Valeria and the Christmas Wonder
نویسندگان
چکیده
Dilatace kalichopĂĄnviÄkovĂŠho systĂŠmu je nejÄastÄji zjiĹĄĹĽovanou abnormitou pĹi prenatĂĄlnĂm a postnatĂĄlnĂm ultrazvukovĂŠm screeningu ledvin moÄovĂ˝ch cest. Äasto doprovĂĄzena takĂŠ rozĹĄĂĹenĂm moÄovodu (megaureter). Ve vĂce neĹž 60 % pĹĂpadĹŻ nĂĄlez spontĂĄnnÄ mizĂ s vÄkem v dĹŻsledku vyzrĂĄvĂĄnĂ uropoetickĂŠho systĂŠmu. Pokud ne, podĂlĂ se na etiologii dilatace (mimo vezikoureterĂĄlnĂ reflux) zejmĂŠna vrozenĂŠ pĹekĂĄĹžky odtoku moÄi. Jejich obvyklou lokalizacĂ oblast pelviureterĂĄlnĂho vezikoureterĂĄlnĂho pĹechodu, pĹevĂĄĹžnÄ pĹitom jednĂĄ o faktory intraluminĂĄlnĂ. Z celkovÄ mĂŠnÄ Äasto zastoupenĂ˝ch extraluminĂĄlnĂch pĹĂÄin obstrukce praxi setkĂĄvĂĄme kĹĂĹžĂcĂ aberantnĂ cĂŠvou utlaÄujĂcĂ ureter jeho subrenĂĄlnĂm prĹŻbÄhu. V tÄchto pĹĂpadech odstupuje tepna z aorty smÄĹuje mimo cĂŠvnĂho hilu k dolnĂmu pĂłlu ledviny, pro kterĂ˝ hlavnĂm zdrojem zĂĄsobenĂ. mĂstÄ kĹĂĹženĂ ureteru pak mĹŻĹže znesnadĹovat prĹŻchodnost (1). PrezentovanĂĄ kazuistika popisuje zcela vĂ˝jimeÄnou pĹĂÄinu symptomatickĂŠ cest cĂŠvnĂ etiologie - atypickĂŠ Ăştlak ovarickĂ˝mi cĂŠvami.
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ژورنال
عنوان ژورنال: Pediatrie pro praxi
سال: 2022
ISSN: ['1213-0494', '1803-5264']
DOI: https://doi.org/10.36290/ped.2022.062