Download PDF
Eur J Pediatr Surg 2007; 17(2): 142-146
DOI: 10.1055/s-2007-965014
Case Report

Georg Thieme Verlag KG Stuttgart, New York · Masson Editeur Paris

Fibroepithelial Polyps Causing Ureteropelvic Junction Obstruction in Children - A Case Report and Review Article

E. Cassar Delia1 , V. T. Joseph1 , W. Sherwood1
  • 1Department of Paediatric Surgery, John Radcliffe Hospital, Oxford, United Kingdom
Further Information

Publication History

received June 24, 2006

accepted after revision July 14, 2006

Publication Date:
14 May 2007 (online)

    Permissions and Reprints

Abstract

Fibroepithelial polyps are extremely rare benign mesodermal tumours in children that can cause ureteropelvic junction (UPJ) obstruction. We report on a 10-year-old boy presenting with UPJ obstruction due to a fibroepithelial polyp, and review 28 similar published paediatric cases.

Les polypes fibro-épithéliaux, cause de l'obstruction de la jonction pyélo-urétérale chez l'enfant. Report d'un cas et revue de la littérature

Les polypes fibro-épithéliaux sont des tumeurs mésodermiques extrêmement rares chez l'enfant qui peuvent causer une obstruction de la jonction pyélo-urétérale (UPJ). Nous rapportons le cas d'un enfant de 10 ans se présentant avec une obstruction de la jonction pyélo-urétérale, due à un polype fibro-épithélial et revoyons 28 cas publiés dans la littérature pédiatrique.

Pólipos fibroepiteliales como causa de obstrucción de la unión pieloureteral en niños: presentación de un caso y revisión

Los pólipos fibroepiteliales son tumores mesodérmicos benignos muy raros en niños que pueden causar obstrucción de la unión pieloureteral. Presentamos un caso de un niño de 10 años con obstrucción pieloureteral debida un pólipo fibroepitelial y revisamos 28 casos similares publicados en la literatura.

Obstruktion am ureteropelvinen Übergang durch einen fibroepithelialen Polyp - Falldarstellung und Übersicht

Fibroepitheliale Polypen sind extrem seltene benigne Tumoren im Kindesalter, die jedoch eine Ureterabgangsstenose verursachen können. Wir stellen einen 10 Jahre alten Knaben mit einer Obstruktion am ureteropelvinen Übergang infolge eines solchen Polypen vor. Ein Überblick über 28 gleichlautende Publikationen wird gegeben.

Key words

ureteropelvic junction obstruction - hydronephrosis - fibroepithelial polyps - urothelial tumours

Mots-clés

obstruction de la jonction pyélo‐urétérale - hydronéphrose - polypes fibro‐épithéliaux - tumeur urothéliale

Palabras clave

obstrucción pieloureteral - hidronefrosis - pólipos fibroepiteliales - tumores uroteliales

Schlüsselwörter

Ureterabgangsstenose - Hydronephrose - fibroepitheliale Polypen - urothelialer benigner Tumor

