Bilateral congenital midureteric strictures associated with multicystic dysplastic kidney and hydronephrosis: evaluation with MR urography
- نوع فایل : کتاب
- زبان : انگلیسی
- مؤلف : J. Damien Grattan-Smith & Richard A. Jones & Stephen Little & Andrew J. Kirsch
- چاپ و سال / کشور: 2011
Description
We report a case of bilateral congenital midureteric strictures diagnosed using MR urography. The severity of obstruction differed in the two ureters, resulting in a multicystic dysplastic kidney (MCDK) with an atretic ureter on one side and hydronephrosis that worsened over time due to progressive stenosis on the other. Although midureteric strictures are usually misdiagnosed as ureteropelvic junction (UPJ) or ureterovesical junction (UVJ) obstruction on conventional imaging, MR urography was able to clearly demonstrate both the anatomical and functional abnormalities. Additionally, because of the excellent anatomical resolution, similarities in the underlying pathological lesions could be contrasted with the severity of the pathophysiological impact upon each kidney.
Pediatr Radiol (2011) 41:117–120 DOI 10.1007/s00247-010-1799-z Received: 5 May 2010 / Revised: 8 June 2010 / Accepted: 1 July 2010 / Published online: 17 August 2010