Urinary diversion in children with pelvic tumors

Meir, David Ben; Inoue, Masaharu; Gur, Uri; Pm, Livne; Yaniv, Yona; Tiedeman, K; Ashley, David M.; Hutson, J. M.

doi:10.1016/j.jpedsurg.2004.08.003

Cited by 16 publications

(8 citation statements)

References 13 publications

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“…Similarly, there has been a substantial increase in the frequency of recurrent, complicated urinary tract infection with the increasing use of stents and nephrostomies, as well as other urinary diversion procedures, and the creation of orthopic neobladders following extensive pelvic surgery [40][41][42][43][44]. The frequency of urinary tract infection in such patients is high (12%-39%), and the infections are often polymicrobial.…”

Section: Other Polymicrobial Infectionsmentioning

confidence: 99%

Polymicrobial Infection in Patients with Cancer: An Underappreciated and Underreported Entity

Rolston

Bodey

Safdar

2007

Clinical Infectious Diseases

138

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Polymicrobial infections account for ~15% of infections in immunocompromised patients with cancer. However, limited information exists regarding the spectrum and microbiology of these infections, even in severely neutropenic patients. Most studies describe only monomicrobial bloodstream infections in detail, and information regarding polymicrobial infections and nonbacteremic infections is often incomplete or not provided at all. The current lack of well-established definitions for various infections in the immunocompromised host, including pneumonia, neutropenic enterocolitis, and polymicrobial infections, probably plays an important role in the paucity of published information. In this review, we briefly describe the limited information available regarding polymicrobial infections in patients with cancer and address the need for establishing consensus definitions for site-specific polymicrobial infections in neutropenic and nonneutropenic patients. We anticipate that, as factual information regarding such infections becomes available, a more comprehensive understanding of the true scope and impact of these infections will emerge, leading to appropriate modifications in the diagnostic work-up and in the therapeutic approaches used in treating these patients.

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Section: Other Polymicrobial Infectionsmentioning

confidence: 99%

Polymicrobial Infection in Patients with Cancer: An Underappreciated and Underreported Entity

Rolston

Bodey

Safdar

2007

Clinical Infectious Diseases

138

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“…In contrast, a slightly different pattern was observed in children. In children with malignant ureteral obstruction, rhabdomyosarcoma, Ewing's sarcoma, neuroblastoma, lymphoma, teratoma, and desmoplastic tumors were the most common neoplasms 3,5,9) . Although rare, mucinous cystoadenoma of the ovary was likely to cause extrinsic ureteral obstruction in children, and approximately 20 cases have been reported 10) .…”

Section: Discussionmentioning

confidence: 99%

“…Furthermore, a renal function re covery rate of 42-44% was reported after the resolution of malignant ureteral obstruction 11,12) . However, the overall survival rate of children with malignant ureteral obstruc tion was approximately 70%, indicating that the prognosis of children was better than that of adults 3,13) . A much better renal function recovery rate was reported as well, with normalized serum Cr levels in most of children with malig nant ureteral obstruction who had renal failure on presentation 3) .…”

Section: Discussionmentioning

confidence: 99%

“…The most common obstructive uropathy in children is congenital malformation, such as posterior urethral valves and bilateral ureteropelvic junction obstruction 2) . Malignant pelvic masses ob structing the ureter are widely reported in adults but are rarely observed in children 3) . The treatment of a ureteral obstruction related to pelvic malignancy is a therapeutic challenge, with a median survival period of 3-7 months in adults 4) .…”

Section: Introductionmentioning

confidence: 99%

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Bilateral Ureteral Obstruction Related to Pelvic Rhabdomyosarcoma Presenting with Acute Kidney Injury: A Case Report

Han¹,

Han²

2019

Child Kidney Dis

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Bilateral renal obstruction is a rare critical condition, requiring a prompt diagnostic approach and treatment to restore the renal function. The most commonly observed obstructive uropathy in children is congenital malformation, such as posterior urethral valves and bilateral ureteropelvic junction obstruction. Malignant pelvic masses obstructing the ureter are widely reported in adults but are rarely observed in children. The treatment of ureteral obstruction related to pelvic malignancy is a therapeutic challenge with a median survival duration of 3-7 months in adults; however, pediatric patients with pelvic malignancy leading to ureteral obstruction had better outcomes, with a reported 5-year mortality rate of 20%, than the adult patients. Here, we report a rare case of bilateral ureteral obstruction associated with pelvic rhabdomyosarcoma presenting with acute kidney injury treated by ureteral diversion with double J stent, and concommittent emergency hemodialysis, leading to restoration of good renal function. We suggest that bilateral ureteral obstruction should be released as soon as possible using surgical or interventional approach to minimize the obstruction period, and subsequential chemotherapy may contribute to improvement of survival and recovery of renal function.

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“…These include drainage of fluid collections including ascites and abscesses, pleurodesis [ 28 ] , airway stenting [ 29 ] , nephrostomy [ 30 ] , biliary drainage and stenting [ 6 , 31 , 32 ] , vertebroplasty [ 33 ] and the insertion of epidural ports for pain relief [ 34 ] .…”

Section: Supportive Carementioning

confidence: 99%