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Андрология и генитальная хирургия. 2020; 21: 13-22

Вазоуретеральный конфликт как причина гидронефроза у детей (обзор литературы)

Коварский С. Л., Агеева Н. А., Захаров А. И., Меновщикова Л. Б., Соттаева З. З., Склярова Т. А., Текотов А. Н., Петрухина Ю. В., Струянский К. А.

https://doi.org/10.17650/2070-9781-2020-21-3-13-22

Аннотация

Обзор отечественной и зарубежной научной литературы посвящен актуальной проблеме педиатрии — врожденному гидронефрозу, причиной которого является наличие аберрантного сосуда. Рассмотрены особенности диагностики и хирургического лечения гидронефроза. Подробно проанализированы показания к неразобщающей пиелопластике типа vascular hitch и описаны особенности ее выполнения.

Список литературы

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7. Graves F.T. The aberrant renal artery. J Anat 1956;90(4):553—8.

8. Graves F.T. The arterial anatomy of the congenitally abnormal kidney. Br J Surg 1969;56(7):533—41. DOI: 10.1002/bjs.1800560717.

9. Churchill B.M., Feng W.C. Ureteropelvic junction anomalies: congenital UPJ problems in children. In: Pediatric urology. Philadelphia: W.B. Saunders Company, 2010. Pp. 318—346.

10. Calder A.D., Hiorns M.P., Abhyankar A. et al. Contrast-enhanced magnetic resonance angiography for the detection of crossing renal vessels in children with symptomatic ureteropelvic junction obstruction: comparison with operative findings. Pediatr Radiol 2007; 37(4):356—61. DOI: 10.1007/s00247-007-0416-2.

11. Rooks VJ., Lebowitz R.L. Extrinsic ureteropelvic junction obstruction from a crossing renal vessel: demography and imaging. Pediatr Radiol 2001;31(2):120—4. DOI: 10.1007/s002470000366.

12. Singh R.R., Govindarajan K.K., Chandran H. Laparoscopic vascular relocation: alternative treatment for renovascular hydronephrosis in children. Pediatr Surg Int 2010;26(7):717—20. DOI: 10.1007/s00383-010-2623-4.

13. Gupta A., Dhua A.K., Agarwala S., Bhatnagar V. Pelviureteric junction obstruction with crossing lower polar vessel: indicators of preoperative diagnosis. J Indian Assoc Pediatr Surg 2018;23(3):123—6. DOI: 10.4103/jiaps.JIAPS_207_17.

14. Wong M.C.Y., Piaggio G., Damasio M.B. et al. Hydronephrosis and crossing vessels in children: optimization of diagnostic-therapeutic pathway and analysis of color Doppler ultrasound and magnetic resonance urography diagnostic accuracy. J Pediatr Urol 2018;14(2):204. DOI: 10.1016/j.jpurol.2017.12.020.

15. Bowen D.K., Yerkes E.B., Lindgren B.W. et al. Delayed presentation of ureteropelvic junction obstruction and loss of renal function after initially mild (SFU grade 1—2) hydronephrosis. Urology 2015;86(1):168—70. DOI: 10.1016/j.urology.2015.03.032.

16. Homme J.L., Foster A.A. Recurrent severe abdominal pain in the pediatric patient. J Emerg Med 2014;46(5):627—31. DOI: 10.1016/j.jemermed.2013.11.095.

17. Beganovic A., Van Bezooijen B.G., Van Anrichem P.H. Intermittent flank pain. Ned Tijdschr Geneeskd 2008;152(36):1986—8.

18. Horstman W.G., Darcy M.D. Intermittent hydronephrosis as a cause of a false-negative pressure-flow study. Cardiovasc Intervent Radiol 1991;14(3):185—7. DOI: 10.1007/BF02577727.

19. Merksz M., Sulya B., Polovitzer M. [Intermittent hydronephrosis in childhood]. Orv Hetil 2013;154(24):940—6. DOI: 10.1556/OH.2013.29639.

20. Гуревич А.И. Комплексная ультразвуковая диагностика обструктивных уропатий у детей раннего возраста. Автореф. дис. ... д-ра мед. наук. М., 2006. 44 c.

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22. Ross J.H., Kay R., Knipper N.S., Streem S.B. The absence of crossing vessels in association with ureteropelvic junction obstruction datected by prenatal ultrasonography; J Urol 1998;160(3 Pt 2): 973—5. DOI: 10.1097/00005392-199809020-00001.

23. Weiss D.A., Kadakia S., Kurzweil R. et al. Detection of crossing vessels in pediatric ureteropelvic junction obstruction: clinical patterns and imaging findings. J Pediatr Urol 2015;11(4):173—5. DOI: 10.1016/j.jpurol.2015.04.017.

