Nephrectomy for advanced ureteral hypoplasia accompanied by renal dysplasia in a patient with congenital hydronephrosis: A case report

Fumiko Chiba, Kouji Masumoto, Yasuhisa Urita

Abstract


The patient was an 8-month-old girl. Her prenatal ultrasonography at 26 weeks of gestation revealed an abdominal cystic lesion. After birth, the patient was diagnosed with left hydronephrosis and referred to our hospital. Ultrasonography showed grade IV hydronephrosis in the left kidney. MAG3 scintigraphy showed no function in the left kidney. Cystoscopic retrograde pyeloureterography revealed advanced stenosis throughout the entire length of the left ureter. For intraoperative finings, the ureter was extremely thin with 2.6 mm outer diameter and the renal parenchyma was mostly scarred. Since it was difficult to place a stent in the ureter, nephrectomy was performed. For pathological findings, fibrosis with cartilage tissue in the residual renal parenchyma was observed and renal dysplasia was confirmed. Nephrectomy should be considered for advanced ureteral hypoplasia in patients with the entire ureteral hypoplasia because the diseased kidney is often accompanied by dysplasia or severe hypoplasia. 


Keywords


Congenital hydronephrosis; ureteral hypoplasia; non-functioning kidney; nephrectomy

Full Text:

PDF


DOI: http://dx.doi.org/10.14534/j-pucr.2018338705

Refbacks

  • There are currently no refbacks.


Indexing/Abstracting

DOAJ, Tübitak/Ulakbim Turkish Medical Database, Academic OneFile, Health Reference Center Academic, US National Library of Medicine (NLM) Catalog, INDEX COPERNICUS, Genamics-JournalSeek, DRJI, J-Gate, Google Scholar,  Research Bible, Cross Ref, EZB (Electronic Journals Library), OCLC-WorldCat, Turkiye Citation Index, Ulrichsweb, CNKI Scholar, Journal Index, SCIARY (Worldwide Science Educational Library), BASE (Bielefeld Academic Search Engine), Scientific Indexing Services (SIS), CiteFactor RPIOpen Access Library (OAL), JournalTOCs, HINARI, NAIST, ICMJE, PubsHub, AcademicKeys, OAJI, OpenAIRE, Norwegian Social Science Data Services (NSD), Turk Medline, Publons, JIFACTOR, ROAD, SHERPA-ROMEO, AE Global Index, ESJI, SJFinder, InfoBase Index, Pubget, SciLit, Journal Finder, Pak Academic Search (PAS), NYU Health Sciences Library, BIU Santé, Science Library Index, IP Indexing, Ingenta Connect

ICV 2016: 91.10/ CGIJ OAJI: 0.351/ IBI Factor 2015: 2.4/ IPI Value 2.82

Creative Commons License
Pediatric Urology Case Reports is licensed under a Creative Commons Attribution 4.0 International License.