The Mega-ureter was covering over 60 per cent of the abdominal cavity, putting pressure on the stomach.
Doctors at a city-based hospital performed a complex urological reconstructive surgery to provide relief to a 6-year-old girl who was diagnosed with a rare birth defect known as Mega-ureter. This defect was gradually affecting her kidneys. The Mega-ureter was covering over 60 per cent of the abdominal cavity, putting pressure on the stomach.
Also, the birth defect had resulted in a shift of the organs, the stomach and intestine from left to right side of the abdomen. Parents of Shikha (name changed), were in for a shock when she was diagnosed with the rare birth defect because of which she was suffering from lack of appetite, poor growth and an enlarged belly.
“The urine travels from the kidneys to the bladder in thin tubes called ureters, which are normally 2mm to 3mm wide in adolescents. In the patient’s case the left sided ureter was enlarged and twisted with an unusually large size, 8 cm wide,” Dr Madhusudan Patodia, Consultant, Urology & Renal Transplant at Narayana Hospital said.
“The Mega-ureter was covering over 60 per cent of the abdominal cavity, putting pressure on the stomach, resulting in lack of appetite, poor growth and an enlarged belly. Also, the birth defect had resulted in a shift of the organs, namely the stomach and intestine from left to right side of the abdomen,” she added.
Diagnostic tests revealed that she had a mega-ureter on the left side. Unlike, a normal child, the left ureter was enlarged with weak muscle walls resulting in pooling of urine inside the ureter. This was the cause behind repeated infections and fever. As per doctors, In such a case, it was evident that only surgical intervention could ease the patient’s suffering.
“A new ureter had to be re-construed out of healthy tissues from the body, which would naturally grow with age. A new ureter was re-constructed from portions of the bladder. A flap-like portion of the bladder was prepared, re-constructed into a new ureter and surgically implanted up to left renal pelvis,” said Dr Amit Kotia, Senior. Consultant, Urology & Renal Transplant.
Not Normal...
Diagnostic tests revealed that she had a mega-ureter on the left side. Unlike, a normal child, the left ureter was enlarged with weak muscle walls resulting in pooling of urine inside the ureter. This was the cause behind repeated infections and fever.
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