24. Mut T., Acar O., Oktar T. et al. Intraoperative inspection of the ureteropelvic junction during pyeloplasty is not sufficient to distinguish between extrinsic and intrinsic causes of obstruction: correlation with histological analysis. J Pediatr Urol 2016;12(4):223—6. DOI: 10.1016/j.jpurol.2016.02.016.

25. Chiarenza S.F., Bleve C., Fasoli L. et al. Ureteropelvic junction obstruction in children by polar vessels. Is laparoscopic vascular hitching procedure a good solution? Single center experience on 35 consecutive patients. J Pediatric Surg 2016;51(2):310—4. DOI: 10.1016/j.jpedsurg.2015.10.005.

26. Veyrac C., Baud C., Lopez C. et al. The value of colour Doppler ultrasonography for identification of crossing vessels in children with pelvi-ureteric junction obstruction. Pediatr Radiol 2003;33(11):745—51. DOI: 10.1007/s00247-003-1012-8.

27. Mearini L., Rosi P., Zucchi A. et al. Color Doppler ultrasonography in the diagnosis of vascular abnormalities associated with ureteropelvic junction obstruction. J Endourol 2003;17(9):745—50. DOI: 10.1089/089277903770802290.

28. Kumar G.K., Chapman S., Chandran H. An audit routine grey scale sonograghic imaging for pelviureteric junction obstruction: do they identify lower polar vessels? Afr J Paediatr Surg 2010;7(1):14—5. DOI: 10.4103/0189-6725.59352.

29. Menon P., Rao K.L.N. Extrinsic vessel associated with ureteropelvic junction obstruction. J Indian Assoc Pediatr Surg 2019;24(2):154—5. DOI: 10.4103/jiaps.JIAPS_176_18.

30. Wang W., LeRoy A.J., McKusick M.A. et al. Detection of crossing vessels as the cause of ureteropelvic junction obstruction: The role of antegrade pyelography prior to endopyelotomy. J Vasc Intery Radiol 2004;15(12):1435—41. DOI: 10.1097/01.RVI.0000141346.33431.2D.

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34. Parikh K.R., Hammer M.R., Kraft K.H. et al. Pediatric ureteropelvic junction obstruction: can magnetic resonance urography identify crossing vessels? Pediatr Radiol 2015;45(12):1788—95. DOI: 10.1007/s00247-015-3412-y.

35. Mitsumori A., Yasui K., Akaki S. et al. Evaluation of crossing vessels in patients with ureteropelvic junction obstruction by means of helical CT. Radiographics 2000;20(5):1383—93. DOI: 10.1148/ radiographics.20.5.g00se061383.

36. Farres M.T., Pedron P., Gattegno B. Helical CT and 3D reconstruction of ureteropelvic junction obstruction: accuracy in detection of crossing vessels. J Comput Assist Tomogr 1998;22(2): 300-3. DOI: 10.1097/01. RVI.0000141346.33431.2D.

37. Khaira H.S., Platt J.F., Cohan R.H. et al. Helical computed tomography for identification of crossing vessels in ureteropelvic junction obstruction-comparison with operative findings. Urology 2003;62(1):35—9. DOI: 10.1016/S0090-4295(03)00156-0.

38. Herts B.R. Helical CT and CT angiography for the identification of crossing vessels at the ureteropelvic junction. Urol Clin North Am 1998;25(2):259—69. DOI:10.1016/s0094-0143(05)70013-6.

39. Zeltser I.S., Liu J.B., Bagley D.H. The incidence of crossing vessels in patients with normal ureteroplevic junction examined with endoluminal ultrasound. J Urol 2004;172(6 Pt 1):2304—7. DOI: 10.1097/01.ju.0000145532.48711.f6.

40. Hacker H.W, Szavay P., Dittmann H. et al. Pyeloplasty in children: is there a difference in patients with or without crossing lower pole vessel? Pediatr Surg Int 2009;25(7):607—11. DOI: 10.1007/s00383-009-2385-z.

41. Ellerkamp V., Kurth R.R., Schmid E. et al. Differences between intrinsic and extrinsic ureteropelvic junction obstruction related to crossing vessels: histology and functional analyses. World J Urol 2016;34(4):577—83. DOI: 10.1007/s00345-015-1645-x.

42. Yiee J.H., Johnson-Welch S., Baker L.A., Wilcox T.D. Histologic differences between extrinsic and intrinsic ureteropelvic junction obstruction. Urology 2010;76(1):181—4. DOI: 10.1016/j.urology.2010.02.007.

