum with an intradiverticular stone: A case report and a literature review. J Urol Surg 2018;5:109-11. doi:10.4274/jus.1420 google scholar
- 8. Firlit RS, Firlit CF, King LR. Obstructing anterior urethral valves in children. J Urol 1978;119(6):819-21. doi:10.1016/s0022-5347(17)57642-9 google scholar
- 9. Jana M, Gupta AK, Prasad KR, Goel S, Tambade VD, Sinha U. Pictorial essay: Congenital anomalies of male urethra in children. Indian J Radiol Imaging 2011;21(1):38-45. doi:10.4103/0971-3026.76053 google scholar
- 10. Zia-ul-Miraj M. Anterior urethral valves: a rare cause of infravesical obstruction in children. J Pediatr Surg 2000;35(4):556-8. doi:10.1053/jpsu.2000.0350556 google scholar
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Konular | Çocuk Sağlığı ve Hastalıkları |
| Bölüm | Olgu Sunumu |
| Yazarlar | |
| Yayımlanma Tarihi | 9 Eylül 2022 |
| Yayımlandığı Sayı | Yıl 2022 Cilt: 22 Sayı: 2 |
