Congenital midureteric stricture: A rare entity in pediatric patient
Journal Title: Pediatric Urology Case Reports - Year 2016, Vol 3, Issue 6
Abstract
Congenital midureteric obstruction is a rare entity which can be caused by either ureteric valves, strictures or an adynamic segment. When encountered, it is generally misdiagnosed as megaureter or ureteropelvic junction obstruction. A high index of suspicion is required to make a correct pre-operative diagnosis. Antegrade or retrograde urography would clinch the diagnosis. Our patient presented with a history of left loin pain. Investigations suggested mid-ureteric stricture. Resection of stricturous segment and primary ureteroureteric anastomosis was done which relieved the symptoms. Histopathology of excised segment showed muscle fibrosis.
Authors and Affiliations
Dr. Prashant Patil, Dr. Gupta Abhaya, Dr. Kothari Paras L, Dr. Kekre Geeta, Dikshit Vishesh K, Shahaji Deshmukh, Apoorva Kulkarni
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