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Ureteric diverticulum: A diagnostic challenge

Pediatric Urology Case Reports

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Title Ureteric diverticulum: A diagnostic challenge
Creator Gupta, Rahul Kumar
Sanghvi, Beejal
Munghate, Gayatri
Mane, Sonali
Tiwari, Pooja
Mudkhedkar, Kedar
Parelkar, Sandesh V
Ureteric diverticula, pediatric age group, giant hydronephrosis
Description Ureteric diverticulum is a rare urological condition with only 47 cases described in the literature till 2013. A full term   female infant presented with a huge cystic lump occupying almost the entire right side of the abdomen at 1 month of age. Ultrasonography and Magnetic Resonance Urography (MRU) revealed right sided gross hydronephrosis with pelvis appeared folded onto itself along with left sided mild hydronephrosis. On EC scan, differential function of right sided kidney was 0.9%. With working diagnosis of right sided giant hydronephrosis secondary to pelviureteric junction obstruction, the child was posted for Anderson - Hynes pyeloplasty through right flank incision. On exploration we were surprised to find ureteric diverticula. Excision of ureteric diverticulum with proximal ureterostomy was done. Distal part of ureter was transfixed. Histopathological examination of diverticulum showed presence of fibromuscular wall suggestive of true diverticulum. Since ureterostomy was draining only few drops of clear fluid and on repeat EC scan there was no improvement in function of right kidney, right nephroureterectomy was done after 6 months. 
Publisher Pediatr Urol Case Rep
Date 2017-09-29
Type info:eu-repo/semantics/article
Peer-reviewed Article
Format application/pdf
Source Pediatric Urology Case Reports; Vol 4, No 6 (2017): Nov-Dec; 399-404
Language eng
Rights Copyright (c) 2017 Pediatric Urology Case Reports