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Archives of Gynecology and Obstetrics

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01-08-2008 | Case Report

Unilateral upper-pole giant hydroureter in a duplex renal system: an incidental finding in cesarean section

Authors: Niraj N. Mahajan, Samir Sahay, Anjali Kale, Manisha Nasre

Published in: Archives of Gynecology and Obstetrics | Issue 2/2008

Abstract

Background

Duplicated collecting systems comprises renal units containing two pyelocalyceal systems associated with a single ureter or double ureters and is the most common upper tract anomaly.

Case

This report presents a rare entity: an adult woman who had giant hydroureter of upper-pole moiety of the duplex kidney, which was an incidental finding during cesarean section. Heminephroureterectomy was done containing 2 L of fluid. This case is the first of its kind during cesarean section.

Conclusion

The cause of this unusually massive degree of dilatation of the upper-pole moiety of the duplicated collecting system is uncertain, but may have resulted from an error in the development or because of VUR. We suggest mandatory intraabdominal examination after delivering uterus while conducting a cesarean section.

Barrett DM, Malek AS, Kelalis PP (1975) Problems and solutions in surgical treatment of 100 consecutive ureteral duplications in children. J Urol 114:126–130PubMed

Fernbach SK, Feinstein KA, Spencer K, Lindstrom CA (1997) Ureteral duplications and its complications. Radiographics 17(1):109–127PubMed

Khan AN, Chandramohan M, Macdonald S (2005) Duplicated collecting system. In: emedicine from WebMD, Available at: http://www.emedicine.com/Radio/topic226.htm

Lee SS, Sun GH, Yu DS, Chen HI, Chang SY (2000) Giant hydronephrosis of a duplex system associated with ureteral ectopia: a cause of retrograde ejaculation. Arch Androl 45(1):19–23PubMedCrossRef

Schlussel RN, Retik AB (2002) Ectopic ureter, ureteroceles, and other anomalies of the ureter. In: Walsh PC, Retik AB, Vaughan ED Jr, Wein AJ (eds) Campbell’s urology, 8th edn. WB Saunders, Philadelphia, pp 2007–2043

Sen S, Ahmed S, Borghol M (1998) Surgical management of complete ureteric duplication abnormalities. Pediatr Surg Int 13(1):61–64PubMedCrossRef

Tombari AA, Power RF, Harper JM, Politano VA (1968) Giant hydronephrosis: a case report with review of literature. J Urol 100(2):120–123PubMed

Whitmore RB 3rd, Schellhammer PF (1989) Giant hydronephrosis of a duplex system associated with ureteral ectopia. J Urol 141(5):1186–1188PubMed

Title: Unilateral upper-pole giant hydroureter in a duplex renal system: an incidental finding in cesarean section
Authors: Niraj N. Mahajan
Samir Sahay
Anjali Kale
Manisha Nasre
Publication date: 01-08-2008
Publisher: Springer-Verlag
Published in: Archives of Gynecology and Obstetrics / Issue 2/2008
Print ISSN: 0932-0067
Electronic ISSN: 1432-0711
DOI: https://doi.org/10.1007/s00404-007-0543-x

At a glance: The STEP trials

Springer Medicine

Unilateral upper-pole giant hydroureter in a duplex renal system: an incidental finding in cesarean section

Abstract

Background

Case

Conclusion

At a glance: The STEP trials

Springer Medicine

Abstract

Background

Case

Conclusion

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