Obstructed primary megaureter

Case contributed by Emma Gevorgyan
Diagnosis almost certain

Presentation

Ultrasonography revealed left gross hydroureteronephrosis. The patient is asymptomatic and has no previous medical history and no previous

Patient Data

Age: 50 years
Gender: Female

Markedly dilated left collecting system, thinning of the renal cortex. Severe dilatation and tortuosity of the left ureter along its entire course with tapering just above the vesicoureteral junction (VUJ).

Case Discussion

Primary obstructive megaureter is rare in adults and may be diagnosed as incidental fining. It's characterized by a distal adynamic segment with proximal dilatation. The ureter tapers to a short segment of normal caliber or narrowed distal ureter, typically located just above the vesicoureteric junction (VUJ).

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