Renal biopsy in congenital ureteropelvic junction obstruction: Evidence for parenchymal maldevelopment

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Renal osteodystrophy secondary to congenital bilateral ureteropelvic junction obstruction.

A 4-year-old girl presented with progressive distension of the abdomen and bowing of the legs (genu valgum) since birth. She was anemic, with a blood pressure of 180/110 mmHg. The serum level of creatinine was 1.7 mg/dL. She had hypocalcemia, and elevated serum level of phosphorous and parathyroid hormones. Ultrasonography revealed bilateral grossly hydronephrotic kidneys with thinned out paren...

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Sonographic Renal Parenchymal Measurements for the Evaluation and Management of Ureteropelvic Junction Obstruction in Children

PURPOSE To correlate sonographic renal parenchymal measurements among patients with ureteropelvic junction obstruction (UPJO) labeled society of fetal urology (SFU) hydronephrosis grades 1-4 and to examine whether sonographic renal parenchymal measurements could be used to differentiate conservative vs. surgical management. MATERIALS AND METHODS Retrospective chart review and sonographic rena...

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Crossing renal vessel causing ureteropelvic junction obstruction.

Ureteropelvic junction UPJ obstruction is caused by the presence of an aperistaltic dysplastic segment at the UPJ. Besides this intrinsic etiology, extrinsic factors, mainly crossing vessels, maybe the causative factor. The controversy regarding the functional significance of vessels crossing at the UPJ is not a new one, though this debate has been resurrected in recent years because of improve...

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Congenital Ureteropelvic Junction Stenosis

Introduction Congenital ureteropelvic junction (UPJ) stenosis is a disturbance in the flow of urine at the crossover point from the kidney pelvis to the ureter, with a dilatated and obstructed renal-pelvic calyceal system (Figure 89.1). UPJ obstruction is the most frequent congenital malformation of the genitourinary system. Its incidence is around 1 out of 1,000 newborns. The first sonographic...

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Laparoscopic treatment for ureteropelvic junction obstruction.

OBJECTIVES To assess retrospectively the subjective and objective outcomes achieved after laparoscopic treatment for ureteropelvic junction obstruction at our institutions. METHODS Between August 1999 and July 2001, 19 patients (11 women and 8 men), with a mean age of 31.2 years (range 17 to 67), underwent laparoscopic treatment for ureteropelvic junction obstruction. Of these, 17 patients we...

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ژورنال

عنوان ژورنال: Kidney International

سال: 2006

ISSN: 0085-2538

DOI: 10.1038/sj.ki.5000004