Skip to main content
Log in

Kernspintomographie als Primärdiagnostik ektop mündender Harnleiter bei dysplastischer Niere

MR imaging in the diagnosis of ectopic ureteral insertion of a dysplastic kidney

  • Kasuistik
  • Published:
Der Urologe, Ausgabe A Aims and scope Submit manuscript

Zusammenfassung

Ektop mündende Harnleiter aus dysplastischen, funktionseingeschränkten Nieren stellen ein diagnostisches Dilemma dar. Sonographie, Endoskopie oder konventionelle Röntgenuntersuchungen können häufig die Verdachtsdiagnose nicht sichern.

Am Beispiel eines 6-jährigen Mädchens wird die diagnostische Aussagekraft einer wassergewichteten MR-Urographie dargestellt. Erst diese Untersuchung ermöglichte aufgrund der exakten Darstellung des ektopen Harnleiterverlaufs die zielgerichtete chirurgische Korrektur.

Abstract

Ectopic ureters associated with dysplastic kidneys remain a diagnostic dilemma. Ultrasound, endoscopy as well as intravenous urography do not always show correct urinary tract morphology and function.

We report the case of a 6-year-old girl with continuous urine dribbling to demonstrate the diagnostic value of MR urography.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Abb. 1
Abb. 2

Literatur

  1. Avni FE, Nicaise N, Hall M, Janssens F, Collier F, Matos C, Meten T (2001) The role of MR imaging for the assessment of complicated duplex kidneys in children: preliminary report. Pedriatr Radiol 31: 215–223

    Article  CAS  Google Scholar 

  2. Campbell MF (1970) Anomalies of the ureter. In: Campbell MF, Harrison JH (eds) Urology. Saunders, Philadelphia, S 1520

  3. Gylys Morin VM, Minevich E, Tacket LD, Reichard E, Wacksma J, Sheldon CA (2000) Magnetic resonance imaging of the dysplastic renal moiety and ectopic ureter. J Urol 164: 1034–2039

    Google Scholar 

  4. Kim HH, Kang J, Kwak C, Byun SS, Oh SJ, Choi H (1999) Laparoscopy for definite localization and simultaneous treatment of ectopic ureter draining a dysplastic kidney in children. BJU Int 84

  5. Kurokawa Y, Kanayama HO, Anwar A et al. (2002) Laparoscopic nephroureterectomy for dysplastic kidney in children: an initial experience. Int J Urol 9: 613–617

    Article  PubMed  Google Scholar 

  6. Mandel J, Bauer SB, Colodny AH (1981) Ureteral ectopia in infants and children. J Urol 126: 219–222

    PubMed  Google Scholar 

  7. Riccabona M, Simbrunner J, Ring E, Ruppert-Kohlmayr A, Ebner F, Fotter R (2002) Feasibility of MR urography in neonates and infants with anomalies of the upper urinary tract. Eur Radiol 12: 1442–1450

    CAS  PubMed  Google Scholar 

  8. Wille S, von Knobloch R, Klose KJ, Heidenreich A, Hofmann R (2003) Magnetic resonance urography in pediatric urology. Scand J Urol Nephrol 37: 16–21

    Article  PubMed  Google Scholar 

  9. Yeung CK, Liu KW, Ng WT, Tan HL, Tam YH, Lee KH (1999) Laparoscopy as the investigation and treatment of choice for urinary incontinence caused by small ‚invisible‘ dysplastic kidneys with infrasphincteric ureteric ectopia. BJU Int 84: 324–328

    Article  CAS  PubMed  Google Scholar 

Download references

Interessenkonflikt:

Keine Angaben

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to S. Rebmann.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Rebmann, S., Strauss, A., Vosshenrich, R. et al. Kernspintomographie als Primärdiagnostik ektop mündender Harnleiter bei dysplastischer Niere. Urologe [A] 43, 989–991 (2004). https://doi.org/10.1007/s00120-004-0627-1

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00120-004-0627-1

Schlüsselwörter

Keywords

Navigation