A Case of an Ureteropelvic Junction Obstruction Caused by a Crossing Vessel
10.3339/jkspn.2018.22.1.31
- Author:
Mi Young KIM
1
;
Young Jae IM
;
Hye Sun HYUN
;
Hee Gyung KANG
;
Il Soo HA
;
Hae Il CHEONG
;
Eujin PARK
Author Information
1. Department of Pediatrics, Seoul National University Children's Hospital, Seoul, Korea. ukishiro@snu.ac.kr
- Publication Type:Case Report
- Keywords:
Ureteral obstruction;
Hydronephrosis;
Ureteral diseases
- MeSH:
Abdominal Pain;
Child;
Female;
Flank Pain;
Humans;
Hydronephrosis;
Kidney;
Ureteral Diseases;
Ureteral Obstruction
- From:Childhood Kidney Diseases
2018;22(1):31-34
- CountryRepublic of Korea
- Language:English
-
Abstract:
Ureteropelvic junction obstruction is one of the common causes of hydronephrosis in infancy and childhood. Most cases of ureteropelvic junction obstruction are diagnosed prenatally and are usually asymptomatic. Although less common, older children can experience ureteropelvic junction obstruction that presents with symptoms including flank or abdominal pain. Here, we present the case of a nine-year-old healthy girl who had repeated flank pain and abdominal symptoms, with mild left hydronephrosis, for several months. Computed tomography that was performed during the period of acute flank pain revealed aggravated hydronephrosis on her left kidney, which was secondary to an ureteropelvic junction obstruction. She underwent laparoscopic pyeloplasty, and a crossing vessel that passed the ureteropelvic junction was identified. In addition, we reviewed the current literature of this rare entity.
