Congenital pelviureteric junction obstruction

Case contributed by Dr Ali Abougazia

Presentation

Irrelevant to the context.

Patient Data

Age: 12
Gender: Male
Modality: MRI

Markedly enlarged right kidney with dilated pelvicalyceal system down to the PUJ and thinned parenchyma. No stones or masses. 

Modality: Ultrasound

The findings were confirmed by ultrasonography which was carried out to exclude urinary stones.

Case Discussion

The young age and lack of any history of renal trouble suggest that the case is congenital PUJ obstruction.

Ideally this diagnosis should be confirmed with either an IVU or nuclear imaging study to dynamically confirm a PUJ obstruction.

When imaging the spine, one should review the visualised other organs, especially the localisers, to ensure no other abnormality is present.  This is particularly the cases with dysraphism, in which congenital renal anomalies are a recognised association. 

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Case Information

rID: 23175
Case created: 26th May 2013
Last edited: 14th Nov 2015
System: Urogenital
Inclusion in quiz mode: Included

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