Proximal ureteral atresia in a duplex kidney with preserved renal function: A case report and review of literature

Journal Title: Pediatric Urology Case Reports - Year 2019, Vol 6, Issue 4

Abstract

Ureteral atresia is a rare congenital anomaly and is usually associated with renal dysplasia. Distal atresia is more common and other associated urinary anomalies are rare. We report a case of an eight year old boy who presented with left flank pain and vomiting. Ultrasound abdomen and pelvis and renal scintigraphy were suggestive of hydroureteronephrosis with obstructed drainage. He was suspected to have ureteric stricture and taken up for surgery. Cystoscopy and retrograde pyelogram revealed an incomplete duplication with lower moiety ureter ending blindly. Exploration of left renal fossa showed a duplex anomaly with normal upper moiety and hydronephrosis of lower moiety with a ureteric stump. Ureteropelvic anastomosis was done between the dilated renal pelvis and the blind ending ureter. Patient was doing well post operatively with good function in both moieties. Review of literature shows only two previously reported cases of proximal ureteric atresia. Preservation of renal function in an older child has also been reported only once. Ureteral atresia is usually diagnosed intra-operatively and various reconstruction options are available in patients with preserved function. Key Words:

Authors and Affiliations

Loganathan Arun Kumar, Jujju Jacob Kurian

Keywords

Related Articles

Undetected duplex moiety with ureteropelvic junction obstruction: A case report

Although ureteropelvic junction obstruction and duplex kidney are common anomalies in child age group, the combination of these two anomalies is a rare association and infrequently reported. A 2 month old male patient an...

A case of foreign body granuloma after Plastibell® circumcision

Male circumcision is one of the most commonly performed surgical procedures and the Plastibell® device is a popular method used to perform circumcisions in neonates and young children. We report a case of a 9-year-old ot...

Vesicovaginal reflux as a cause of hydrocolpos in prepubertal females: A radiologist’s perspective

Vesicovaginal reflux (VVR) is common in prepubertal females presenting with voiding dysfunction. However, VVR as a cause of gross hydrocolpos is uncommon in clinical practice. The varied clinical presentation and perplex...

Long-term indwelling double-J stent and multiple encrusted stones in the ureter and bladder: A case report on Holmium laser treatment

Double-J (D-J) stents are widely used in a variety of urological interventions. Forgotten D-J stents may lead to complications, such as migration, fragmentation and encrustation. We report the case of a forgotten stent,...

Cloacal dysgenesis sequence associated with esophageal atresia and tracheoesophageal fistula: A case report and review of literature

Absence of any orifice in perineum, presence of smooth perineum, and absence external genitalia are characteristic of cloacal dysgenesis sequence (CDS). Newborn of 40w gestational age, born to mother with oligohydramnios...

Download PDF file
  • EP ID EP596284
  • DOI 10.14534/j-pucr.2019452977
  • Views 78
  • Downloads 0

How To Cite

Loganathan Arun Kumar, Jujju Jacob Kurian (2019). Proximal ureteral atresia in a duplex kidney with preserved renal function: A case report and review of literature. Pediatric Urology Case Reports, 6(4), 79-82. https://europub.co.uk/articles/-A-596284