Repozitorij Medicinskog fakulteta Sveučilišta u Zagrebu

Calyceal plication with Anderson-Hynes pyeloplasty in a 7-year-old boy with giant hydronephrosis of a single right kidney

Augustin, Goran and Župančić, Božidar and Župančić, Vera and Višnjić, Stjepan (2009) Calyceal plication with Anderson-Hynes pyeloplasty in a 7-year-old boy with giant hydronephrosis of a single right kidney. European Journal of Pediatric Surgery, 19 (4). pp. 255-7. ISSN 0939-7248

[img]
Preview
PDF
Download (166Kb) | Preview

    English abstract

    A 7-year-old boy presented with distended abdomen without any other complaints. A plain abdominal radiograph demonstrated an extremely large soft tissue shadow that occupied right and part of the left hemiabdomen. Ultrasound revealed large hydronephrotic right kidney that occupied whole abdomial cavity without visualization of the left kidney. Dynamic scintigraphy confirmed extreme renal functional damage of the single right kidney. Operation was not indicated according to significant renal impairment. Percutaneous nephrostomy was made. After 9 months with slight functional renal improvement operation was indicated. At operation ureteropelvic junction obstruction was found and Anderson-Hynes pyeloplasty was made with calyceal plication of dilated calyces. Postoperative scintiscans and serial sonographies showed preservation of renal parenchyma with slight functional improvement. This modification of Anderson-Hynes pyeloplastys obviated the need for nephrectomy and was especially valuable in this patient with giant hydronephrosis of the single kidney when nephrectomy would inevitably lead to dialysis and subsequent renal transplantation.

    Item Type: Article
    MeSH: Child ; Humans ; Hydronephrosis/surgery ; Kidney Calices/surgery ; Kidney Pelvis/surgery ; Male ; Treatment Outcome
    Divisions: Katedra za kirurgiju
    Depositing User: Marijan Šember
    Status: Published
    Creators:
    CreatorsEmail
    Augustin, Goran
    Župančić, Božidar
    Župančić, Vera
    Višnjić, Stjepan
    Date: August 2009
    Date Deposited: 19 Nov 2010
    Last Modified: 23 Sep 2011 18:11
    Subjects: /
    Related URLs:
      URI: http://medlib.mef.hr/id/eprint/886

      Actions (login required)

      View Item

      Document Downloads

      More statistics for this item...