43. Foote J.W., Blennerhassett J.B., Wiglesworth F.W., Mackinnon K.J. Observations on the ureteropelvic junction. J Urol 1970;104(2):252—7. DOI: 10.1016/s0022-5347(17)61710-5.

44. Murakumo M., Nonomura K., Yamashita T. et al. Structural changes of collagen components and diminution of nerves in congenital ureteropelvic junction obstruction. J Urol 1997;157(5):1963—8. DOI: 10.1016/S0022-5347(01)64910-3.

45. Richstone L., Seideman C., Reggio E. et al. Pathologic findings in patients with ureteropelvic junction obstruction and crossing vessels. Urology 2009;73(4):716— 9. DOI: 10.1016/j.urology.2008.10.069.

46. Anderson J.C., Hynes W. Retrocaval ureter; a case diagnosed pre-operatively and treated successfully by a plastic operation. Br J Urol 1949;21(3):209—14. DOI: 10.1111/j.1464-410x.1949.tb10773.x.

47. Hellstrom J., Giertz G., Lindblom K. Pathogenesis and treatment of hydronephrosis. J Belge Urol 1951;20(1):1—6.

48. Chapman T.L. Urology in outline. Edinburgh; London: Churchill Livingstone, 1959. P. 82.

49. Pesce C., Campobasso P., Costa L. Ureterovascular hydronephrosis in children: is pyeloplasty always necessary? Eur Urol 1999;36(1):71 —4. DOI: 10.1159/000019930.

50. Godbole P., Mushtaq I., Wilcox D.T., Duffy P.G. Laparoscopic transposition of lower pole vessels — the ‘vascular hitch’: an alternative to dismembered pyeloplasty for pelvi-ureteric junction obstruction in children. J Pediatr Urol 2006;2(4):285—9. DOI: 10.1016/j.jpurol.2005.11.017.

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52. Sakoda A., Cherian A., Mushtaq I. Laparoscopic transposition of lower pole crossing vessels (‘vascular hitch’) in pure extrinsic pelvi-ureteric junction (PUJ) obstruction in children. BJU Int 2011;108(8):1364-8. DOI: 10.1111/j.1464-410X.2011.10657.x.

53. Gundeti M.S., Reynolds W.S., Duffy P.G. et al. Further experience with the vascular hitch (laparoscopic transposition of lower pole crossing vessels): an alternate treatment for pediatric ureterovascular ureteropelvic junction obstruction. J Urol 2008;180(4 Suppl):1832—6. DOI: 10.1016/j.juro.2008.05.055.

54. Meng M.V., Stoller M.L. Hellstrom technique revisited: laparoscopic management of ureteropelvic junction obstruction. Urology 2003;62(3):404—8. DOI: 10.1016/s0090-4295(03)00562-4.

55. Stern J.M., Park S., Anderson J.K. et al. Functional assessment of crossing vessels as etiology of ureteropelvic junction obstruction. Urology 2007;69(6):1022—4. DOI: 10.1016/j.urology.2007.02.055.

56. Janetschek G., Peschel R., Frauscher F. Laparoscopic pyeloplasty. Urol Clin North Am 2000;27(4):695—704. DOI: 10.1016/s0094-0143(05)70119-1.

57. Simforoosh N., Javaherforooshzadeh A., Aminsharifi A. Laparoscopic management of ureteropelvic junction obstruction in pediatric patients: a new approach to crossing vessels, crossing vein division, and upward transposition of the crossing artery. J Pediatr Urol 2010;6(2):161—5. DOI: 10.1016/j.jpurol.2009.07.010.

Andrology and Genital Surgery. 2020; 21: 13-22

Vascular-ureteral conflict as a cause of hydronephrosis in children (review)

Kovarsky S. L., Ageeva N. A., Zakharov A. I., Menovshchikova L. B., Sottaeva Z. Z., Sklyarova T. A., Tekotov A. N., Petrukhina Yu. V., Struyansky K. A.

https://doi.org/10.17650/2070-9781-2020-21-3-13-22

Abstract

A review of the domestic and foreign scientific literature is devoted to an actual problem of pediatrics — congenital hydronephrosis, the cause of which is an aberrant vessel. The features of the diagnosis of the vessel and methods of surgical treatment are considered. The technique and indications for non-dismembered pyeloplasty “vascular hitch” are analyzed in detail.

References

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2. Esposito C., Bleve C., Escolino M. et al. Laparoscopic transposition of lower pole crossing vessels (vascular hitch) in children with pelviureteric junction obstruction. Transl Pediatr 2016;5(4):256—61. DOI: 10.21037/tp.2016.09.08.

