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Revista Mexicana de Urología

Organo Oficial de la Sociedad Mexicana de Urología
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2010, Number 5

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Rev Mex Urol 2010; 70 (5)

Incomplete left and complete right bilateral double collecting system with renal hypoplasia of right superior pole and right ureterocele

López-Trapero IA, Reyes-García I, Torres-Medina E, Zapata-González A, Muñoz-Islas E
Full text How to cite this article

Language: Spanish
References: 6
Page: 288-292
PDF size: 997.44 Kb.


Key words:

Hydronephrosis, ureterocele, double collecting system, Mexico.

ABSTRACT

The case of a seventeen-month-old female patient sent to the urology service of the Centro Médico Nacional del Noreste in Monterrey, Nuevo León, Mexico, for right hydronephrosis is presented.
There was important medical history of right hydronephrosis detected by ultrasound at 27 weeks of gestation that persisted at 31 weeks seen in repeat ultrasound. A third ultrasound image was taken at 14 days of extrauterine life, showing right hydronephrosis and ipsilateral ureter dilatation with left ureterocele. At 6 months of age another ultrasound study revealed the same findings.
Prenatal hydronephrosis is the most commonly detected prenatal genitourinary abnormality. Differential diagnosis can range from a self-limited condition with no clinical significance (physiological hydronephrosis with normal postnatal ultrasound) to conditions that require surgery or that cause renal destruction.


REFERENCES

  1. Gugliota A, Reis LO, Alpendre C. Postnatally hydronephrosis (HN) in children with antenatally diagnosed hydronephrosis: surgery or medical treatment. Actas Urol Esp 2008;32:1031-1034.

  2. Hubert KC, Palmer JS. Current diagnosis and management of fetal genitourinary abnormalities. Urol Clin North Am 2007;34:89-101.

  3. Walsh TJ, Hsieh S, Grady R. Antenatal hydronephrosis and the risk of pyelonephritis hospitalization during the first year of life. Urology 2007;69:970-974.

  4. Toiviainen-Salo S, Garel L, Grignon A. Fetal hydronephrosis: is there hope for consensus? Pediatr Radiol 2004;34:519-29.

  5. Field AM. Manejo de la patología en doble sistema renal mediante nefrectomía parcial. Revista Chilena de Urología 2003;68:111-1118.

  6. Walsh, Retik, Vaughan, Wein. Campbell Urología. 9ª edición. Ed Panamericana. México. 2007.




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Rev Mex Urol. 2010;70