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Congenital giant hydroureter presenting as abdominal mass in an infant.

Javali TD, Shetty P, Harohally N - Cent European J Urol (2013)

Bottom Line: Work up was completed with renal scan and micturating cystourethrography.The patient was operated and left nephorureterectomy was performed.Hydroureter has to be considered in differential diagnosis of abdominal mass in an infant.

View Article: PubMed Central - PubMed

Affiliation: Department of Urology, MS Ramaiah Hospital, Bangalore, India.

ABSTRACT
Herein we present a case of a 7-month-old baby girl, with left single system ectopic ureter, in whom the ureter was dilated to such an extent that it presented as an abdominal mass. Diagnosis was established by means of computed tomography. Work up was completed with renal scan and micturating cystourethrography. The patient was operated and left nephorureterectomy was performed. Hydroureter has to be considered in differential diagnosis of abdominal mass in an infant.

No MeSH data available.


Related in: MedlinePlus

Specimen consisting of the left kidney and its ureter.
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Figure 0003: Specimen consisting of the left kidney and its ureter.

Mentions: A 7–month–old baby girl was brought to our hospital with a 2 months history of an ill defined mass involving entire abdomen. There were no urinary complaints. Contrast enhanced computed tomography (CECT) of the abdomen and pelvis revealed a small left kidney with a dilated renal pelvis that continued as a hugely dilated and tortuous ureter (Figure 1). On a diethylene triamine pentaacetic acid (DTPA) scan split function of the left kidney was 5%. Micturating cystourethrogram (MCU) showed no reflux, with the bladder pushed laterally, probably due to the mass effect of the dilated ureter (Figure 2). On cystoscopy, hemitrigone was noticed, with absent left ureteric orifice. A diagnosis of left ectopic ureter with congenital giant hydroureter and poorly functioning left kidney was made and open nephroureterectomy was done (Figure 3). Intra–operatively the left ureter was found terminating into the vagina.


Congenital giant hydroureter presenting as abdominal mass in an infant.

Javali TD, Shetty P, Harohally N - Cent European J Urol (2013)

Specimen consisting of the left kidney and its ureter.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3974474&req=5

Figure 0003: Specimen consisting of the left kidney and its ureter.
Mentions: A 7–month–old baby girl was brought to our hospital with a 2 months history of an ill defined mass involving entire abdomen. There were no urinary complaints. Contrast enhanced computed tomography (CECT) of the abdomen and pelvis revealed a small left kidney with a dilated renal pelvis that continued as a hugely dilated and tortuous ureter (Figure 1). On a diethylene triamine pentaacetic acid (DTPA) scan split function of the left kidney was 5%. Micturating cystourethrogram (MCU) showed no reflux, with the bladder pushed laterally, probably due to the mass effect of the dilated ureter (Figure 2). On cystoscopy, hemitrigone was noticed, with absent left ureteric orifice. A diagnosis of left ectopic ureter with congenital giant hydroureter and poorly functioning left kidney was made and open nephroureterectomy was done (Figure 3). Intra–operatively the left ureter was found terminating into the vagina.

Bottom Line: Work up was completed with renal scan and micturating cystourethrography.The patient was operated and left nephorureterectomy was performed.Hydroureter has to be considered in differential diagnosis of abdominal mass in an infant.

View Article: PubMed Central - PubMed

Affiliation: Department of Urology, MS Ramaiah Hospital, Bangalore, India.

ABSTRACT
Herein we present a case of a 7-month-old baby girl, with left single system ectopic ureter, in whom the ureter was dilated to such an extent that it presented as an abdominal mass. Diagnosis was established by means of computed tomography. Work up was completed with renal scan and micturating cystourethrography. The patient was operated and left nephorureterectomy was performed. Hydroureter has to be considered in differential diagnosis of abdominal mass in an infant.

No MeSH data available.


Related in: MedlinePlus