Trisomy 13 with retroiliac ureter diagnosed by assessment for recurrent febrile urinary tract infections.
IJU case reports(2024)
Abstract
Introduction:Patients with trisomy 13 have multiple malformations, including urological anomalies, and severe cognitive and psychomotor disabilities. We conducted a ureteroureterostomy for a mid-ureteral stricture due to a retroiliac ureter in a patient with trisomy 13.
Case presentation:A 6-month-old girl with trisomy 13 developed a urinary tract infection. Computed tomography for assessing recurrent urinary tract infection revealed a left mid-ureteral stricture due to the retroiliac ureter. At the age of 2, a ureteroureterostomy was performed. Two years after surgery, the urinary tract infection did not recur.
Conclusion:Ureteroureterostomy is a safe procedure for children with trisomy 13 and multiple comorbidities. Surgical treatment should be considered for patients with trisomy 13 when agreed upon by the family and comorbidities are well-controlled.
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Key words
hydronephrosis,mid‐ureteral stricture,retroiliac ureter,trisomy 13,ureteroureterostomy
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