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01-01-2011 | Case Report

Bilateral congenital midureteric strictures associated with multicystic dysplastic kidney and hydronephrosis: evaluation with MR urography

Authors: J. Damien Grattan-Smith, Richard A. Jones, Stephen Little, Andrew J. Kirsch

Published in: Pediatric Radiology | Issue 1/2011

Abstract

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.

Hains DS, Bates CM, Ingraham S et al (2009) Management and etiology of the unilateral multicystic dysplastic kidney: a review. Pediatr Nephrol 24:233–241CrossRefPubMed

Schreuder MF, Westland R, van Wijk JA (2009) Unilateral multicystic dysplastic kidney: a meta-analysis of observational studies on the incidence, associated urinary tract malformations and the contralateral kidney. Nephrol Dial Transplant 24:1810–1818CrossRefPubMed

Docimo SG, Lebowitz RL, Retik AB et al (1989) Congenital midureteral obstruction. Urol Radiol 11:156–160CrossRefPubMed

Gitlin J, Kaefer M (2002) Congenital mid ureteral stricture presenting as prenatal hydronephrosis. J Urol 168:1154–1155CrossRefPubMed

Hwang AH, McAleer IM, Shapiro E et al (2005) Congenital mid ureteral strictures. J Urol 174:1999–2002CrossRefPubMed

Jayanthi VR, Churchill BM, Thorner PS et al (1995) Bilateral congenital midureteral adynamic segments. Urology 45:520–523CrossRefPubMed

Smith BG, Metwalli AR, Leach J et al (2004) Congenital midureteral stricture in children diagnosed with antenatal hydronephrosis. Urology 64:1014–1019CrossRefPubMed

Airik R, Kispert A (2007) Down the tube of obstructive nephropathies: the importance of tissue interactions during ureter development. Kidney Int 72:1459–1467CrossRefPubMed

Title: Bilateral congenital midureteric strictures associated with multicystic dysplastic kidney and hydronephrosis: evaluation with MR urography
Authors: J. Damien Grattan-Smith
Richard A. Jones
Stephen Little
Andrew J. Kirsch
Publication date: 01-01-2011
Publisher: Springer-Verlag
Published in: Pediatric Radiology / Issue 1/2011
Print ISSN: 0301-0449
Electronic ISSN: 1432-1998
DOI: https://doi.org/10.1007/s00247-010-1799-z

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Bilateral congenital midureteric strictures associated with multicystic dysplastic kidney and hydronephrosis: evaluation with MR urography

Abstract

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Abstract

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