Korean J Urol.  2014 Oct;55(10):687-689. 10.4111/kju.2014.55.10.687.

A Rare Cause of Ureteropelvic Junction Obstruction

Affiliations
  • 1Department of Urology, Pusan National University College of Medicine, Busan, Korea. lsd@pusan.ac.kr
  • 2Department of Pediatric Urology, Pusan National University Children Hospital, Yangsan, Korea.

Abstract

No abstract available.


MeSH Terms

Child
Humans
Hydronephrosis/*congenital/diagnosis/etiology
Male
Multicystic Dysplastic Kidney/diagnosis/*etiology
Polyps/*complications/diagnosis/surgery
Ureteral Diseases/complications/diagnosis/surgery
Ureteral Obstruction/diagnosis/*etiology

Figure

  • FIG. 1 (A) Longitudinal ultrasonography showed a mildly echogenic mass (arrowhead) and dilated upper ureter (arrow). (B) Intravenous pyelogram showed left hydronephrosis with a dilated renal pelvis with corkscrew narrowing and intraluminal nonopaque and smooth filling defects (arrow). (C) 99mTc diethylenetriamine pentaacetic acid renography showed the obstructive pattern of the left kidney on the renogram after furosemide administration. A serial excretion film demonstrated isotope retention in the left kidney of up to 59 minutes.

  • FIG. 2 Intraoperative images and histologic findings. (A) Fibroepithelial polyps (FEPs) were exposed via ureterotomy. Multiple slender, cylindrical ureteral polyps with smooth surfaces were observed. (B) Morphology of the multiple excised long FEPs. (C) Histologic examination showing FEPs composed of loose fibrovascular connective tissue covered with a layer of normal urothelium (H&E, ×40).


Reference

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