References

  • 1 Abrams H J, Buchbinder M I, Sutton A P. Benign ureteral lesions: rare causes of hydronephrosis in children.  Urology. 1977;  9 517-520
    CrossrefPubMedGoogle Scholar
  • 2 Adey G S, Vargas S O, Retik A B, Borer J G, Mandell J, Hendren W H. et al . Fibroepithelial polyps causing ureteropelvic junction obstruction in children.  J Urol. 2003;  169 1834-1836
    CrossrefPubMedGoogle Scholar
  • 3 Bartone F F, Johansson S L, Markin R J, Imray T J. Bilateral fibroepithelial polyps of ureter in a child.  Urology. 1990;  35 519-522
    CrossrefPubMedGoogle Scholar
  • 4 Berger R M, Lebowitz J M, Carroll P A. Ureteral polyps presenting as ureteropelvic junction obstruction in children.  J Urol. 1982;  128 805-807
    PubMedGoogle Scholar
  • 5 Compere D E, Begley G F, Isaacks H E, Frazier T H, Dryden C B. Ureteral polyps.  J Urol. 1958;  79 209-214
    PubMedGoogle Scholar
  • 6 Crum P M, Sayegh E S, Sacher E C, Wescott J W. Benign ureteral polyps.  J Urol. 1969;  102 678-682
    PubMedGoogle Scholar
  • 7 Eilenberg J, Seery W, Cole A. Multiple fibroepithelial polyps in the pediatric age group: case report.  J Urol. 1977;  117 793
    PubMedGoogle Scholar
  • 8 Evans A T, Stevens R K. Fibroepithelial polyps of ureter and renal pelvis: a case report.  J Urol. 1961;  86 313-315
    PubMedGoogle Scholar
  • 9 Greig J D, Azmy A F. An unusual case of pelviureteric junction obstruction.  J Pediatr Surg. 1992;  27 525-526
    CrossrefPubMedGoogle Scholar
  • 10 Gup A. Benign mesodermal polyp in childhood.  J Urol. 1975;  114 619-620
    PubMedGoogle Scholar
  • 11 Karaca I, Sencan A, Mir E, Sayan A, Ortac R. Ureteral fibroepithelial polyps in children.  Pediatr Surg Int. 1997;  12 603-604
    CrossrefPubMedGoogle Scholar
  • 12 Lam J S, Bingham J B, Gupta M. Endoscopic treatment of fibroepithelial polyps of the renal pelvis and ureter.  Urology. 2003;  62 810-813
    CrossrefPubMedGoogle Scholar
  • 13 Lavelle J P, Knisely A, Bellinger M F. Benign fibroepithelial polyps causing symptomatic bilateral intermittent hydroureteronephrosis.  J Urol. 1997;  158 569
    CrossrefPubMedGoogle Scholar
  • 14 Li W M, Wu W J, Ke H L, Chai C Y, Chou Y H, Huang C H. Fibroepithelial polyps causing ureteropelvic junction obstruction in a child.  Kaohsiung J Med Sci. 2005;  21 282-285
    PubMedGoogle Scholar
  • 15 Macksood M J, Roth D R, Chang C H, Perlmutter A D. Benign fibroepithelial polyps as a cause of intermittent ureteropelvic junction obstruction in a child: a case report and review of the literature.  J Urol. 1985;  134 951-952
    PubMedGoogle Scholar
  • 16 Musselman P, Kay R. The spectrum of urinary tract fibroepithelial polyps in children.  J Urol. 1986;  136 476-477
    PubMedGoogle Scholar
  • 17 Mydlo J, Reda E, Gill B, Kogan S J, Ziprkowski M N, Weiss R. et al . Fibroepithelial polyp in a child.  Urology. 1988;  31 318-320
    CrossrefPubMedGoogle Scholar
  • 18 Naucler J, Johansson S L, Nilson A E, Pettersson S. Fibroepithelial polyp of the ureter.  Scand J Urol Nephrol. 1983;  17 379-383
    PubMedGoogle Scholar
  • 19 Nowak M A, Marzich C S, Scheetz K L, McElroy J B. Benign fibroepithelial polyps of the renal pelvis.  Arch Pathol Lab Med. 1999;  123 850-852
    PubMedGoogle Scholar
  • 20 Parker D J. A fibrous polyp of the ureter in childhood.  Br J Urol. 1968;  40 418-420
    PubMedGoogle Scholar
  • 21 Psihramis K E, Hartwick W. Ureteral fibroepithelial polyp with positive urinary cytology.  Urology. 1993;  41 387-391
    CrossrefPubMedGoogle Scholar
  • 22 Riuz-Lopez M J, Ramfrez-Garrido F, Nogueras-Ocana M, Munoz-Hoyos A, Martin A. Recurrent ureteric fibroepithalial polyp in a child.  Eur J Pediatr. 2004;  163 124-125
    CrossrefPubMedGoogle Scholar
  • 23 Schulman C C. Ureteric polyp as a cause of hydronephrosis in childhood.  J Pediatr Surg. 1978;  13 537
    CrossrefPubMedGoogle Scholar
  • 24 Tekdogan U Y, Canakli F, Aslan Y, Han O, Gungor S, Atan A. Bilateral ureteral fibroepithelial polyps and review of the literature.  Int J Urol. 2005;  12 98-100
    CrossrefPubMedGoogle Scholar
  • 25 Thorup J, Pedersen P V, Clausen N. Benign ureteral polyp as a cause of intermittent hydronephrosis in a child.  J Urol. 1981;  126 796-797
    PubMedGoogle Scholar
  • 26 Williams P R, Feggetter J, Miller R A, Wickham J EA. The diagnosis and management of benign fibrous ureteric polyps.  Br J Urol. 1980;  52 253-256
    PubMedGoogle Scholar
  • 27 Zeman L, Dusek M, Lisy J, Moravek J, Rygl M, Stejskal J. et al . Multiple fibroepithelial polyps of the upper ureter in a 17-year-old boy - case report and review of the literature.  Eur J Pediatr Surg. 2004;  14 358-361
    Article in Thieme ConnectPubMedGoogle Scholar
  • 28 Zisman A, Tieder M, Alon H, Eidelman A. Benign fibroepithelial polyps of the ureter and renal pelvis in childhood.  Scand J Urol Nephrol. 1994;  28 191-193
    PubMedGoogle Scholar

Dr. Etienne Cassar Delia

Department of Paediatric Surgery
John Radcliffe Hospital

Headley Way

Oxford OX3 9DU

United Kingdom

Email: cassardelia@yahoo.com

      >