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5. Rokitansky C. Handbuch der pathologischen Anatomie. Band 1. Wien: Braumhller & Seidel, 1846.

6. Rigas A., Karamanolakis D., Bogdanos I. et al. Pelvi-ureteric junction obstruction by crossing renal vessels: clinical and imaging features. BJU Int 2003;92(1): 101-3. DOI: 10.1046/j.1464-410X.2003.04265.x.

7. Graves F.T. The aberrant renal artery. J Anat 1956;90(4):553—8.

8. Graves F.T. The arterial anatomy of the congenitally abnormal kidney. Br J Surg 1969;56(7):533—41. DOI: 10.1002/bjs.1800560717.

9. Churchill B.M., Feng W.C. Ureteropelvic junction anomalies: congenital UPJ problems in children. In: Pediatric urology. Philadelphia: W.B. Saunders Company, 2010. Pp. 318—346.

10. Calder A.D., Hiorns M.P., Abhyankar A. et al. Contrast-enhanced magnetic resonance angiography for the detection of crossing renal vessels in children with symptomatic ureteropelvic junction obstruction: comparison with operative findings. Pediatr Radiol 2007; 37(4):356—61. DOI: 10.1007/s00247-007-0416-2.

11. Rooks VJ., Lebowitz R.L. Extrinsic ureteropelvic junction obstruction from a crossing renal vessel: demography and imaging. Pediatr Radiol 2001;31(2):120—4. DOI: 10.1007/s002470000366.

12. Singh R.R., Govindarajan K.K., Chandran H. Laparoscopic vascular relocation: alternative treatment for renovascular hydronephrosis in children. Pediatr Surg Int 2010;26(7):717—20. DOI: 10.1007/s00383-010-2623-4.

13. Gupta A., Dhua A.K., Agarwala S., Bhatnagar V. Pelviureteric junction obstruction with crossing lower polar vessel: indicators of preoperative diagnosis. J Indian Assoc Pediatr Surg 2018;23(3):123—6. DOI: 10.4103/jiaps.JIAPS_207_17.

14. Wong M.C.Y., Piaggio G., Damasio M.B. et al. Hydronephrosis and crossing vessels in children: optimization of diagnostic-therapeutic pathway and analysis of color Doppler ultrasound and magnetic resonance urography diagnostic accuracy. J Pediatr Urol 2018;14(2):204. DOI: 10.1016/j.jpurol.2017.12.020.

15. Bowen D.K., Yerkes E.B., Lindgren B.W. et al. Delayed presentation of ureteropelvic junction obstruction and loss of renal function after initially mild (SFU grade 1—2) hydronephrosis. Urology 2015;86(1):168—70. DOI: 10.1016/j.urology.2015.03.032.

16. Homme J.L., Foster A.A. Recurrent severe abdominal pain in the pediatric patient. J Emerg Med 2014;46(5):627—31. DOI: 10.1016/j.jemermed.2013.11.095.

17. Beganovic A., Van Bezooijen B.G., Van Anrichem P.H. Intermittent flank pain. Ned Tijdschr Geneeskd 2008;152(36):1986—8.

18. Horstman W.G., Darcy M.D. Intermittent hydronephrosis as a cause of a false-negative pressure-flow study. Cardiovasc Intervent Radiol 1991;14(3):185—7. DOI: 10.1007/BF02577727.

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23. Weiss D.A., Kadakia S., Kurzweil R. et al. Detection of crossing vessels in pediatric ureteropelvic junction obstruction: clinical patterns and imaging findings. J Pediatr Urol 2015;11(4):173—5. DOI: 10.1016/j.jpurol.2015.04.017.

24. Mut T., Acar O., Oktar T. et al. Intraoperative inspection of the ureteropelvic junction during pyeloplasty is not sufficient to distinguish between extrinsic and intrinsic causes of obstruction: correlation with histological analysis. J Pediatr Urol 2016;12(4):223—6. DOI: 10.1016/j.jpurol.2016.02.016.

25. Chiarenza S.F., Bleve C., Fasoli L. et al. Ureteropelvic junction obstruction in children by polar vessels. Is laparoscopic vascular hitching procedure a good solution? Single center experience on 35 consecutive patients. J Pediatric Surg 2016;51(2):310—4. DOI: 10.1016/j.jpedsurg.2015.10.005.

26. Veyrac C., Baud C., Lopez C. et al. The value of colour Doppler ultrasonography for identification of crossing vessels in children with pelvi-ureteric junction obstruction. Pediatr Radiol 2003;33(11):745—51. DOI: 10.1007/s00247-003-1012-8.

