Pediatric Urology Case Reports

1-6

Authors: Rajendran Ramaswamy, Govinda Ravi, Rayan Baz A, Ghazi Mukattash I, Saif Saeed

Congenital giant megaureter presents as abdominal mass and impose diagnostic difficulties. It can be associated with other upper urinary tract anomalies. A female newborn with antenatal diagnosis of polycystic kidneys was admitted at birth due to lower abdominal mass. Ultrasound and CT scans diagnosed a multiloculated cystic lesion in the mid and lower abdomen along with right side multicystic kidney. At laparotomy, an extaperitoneal, lobulated cystic swelling was found due to rightside giant megaureter. Its lower end was of normal caliber and orthotopic. End cutaneous ureterostomy was done. Intravenous urogram and isotope renograms showed nonfunctioning right kidney. She also had grade II vesicoureteral reflux on left side. Child suffered urinary infection twice. At 9m age, right nephroureterectomy was done. Histopathologic examination was consistent with cystic renal dysplasia and dilated ureter. This is the first case report of giant megaureter associated with ipsilateral multicystic dysplastic kidney in newborn.

12-16

Authors: Jyoti Bothra, Gursev Sandlas, Shalika Jayaswal, Hemanshi Shah

Urinary extravastion after blunt abdominal trauma is seen often and generally treated conservatively. However a blunt renal trauma causing huge amount of extravasations and symptoms disproportionate to the severity of trauma should alarm the surgeon towards an underlying occult renal pathology usually an obstruction. In this case series, we share three such experiences and their management

23-27

Authors: Paula Nunes1, Nidia Rolim, Renato Mota

Ureteropelvic junction (UPJ) obstruction poses a diagnostic challenge when the patient arrives at the emergency department with severe recurrent back pain without previous record of this condition. Extrinsic factors including crossing vessels or intrinsic factors such as adynamic segment of proximal ureter can cause UPJ obstruction. We report a case of a 16 year-old female patient with ureteropelvic junction syndrome occurring at adolescence, caused by two accessory vessels. She was submitted to a laparoscopic dismembered pyeloplasty with favorable outcome.