Upper pole multicystic dysplasia and ureteropelvic junction obstruction associated with obstructive-refluxing megaureter in a neonate with a single kidney

Endre Z. Neulander, Tiberiu Katz, Jacob Kaneti

Research output: Contribution to journalArticlepeer-review

Abstract

A 20-day-old male neonate presented with fever and hydronephrosis. Evaluation revealed that the patient had a single left kidney and a rare combination of multiple congenital malformations: upper pole segmental multicystic dysplasia, ureteropelvic junction obstruction, and an obstructive and refluxing megaureter ureterovesical junction obstruction). We performed percutaneous drainage of the infected and obstructed upper collecting system and then used a sequential approach to manage the patient's anomalies. First, we performed an upper pole partial nephrectomy and pyeloplasty with a modified Y ureterostomy. Second, when the child was older, we performed ureterovesical reimplantation with ureteral tailoring. Currently, after 5 years of follow up, the patient has stable renal function.

Original languageEnglish
Pages (from-to)5472-5474
Number of pages3
JournalCanadian Journal of Urology
Volume17
Issue number6
StatePublished - 1 Dec 2010
Externally publishedYes

Keywords

  • Megaureter
  • Multicystic dysplasia
  • Ureteropelvic junction obstruction
  • Ureterostomy

Fingerprint

Dive into the research topics of 'Upper pole multicystic dysplasia and ureteropelvic junction obstruction associated with obstructive-refluxing megaureter in a neonate with a single kidney'. Together they form a unique fingerprint.

Cite this