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Incomplete duplex renal system with severe obstruction at the uretero-ureteral junction and minor obstruction at the common stem-vesical junction: Challenging diagnosis and conclusive laparoscopic treatment

Journal: Pediatric Urology Case Reports (Vol.7, No. 4)

Publication Date:

Authors : ;

Page : 88-93

Keywords : Incomplete duplex renal system; uretero-ureteral junction obstruction; giant megaureter; laparoscopic heminephrectomy.;

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Abstract

Twin obstructive megaureters associated with duplex renal system is a rare malformation, particularly when a giant ureter dilation is present. We report an original case, initially misinterpreted, of a right incomplete duplex renal system with huge disproportion between the upper pole giant megaureter and the lower pole moderate megaureter, with severe obstruction at the uretero-ureteral junction and minor obstruction at the uretero-vesical junction. Uro-magnetic resonance imaging allowed conclusive diagnosis and the laparoscopic approach was effective for definitive, successful treatment.

Last modified: 2020-07-11 01:35:55