IJU Case Reports (Mar 2024)

Trisomy 13 with retroiliac ureter diagnosed by assessment for recurrent febrile urinary tract infections

  • Yosuke Morizawa,
  • Mitsuru Tomizawa,
  • Takuto Shimizu,
  • Kenta Onishi,
  • Shunta Hori,
  • Daisuke Gotoh,
  • Yasushi Nakai,
  • Makito Miyake,
  • Kazumasa Torimoto,
  • Kiyohide Fujimoto

DOI
https://doi.org/10.1002/iju5.12692
Journal volume & issue
Vol. 7, no. 2
pp. 161 – 164

Abstract

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Introduction Patients with trisomy 13 have multiple malformations, including urological anomalies, and severe cognitive and psychomotor disabilities. We conducted a ureteroureterostomy for a mid‐ureteral stricture due to a retroiliac ureter in a patient with trisomy 13. Case presentation A 6‐month‐old girl with trisomy 13 developed a urinary tract infection. Computed tomography for assessing recurrent urinary tract infection revealed a left mid‐ureteral stricture due to the retroiliac ureter. At the age of 2, a ureteroureterostomy was performed. Two years after surgery, the urinary tract infection did not recur. Conclusion Ureteroureterostomy is a safe procedure for children with trisomy 13 and multiple comorbidities. Surgical treatment should be considered for patients with trisomy 13 when agreed upon by the family and comorbidities are well‐controlled.

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