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Unusual Presentation of Duplex Kidneys: Ureteropelvic Junction Obstruction
Joint Authors
Çelebi, Süleyman
Baştaş, Cemile Beşik
Özaydın, Seyithan
Karaaslan, Birgül
Alim, Elmas Reyhan
Güvenç, Ünal
Sander, Serdar
Source
Issue
Vol. 2016, Issue 2016 (31 Dec. 2016), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2016-10-18
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
Aim.
Ureteropelvic junction obstruction (UPJO) is rarely associated with a duplex collecting system.
We review this unusual anomaly in terms of presentation, diagnostic evaluation, and surgical management.
Method.
We retrospectively reviewed the medical records of patients diagnosed with a duplex system with UPJO.
Result.
Sixteen patients (6 girls, 10 boys) with 18 moieties were treated surgically and four patients were treated conservatively.
The median age at surgery was two years (range, 2 months to 7 years).
The lower pole and upper moiety were affected in 12 and two kidneys, respectively, and both were affected in two patients.
The anomaly was right-sided in 12 moieties and left-sided in six.
The duplication was incomplete in seven patients and complete in nine.
The mean renal pelvis diameter at the time of surgery was 25.6 (range 11–48 mm) mm by USG.
The mean renal function of the involved moiety was 28.3% before surgery.
Management included pyelopyelostomy or ureteropyelostomy in six moieties, dismembered pyeloplasty in eight moieties, heminephrectomy in four cases, and simultaneous upper heminephrectomy and lower pole ureteropyelostomy in one patient.
Conclusion.
There is no standard approach for these patients and treatment should be individualized according to physical presentation, detailed anatomy, and severity of obstruction.
American Psychological Association (APA)
Baştaş, Cemile Beşik& Çelebi, Süleyman& Özaydın, Seyithan& Karaaslan, Birgül& Alim, Elmas Reyhan& Güvenç, Ünal…[et al.]. 2016. Unusual Presentation of Duplex Kidneys: Ureteropelvic Junction Obstruction. Advances in Urology،Vol. 2016, no. 2016, pp.1-6.
https://search.emarefa.net/detail/BIM-1096752
Modern Language Association (MLA)
Baştaş, Cemile Beşik…[et al.]. Unusual Presentation of Duplex Kidneys: Ureteropelvic Junction Obstruction. Advances in Urology No. 2016 (2016), pp.1-6.
https://search.emarefa.net/detail/BIM-1096752
American Medical Association (AMA)
Baştaş, Cemile Beşik& Çelebi, Süleyman& Özaydın, Seyithan& Karaaslan, Birgül& Alim, Elmas Reyhan& Güvenç, Ünal…[et al.]. Unusual Presentation of Duplex Kidneys: Ureteropelvic Junction Obstruction. Advances in Urology. 2016. Vol. 2016, no. 2016, pp.1-6.
https://search.emarefa.net/detail/BIM-1096752
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1096752