Huge obstructive bladder diverticula and cystic dysplastic kidneys in a newborn: a challenging dilemma

Authors

  • Fariba Jahangiri Department of Pediatric Surgery, Ali-asghar Children Hospital, Iran University of Medical Sciences.
  • Farideh Hallaji Department of Radiology, Ali-Asghar Children Hospital, Iran University of Medical Sciences.
  • Nakysa Hooman Department of Pediatric Nephrology, Ali-asghar Children Hospital, Iran University of MedicaSciences. N193, Ali- Asghar Children Hospital, Vahid-Dasgerdi St., Modarres Expressway, Tehran, Iran.l
  • Seyed Hassan Mostafavi Department of Radiology, Ali-asghar Children Hospital, Iran University of Medical Sciences.
Abstract:

AbsractThis study investigated a 63-day boy with end stage renal disease and abdominalcysts. The antenatal sonography detected anhydraminos, posterior urethral valve,and cystic dysplastic kidneys. Voiding cystourethrogram revealed two obstructivegiant diverticula which at first looked like enlarged renal pelvis. The patient had persistenturinary tract infection and perforation of diverticula. The dialysis was ineffectivebecause of leakage, immeasurable inflow and dwell volume, peritonitis and tunnelinfection. As a result, the availability of automated peritoneal dialysis for infantsis recommended to reduce morbidity and increasing the survival rate. Nonethelessthe giant bladder diverticules might be better managed by diverticulectomy procedure.

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Journal title

volume 24  issue 2

pages  109- 114

publication date 2010-08

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