LAPAROSCOPIC PYELOURETEROSTOMY IN LOWER MOIETY URETERO PELVIC JUNCTION OBSTRUCTION ASSOCIATED WITH PARTIAL Y DUPLICATION
Keywords:
Laparoscopy, Y-duplication, uretero pelvic junction Obstruction, Duplex kidney, UreteropyelostomyAbstract
We report a case of an 11-month-old girl with persistent hydronephrosis following antenatal diagnosis and a single episode of urinary tract infection (UTI). Investigations revealed a uretero pelvic Junction obstruction (UPJO) of the lower pole in a duplex however the ureteric anatomy was unclear. A retrograde pyelogram (RGP) revealed Y-duplication with UPJO close to the Y-junction. Laparoscopic excision of UPJ narrow segment was done along with an end to side pyeloureterostomy of lower pole pelvis to upper pole ureter. At 1 year follow up, the patient was asymptomatic with good resolution of hydronephrosis. We report this case for its rarity and to discuss laparoscopic pyeloureterotomy as a suitable option in UPJO of the lower pole with partial Y-duplication.
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