View
227
Download
0
Category
Preview:
Citation preview
8/17/2019 Malf. Vejiga y Ureter
1/20
MALFORMACIONES DELA VEJIGA Y EL URÉTER
CÁTEDRA: UROLOGÍADOCENTE: DR. PABLO ELGUERA
ESTUDIANTES:CYNTHIA PAOLA VÁSQUEZ DÁVILA
LIUSSMYTH SIOMMARA VEGA SÁNCHEZ
8/17/2019 Malf. Vejiga y Ureter
2/20
vejiga
8/17/2019 Malf. Vejiga y Ureter
3/20
– Poco !"c#"$%". – L& '&(o!)& *o$ 'o!%+$&%o*. – So,!"-+-"$ &* '#/"!"*. – M&o!'&c+o$"* &*oc+&0&*. – Eco1!23c&'"$%" *"$c+& 0" -"/+1&.
AGENESIA VESICAL
E$ & &1"$"*+& -"*+c& & #!"%!& $o *" o!'&( o* #!4%"!"* %"!'+$&$ "$ " 5%"!o6 -&1+$&o -"*%),#o "$ & '#/"!6 ( "$ " !"c%o "$ "-&!7$
8/17/2019 Malf. Vejiga y Ureter
4/20
DUPLICACIÓN VESICAL
• D#8+c+0&0 -"*+c&co'8"%&
• D#8+c+0&0 +$co'8"%&• T&,+9#" *&1+%&
co'8"%o• T&,+9#" *&1+%&
+$co'8"%o
• T&,+9#" !o$%& co'8"%o• T&,+9#" !o$%& +$co'8"%o• V"/+1& '#%+oc#&!• V"/+1& "$ !"o/ 0" &!"$&;.
8/17/2019 Malf. Vejiga y Ureter
5/20
– 6>>> RN – V&!o$"* ?:< – A%& +$c+0"$c+& 0" C&!c+$o'&
-"*+c& @>
&0"$oc&!c+$o'&.
EXTROFIA VESICAL
S" 0"," & & &%& 0"
'+1!&c+7$ 0" '"*o0"!'o+$!',++c&. Co$*"c#"$c+& 0""o6 $o "+*%"$ &* 8&!%"*&$%"!+o!"* 0" o* '5*c#o*!"c%o*6 ( o* '5*c#o*
o,+c#o* "%"!$o " +$%"!$o6 &*)co'o " '5*c#o %!&$*-"!*o0" &,0o'"$6 *o$ 0"3c+"$%"*.No hay naa e !"#$%&oni e 'ejio $onj%n'ivo e
&a (a)e a*o!ina&an'e)io) #o*)e &a vejiga+
8/17/2019 Malf. Vejiga y Ureter
6/20
8/17/2019 Malf. Vejiga y Ureter
7/20
8/17/2019 Malf. Vejiga y Ureter
8/20
• E* #$& -"/+1& "c"*+-&'"$%" 1!&$0".• T!&*%o!$o co$14$+%o 0" & ("'& #!"%"!&.• S" 8#"0" &*oc+&! & 0+&%&c+7$ 0" &
8"-+* !"$&.• M#co* &c%&$%"* &"c"$ 0",+0o & "*%"
8!o,"'& o ,+"$ 8!"*"$%&$ +$*#3c+"$c+&!"$& 0#!&$%" & 8!+'"!& +$&$c+&.
,EGAVE-IGA CONG.NITA
8/17/2019 Malf. Vejiga y Ureter
9/20
U)/'e)e#
8/17/2019 Malf. Vejiga y Ureter
10/20
E* #$& 0" &* '&* !"c#"$%"* '&o!'&c+o$"* co$14$+%&*60" &8&!&%o #!+$&!+o 6 *" "*%+'& 9#" 0" >. &
8/17/2019 Malf. Vejiga y Ureter
11/20
• P!"0+*8o*+c+7$ &: – I$"cc+o$"* #!+$&!+&* – N"!o8&%)& 8o! !"#/o : c*&
&& !"$&. – D:
• C+*%o#!"%!o1!&)& '+cc+o$&•
C+*%o1!&)& $#c"&!• M&* !"c#"$%" "$ '#/"!"*
:
8/17/2019 Malf. Vejiga y Ureter
12/20
– D+&%&c+7$ 8&!c+& o %o%& 0"#!4%"! 0",+0& & '&#$c+o$&'+"$%o 0" *#*"1'"$%o %"!'+$&: "+*%" #$0""c%o "$ " 0"*&!!oo 0" &*3,!&* '#*c#&!"* 0"o!+"$%&c+7$ o$1+%#0+$& 0"#!4%"! %"!'+$&6 8o! o 9#" &(#$& o$& 9#" $o *" !"&/& "+'8+0" " #/o $o!'& 0" &
o!+$& & & -"/+1&. – No!'&: '' – M&(o! & '' *" co$*+0"!&
co'o M"1!4%"!.
