Multiple and bilateral renoureteral malformations. Case report and literature review
DOI:
https://doi.org/10.56294/shp2025272Keywords:
Congenital malformations, renoureteral malformations, early diagnostic, ultrasound, descending urogram, double excretory system, ureteroceleAbstract
Congenital malformations constitute anomalies of structure and/or function of prenatal origin, which are often asymptomatic or cause few symptoms, but currently have a high incidence. With the aim of showing the findings detected in the imaging studies carried out, the case of a young adult with repeated mild urinary sepsis is presented, who was diagnosed with multiple and bilateral renoureteral malformations in the infertility consultation. The majority of congenital renoureteral malformations imply serious biopsychosocial problems for the patient, with the consequent impact on the psychological sphere and the social life of family members when diagnosed in the prenatal stage, so they inevitably constitute a health problem, since they contribute to fetal and infant mortality or increased morbidity in any age group. For this reason, early diagnosis is essential to guarantee appropriate behavior and quality of life. Keywords: congenital malformations; renoureteral malformations; early diagnostic; ultrasound; descending urogram; double excretory system; ureterocele; reflux vesicoureteral
References
1. Hernández-Velázquez FM, Maden-Chapman AL, Lamorú-Turro R, Carcasés-Lamorú SE. Caracterización clinicoepidemiológica de pacientes con insuficiencia renal crónica en Hospital General Universitario "Vladimir Ilich Lenin". Arch Hosp Univ “Gen Calixto García”. 2022; 10 (1):56-67. Disponible en: http://www.revcalixto.sld.cu/index.php/ahcg/article/view/e896
2. Murugapoopathy V, Gupta IR. A Primer on Congenital Anomalies of the Kidneys and Urinary Tracts (CAKUT). Clin J Am Soc Nephrol. 2020; 15(5):723-731. DOI: https://doi.org/10.2215/CJN.12581019.
3. Mejia-Mesa S, Atehortúa-Baena P, Arango-Gutiérrez L, Carvalho-Saldarriaga S, Morales-Ospina V, Rodríguez-Padilla L. Frecuencia de malformaciones congénitas renales y del tracto urinario y su asociación con factores maternos y del neonato. PEDIATR. 2021; 54(2):46-53. DOI: https://doi.org/10.14295/rp.v54i2.211.
4. Díaz-García M, Fleites-Tejeda L, Fleites-Novaez I, López-González AF, Cuéllar- López D, Esquivel-Sosa L. Diagnóstico y tratamiento posnatal de las anomalías del tracto urinario detectadas en etapa prenatal. Rev Cubana Urol 2023;12(3):e974:1-13. Disponible en: https://revurologia.sld.cu/index.php/rcu/article/view/974
5. Vargas P, Mergudich T, Martinovic C, Córdova V, Valdés R, Luna D, et al. Diagnóstico prenatal de malformaciones congénitas y alteraciones cromosómicas: resultado de la experiencia CIMAF - Hospital Dr. Sótero Del Río. Rev Chil Obstet Ginecol. 2020; 85(4):358–365. Disponible en: https://scielo.conicyt.cl/pdf/rchog/v85n4/0717-7526-rchog-85-04-0358.pdf
6. Quisbert Vasquez HT, Auza-Santivañez JC, Moscoso Zurita G, Suarez Laime LH, Apaza Huanca B, Callizaya Macedo G. Choledochal cyst in a pediatric patient with Down syndrome, a diagnostic challenge. SCT Proceedings in Interdisciplinary Insights and Innovations [Internet]. 2025 Jan. 5 [cited 2025 Jul. 4];3:379. Available from: https://doi.org/10.56294/piii2025379
7. Mendoza-Sánchez LJ, Calviac-Mendoza R, Guerra-Rodríguez M, Mendoza-Sánchez KM. Extrofia vesical y ultrasonido materno fetal. Rev Cubana Urol. 2021; 10(2):e641: 1-9. Disponible en: https://www.medigraphic.com/pdfs/revcuburol/rcu-2021/rcu212g.pdf
8. Castro-González M, Villegas C, Márquez D, Milano A, Martínez B. Prevalencia de malformaciones congénitas en la Unidad de Perinatología del Hospital Universitario de Caracas. Rev Obstet Ginecol Venez. 2022; 82(2):167-178. https://doi.org/10.51288/00820206
9. Palacios-Loro ML, Segura-Ramírez DK, Ordoñez-Álvarez FA, Santos-Rodríguez F. Anomalías nefrourológicas congénitas. Una visión para el pediatra. An Pediatr (Barc). 2015; 83(6):442.e1-442.e5. Disponible en: http://dx.doi.org/10.1016/j.anpedi.2015.07.035
10. Piñero-Fernández JA, Lorente-Sánchez MJ, Vicente-Calderón C, Ballesta- Martínez MJ. Síndromes Hereditarios con Afectación Renal. Portal de formación. Sociedad Española de Nefrología. 2023. Disponible en: https://www.nefrologiaaldia.org/295
11. Cuba Naranjo AJ, Sosa Remón A, Auza-Santivañez JC, Jeréz Alvarez AE, Pérez Yero Y, Díaz Águila HR, et al. Diaphragmatic muscle dysfunction associated with artificial mechanical ventilation: a narrative review of the literature. Salud, Ciencia y Tecnología [Internet]. 2024 Aug. 5 [cited 2025 Jul. 4];4:1362. Available from: https://doi.org/10.56294/saludcyt20241362
12. Fernández de Jiménez T, Jiménez Fernández RC, Auza-Santiváñez JC. Multiple congenital hemangioma in the scrotal area: case report. Salud, Ciencia y Tecnología [Internet]. 2022 Dec. 25 [cited 2025 Jul. 4];2:173. Available from: https://doi.org/10.56294/saludcyt2022173
13. Blas-Reina A, García-Vázquez RA, Arriaga-Aguilar J, Avechuco-Carrillo Z. Litiasis coraliforme en duplicación ureteral completa. Rev Mex Urol 2012;72(6):301-306.
14. Navarro-Expósito E, García-Selam M, Ruiz-Martínez R, Pastor-Sánchez C, Orgaz-Méndez N, López- Beneyto J, Leiva-Pomacahua BO, Sánchez-Neila B. Anomalías congénitas del tracto urinario superior. 36 Congreso Nacional SERAM; 2022; España. Mayo 2022. 1-19. https://piper.espacio-seram.com/index.php/seram/article/view/8
15. Ibarra-Rodríguez MR, Antón-Gamero M, Parente-Hernández A, Wiesner-Torres SR, Vargas-Cruz V, Paredes-Esteban RM. Malformaciones congénitas del tracto urinario (CAKUT): evolución a enfermedad renal crónica. Cir Pediatr. 2022; 35: 172-179. DOI: https://doi.org/10.54847/cp.2022.04.06
Published
Issue
Section
License
Copyright (c) 2025 Mildred Ericka Kubatz La Madrid, Yamila Cruz Cruz, Jennifer Collazo Cruz, Yamily Cruz Pino, Jhossmar Cristians Auza-Santivañez, Leonel Rivero Castedo, Giovanni Callizaya Macedo, Roger Mamani Plata (Author)
This work is licensed under a Creative Commons Attribution 4.0 International License.
The article is distributed under the Creative Commons Attribution 4.0 License. Unless otherwise stated, associated published material is distributed under the same licence.
