Anuria and Hydronephrosis due to Ureteropelvic Junction Obstruction: A Case Report
Journal of Pediatric Nephrology,
Vol. 9 No. 2 (2021),
14 April 2021
https://doi.org/10.22037/jpn.v8i2.32742
Abstract
A 3- year- old boy presented with abdominal pain and distension, lower extremities and facial edema, and anuria for several days that was associated with ureteropelvic junction obstruction (UPJO). Initial ultrasonography showed the presence of a massive bilateral hydronephrosis with UPJO and a computerized tomography (CT) scan without contrast revealed a massive hydronephrosis and hydroureter (grade 3). A follow-up study, after relief of ureteral obstruction, showed the reversal of this pattern. Blood biochemical tests revealed a severe acidosis, hyperkalemia, and a BUN/Cr ratio of more than 20. The patient underwent emergency nephrostomy. The general condition of the patient improved. Abdominal distention reduced, levels of urea and creatinine decreased, and acidosis resolved. A CT scan revealed an almost complete disappearance of the hydronephrosis and a normal ureter. Ureteropelvic junction obstruction (UPJO) was established as the cause of giant hydronephrosis.
Keywords:
- Ureteropelvic Junction Obstruction
- Anuria
- Hydronephrosis
How to Cite
1.
Emami E, Safari S. Anuria and Hydronephrosis due to Ureteropelvic Junction Obstruction: A Case Report. J Ped Nephrol [Internet]. 2021 Mar. 31 [cited 2024 Apr. 25];9(2). Available from: https://journals.sbmu.ac.ir/jpn/article/view/32742
References
1.KLEIGMAN,ST Geme JW,Blum,N.J.,shah,S.S.,Tasker,R.C.and Wilson,K.M.,Jack S. Elder ,chapter 555 Obstructive of the Urinary Tract in: Emeritus,editor. Nelson textbook of pediatrics.21th edition ,ELSEVIER.2020
2. Schrader AJ, Anderer G, von Knobloch R, Heidenreich A and Hofmann R: Giant hydronephrosis mimicking progressive malignancy. BMC Urol. 3:42003.
3.Tazi MF, Riyach O, Ahallal Y, Mellas S, Khallouk A, El Fassi MJ and Farih MH: Giant urinary bladder and bilateral giant hydronephrosis due to bladder neck obstruction: One case report and literature review. Case Rep Urol. 2012:8175192012.
4. Mediavilla E, Ballestero R, Correas MA and Gutierrez JL: About a case report of giant hydronephrosis. Case Rep Urol. 2013:2579692013.
5. Wu CC and Sun GH: Giant hydronephrosis. Mayo Clin Proc. 84:9542009.
6. Golcuk Y, Ozsarac M, Eseroglu E and Yuksel MB: Giant hydronephrosis. West J Emerg Med. 15:3562014.
2. Schrader AJ, Anderer G, von Knobloch R, Heidenreich A and Hofmann R: Giant hydronephrosis mimicking progressive malignancy. BMC Urol. 3:42003.
3.Tazi MF, Riyach O, Ahallal Y, Mellas S, Khallouk A, El Fassi MJ and Farih MH: Giant urinary bladder and bilateral giant hydronephrosis due to bladder neck obstruction: One case report and literature review. Case Rep Urol. 2012:8175192012.
4. Mediavilla E, Ballestero R, Correas MA and Gutierrez JL: About a case report of giant hydronephrosis. Case Rep Urol. 2013:2579692013.
5. Wu CC and Sun GH: Giant hydronephrosis. Mayo Clin Proc. 84:9542009.
6. Golcuk Y, Ozsarac M, Eseroglu E and Yuksel MB: Giant hydronephrosis. West J Emerg Med. 15:3562014.
- Abstract Viewed: 156 times
- PDF Downloaded: 149 times