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Pediatric Surgery International

, Volume 10, Issue 8, pp 565–566 | Cite as

Congenital hydronephrosis in the lower segment of a duplex system

  • Rafael V. Pieretti
  • Rafael V. Pieretti-Vanmarcke
Case Report

Abstract

Two cases of hydronephrosis of the lower moiety in duplicated collecting systems, one associated with a complete duplication and another with an incomplete duplex system, are reported. This is a rare anomaly that requires a precise preoperative anatomic diagnosis to allow the planning of the most suitable surgical procedure. Treatment of this entity should follow similar guidelines as single-system hydronephrosis. An end-to-side dismembered pyeloureterostomy is the optimal operative technique.

Key words

Congenital hydrnoephrosis Pyeloureteral duplication 

References

  1. 1.
    Amar AD (1976) Congenital hydronephrosis of lower segment in duplex kidney. Urology 7: 480–485Google Scholar
  2. 2.
    Culp OS (1967) Management of ureteropelvic obstruction. Bull N Y Acad Med 43: 355–377Google Scholar
  3. 3.
    Dahl DS (1975) Bilateral complete renal duplication with total obstruction of both lower pole collecting systems. Urology 6: 727–729Google Scholar
  4. 4.
    Feyder S, Deming CL (1942) Congenital hydronephrosis in the lower half of a double kidney: report of a case. New Engl J Med 226: 220–223Google Scholar
  5. 5.
    Johnston JH (1961) Urinary tract duplication in childhood. Arch Dis Child 36: 180–189Google Scholar
  6. 6.
    Joseph DB, Bauer SB, Colodny AH, Mandell J, Lebowitz RL, Retik AB (1989) Lower pole ureteropelvic junction obstruction and incomplete renal duplication. J Urol 141: 896–899Google Scholar
  7. 7.
    Lenaghan D (1962) Bifid ureters in children: an anatomical, physiological and clinical study. J Urol 87: 808–817Google Scholar
  8. 8.
    Ossandon F, Androulakis P, Ransley PG (1981) Surgical problems in pelvioureteral junction obstruction of the lower moiety in incomplete duplex systems. J Urol 125: 871–872Google Scholar

Copyright information

© Springer-Verlag 1995

Authors and Affiliations

  • Rafael V. Pieretti
    • 1
  • Rafael V. Pieretti-Vanmarcke
  1. 1.AEROCAV 1087MiamiUSA

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