,EGAUR.TER
8/17/2019 Malf. Vejiga y Ureter
13/20
• D: *" !"&+& '"0+&$%" US( UROGRAFIA EKCRETORA.
•
T: Co$%!o"* "co1!23co*8&!& -&o!&! &+0!o$"!o*+* !"$& &*)co'o %!&%&'+"$%o 0"+$"cc+o$"* #!+$&!+&*. Y%!&%&'+"$%o Q "*%&
+$0+c&0o "$ o,*%!#cc+o$"*co'8!o,&0&*.
,EGAUR.TER
8/17/2019 Malf. Vejiga y Ureter
14/20
–
I$*"!c+7$ "c%78+c& *" 0"," '+1!&c+7$ &$o!'& #!"%"!&( !"*#%& "$ "c%o8+& c&. – E* '&* !"c#"$%" "$ '#/"!"*6 ( "$ !+7$
*#8"!$#'"!&!+o. – A*oc+&c+7$ co$ 0#8+c&c+7$ #!"%"!& co'8"%& @> – C&0& *"1'"$%o %+"$" *# 8!o8+o o!+3c+o #!"%"!& "$
-"/+1&.
UR.TER ECTÓPICO
E$ " HOMBRE6 co$'&(o! !"c#"$c+& "$
" c#"o -"*+c& o"$ & 8o!c+7$
8!o*%2%+c& 0" &
#!"%!&:
E$ & MUJER6 "o!+3c+o #!"%"!&
"c%78+co *#"" "*%&!"$ " c#"o -"*+c&6#!"%!&6 -&1+$& o "$" -"*%),#o 0" &
-&1+$&.
L& 'o"*%+& '2*!"c#"$%" 0" "c%o8)&
#!"%"!& "* &
+$co$%+$"$c+&.
8/17/2019 Malf. Vejiga y Ureter
15/20
A$o'&)&* 0" #!4%"! 0+*%&
8/17/2019 Malf. Vejiga y Ureter
16/20
DUPLICIDAD DEL UR.TER
P#"0" *"! co'8"%& o +$co'8"%&
Co'8"%&: E* '&* !"c#"$%" ( 8#"0" $o 8!"*"$%&!$+$1#$& 8&%oo1)& &*oc+&0&.
E$ & co'8"%& "+*%"$ 0o* #!4%"!"* %o%&'"$%"*"8&!&0o* 9#" 0!"$&$ " '+*'o !+7$ 8o! '"&%o*-"*+c&"* 0+*%+$%o*:
E #!4%"! 9#" 0!"$& ""'+!!+o$ *#8"!+o!
0"*"',oc& c&'"$%".
E 9#" 0!"$& & "'+!!+o$+$"!+o!6 0"*"',oc&
c!&$"&'"$%".
I$co'8"%&: Lo* 0o*#!4%"!"* *" #$"$ "$ o!'&0" Y; &$%"* 0" "1&! & &-"/+1& ( "* 1"$"!&'"$%"
&*+$%o'2%+c&.
E* & '2* !"c#"$%" '&o!'&c+7$ 0" $#'"!o 0"#!4%"! @>6.
8/17/2019 Malf. Vejiga y Ureter
17/20
Do," *+*%"'& #!"%"!& +$co'8"%o.UROGRAFIA EKCRETORA
8/17/2019 Malf. Vejiga y Ureter
18/20
• E* & 0+&%&c+7$ 9#)*%+c& 0" #!4%"!+$%!&-"*+c&.
• S" 8!"*"$%& #$& -" c&0& >>> $&c+'+"$%o*.• E* '&* !"c#"$%" "$ " *"o "'"$+$o :
8/17/2019 Malf. Vejiga y Ureter
19/20
• E* #$& M&o!'&c+o$ o,*%!#c%+-&6 *" %!&%& 0" !"8+"1#"* '#co*o*6co$ *o8o!%" '#*c#&!6 ( 9#" o,*%!#("$ " #/o #!"%"!&.
• P#"0"$ "$co$%!&!*" "$ %o0o " %!&("c%o #!"%"!&6 8"!o *" &$"$co$%!&0o co$ '&(o! !"c#"$c+& "$ " *"1'"$%o '"0+o.
• E %!&%&'+"$%o co$*+*%" "$ & "%+!8&c+7$ 0" *"1'"$%o &"c%&0o.• A"c%& *7o & o* RN 0" *"o '&*c#+$o ( *" 8!o0#c" "$
&8!o+'&0&'"$%" #$o 0" c&0& .>>> $&c+'+"$%o*.
VÁLVULAS URETERALES
8/17/2019 Malf. Vejiga y Ureter
20/20
Recommended