Hydronephrosis due to ureteropelvic junction obstruction in left pelvic kidney
https://doi.org/10.21886/2308-6424-2020-8-2-113-118
Abstract
The article presents a rare case of hydronephrosis due to ureteropelvic junction obstruction (UPJO) in the pelvic kidney. The rarity of this anomaly determines the presence of a limited number of publications on this problem in modern literature. For the following reasons, we find the case presented by us interesting. On the one hand, there was an erroneous tactic of monitoring the patient by outpatient specialists and it was based on data from ultrasound (US) alone, ignoring data from ante- and postnatal ultrasound, which noted the presence of a significant dilatation of the pelvis. On the other hand, the revealed dissonance between the large pelvis and the non-dilated calyces, the inability to visualize the expected wide communications between the calyces and the pelvis, which created the illusion of the presence of a pararenal cyst. The patient underwent Lichtenberg pyeloplasty, which has advantages over dissecting pyeloplasty, when the cause of the UPJO, as in our patient, was a high insertion of the ureter with a structurally normal ureteropelvic junction.
About the Authors
V. V. Sizonov
Rostov State Medical University;
Rostov Regional Children’s Hospital
Russian Federation
Russian Federation
Vladimir V. Sizonov – M.D., Dr. Sc. (M).; Assoc. Prof. (Docent); Prof., Dept. of Urology and Human Reproductive Health (with the Pediatric Urology and Andrology Course)
Head, Pediatric Urology and Andrology Division
tel.: +7 (863) 300-80-34
A. Kh-A. Shidaev
Rostov State Medical University
Russian Federation
Askhab Kh-A. Shidaev – Resident, Dept. of Pediatric Surgery and Orthopedics
Russian Federation
Askhab Kh-A. Shidaev – Resident, Dept. of Pediatric Surgery and Orthopedics
A. G. Makarov
Rostov Regional Children’s Hospital
Russian Federation
Alexey G. Makarov – M.D.; Pediatric Urologist and Andrologist; Pediatric Urology and Andrology Division,
Russian Federation
Alexey G. Makarov – M.D.; Pediatric Urologist and Andrologist; Pediatric Urology and Andrology Division,
E. E. Gorishniaya
Rostov Regional Children’s Hospital
Russian Federation
Elena E. Gorishniaya – M.D., Consulting Pediatric Urologist and Andrologist
Russian Federation
Elena E. Gorishniaya – M.D., Consulting Pediatric Urologist and Andrologist
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Review
For citations:
Sizonov V.V., Shidaev A.Kh., Makarov A.G., Gorishniaya E.E. Hydronephrosis due to ureteropelvic junction obstruction in left pelvic kidney. Urology Herald. 2020;8(2):113-118. (In Russ.) https://doi.org/10.21886/2308-6424-2020-8-2-113-118
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