27. Mearini L., Rosi P., Zucchi A. et al. Color Doppler ultrasonography in the diagnosis of vascular abnormalities associated with ureteropelvic junction obstruction. J Endourol 2003;17(9):745—50. DOI: 10.1089/089277903770802290.

28. Kumar G.K., Chapman S., Chandran H. An audit routine grey scale sonograghic imaging for pelviureteric junction obstruction: do they identify lower polar vessels? Afr J Paediatr Surg 2010;7(1):14—5. DOI: 10.4103/0189-6725.59352.

29. Menon P., Rao K.L.N. Extrinsic vessel associated with ureteropelvic junction obstruction. J Indian Assoc Pediatr Surg 2019;24(2):154—5. DOI: 10.4103/jiaps.JIAPS_176_18.

30. Wang W., LeRoy A.J., McKusick M.A. et al. Detection of crossing vessels as the cause of ureteropelvic junction obstruction: The role of antegrade pyelography prior to endopyelotomy. J Vasc Intery Radiol 2004;15(12):1435—41. DOI: 10.1097/01.RVI.0000141346.33431.2D.

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34. Parikh K.R., Hammer M.R., Kraft K.H. et al. Pediatric ureteropelvic junction obstruction: can magnetic resonance urography identify crossing vessels? Pediatr Radiol 2015;45(12):1788—95. DOI: 10.1007/s00247-015-3412-y.

35. Mitsumori A., Yasui K., Akaki S. et al. Evaluation of crossing vessels in patients with ureteropelvic junction obstruction by means of helical CT. Radiographics 2000;20(5):1383—93. DOI: 10.1148/ radiographics.20.5.g00se061383.

36. Farres M.T., Pedron P., Gattegno B. Helical CT and 3D reconstruction of ureteropelvic junction obstruction: accuracy in detection of crossing vessels. J Comput Assist Tomogr 1998;22(2): 300-3. DOI: 10.1097/01. RVI.0000141346.33431.2D.

37. Khaira H.S., Platt J.F., Cohan R.H. et al. Helical computed tomography for identification of crossing vessels in ureteropelvic junction obstruction-comparison with operative findings. Urology 2003;62(1):35—9. DOI: 10.1016/S0090-4295(03)00156-0.

38. Herts B.R. Helical CT and CT angiography for the identification of crossing vessels at the ureteropelvic junction. Urol Clin North Am 1998;25(2):259—69. DOI:10.1016/s0094-0143(05)70013-6.

39. Zeltser I.S., Liu J.B., Bagley D.H. The incidence of crossing vessels in patients with normal ureteroplevic junction examined with endoluminal ultrasound. J Urol 2004;172(6 Pt 1):2304—7. DOI: 10.1097/01.ju.0000145532.48711.f6.

40. Hacker H.W, Szavay P., Dittmann H. et al. Pyeloplasty in children: is there a difference in patients with or without crossing lower pole vessel? Pediatr Surg Int 2009;25(7):607—11. DOI: 10.1007/s00383-009-2385-z.

41. Ellerkamp V., Kurth R.R., Schmid E. et al. Differences between intrinsic and extrinsic ureteropelvic junction obstruction related to crossing vessels: histology and functional analyses. World J Urol 2016;34(4):577—83. DOI: 10.1007/s00345-015-1645-x.

42. Yiee J.H., Johnson-Welch S., Baker L.A., Wilcox T.D. Histologic differences between extrinsic and intrinsic ureteropelvic junction obstruction. Urology 2010;76(1):181—4. DOI: 10.1016/j.urology.2010.02.007.

43. Foote J.W., Blennerhassett J.B., Wiglesworth F.W., Mackinnon K.J. Observations on the ureteropelvic junction. J Urol 1970;104(2):252—7. DOI: 10.1016/s0022-5347(17)61710-5.

44. Murakumo M., Nonomura K., Yamashita T. et al. Structural changes of collagen components and diminution of nerves in congenital ureteropelvic junction obstruction. J Urol 1997;157(5):1963—8. DOI: 10.1016/S0022-5347(01)64910-3.

45. Richstone L., Seideman C., Reggio E. et al. Pathologic findings in patients with ureteropelvic junction obstruction and crossing vessels. Urology 2009;73(4):716— 9. DOI: 10.1016/j.urology.2008.10.069.

46. Anderson J.C., Hynes W. Retrocaval ureter; a case diagnosed pre-operatively and treated successfully by a plastic operation. Br J Urol 1949;21(3):209—14. DOI: 10.1111/j.1464-410x.1949.tb10773.x.

47. Hellstrom J., Giertz G., Lindblom K. Pathogenesis and treatment of hydronephrosis. J Belge Urol 1951;20(1):1—6.

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