Pelviureteric junction obstruction

Case contributed by Dr Hani Makky Al Salam

Presentation

Recurrent urinary tract infection

Patient Data

Age: Child

Tc-99m MAG3

Nuclear medicine

Tc99m-MAG3 demonstrate progressive and persistent accumulation of radio-tracer in the right kidney, in keeping with a pelviureteric junction obstruction.

Renogram activity curve shows abnormal radio-tracer uptake in the right kidney with plateau of the curve suggestive of obstruction.

Ultrasound

Severe right hydronephrosis with normal ureter, suggestive of right pelviureteric junction obstruction.

Case Discussion

Features of right pelviureteric junction obstruction.

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