The clinical and radiological observation of congenital hydronephrosis
10.3348/jkrs.1982.18.3.618
- Author:
Ung Ki CHUNG
;
Yeon Ja RHO
- Publication Type:Original Article
- MeSH:
Constriction, Pathologic;
Creatinine;
Dilatation;
Humans;
Hydronephrosis;
Incidence;
Jeollanam-do;
Kidney;
Male;
Urography;
Urology
- From:Journal of the Korean Radiological Society
1982;18(3):618-622
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The study was carried out to analyze the roentgenological findings associated with clinical symptoms andphysical findings about 18 cases of congenital hydronephrosis confirmed at the Dept. of Urology, Chonnam NationalUnversity Hospital from Jan. 1977 to Dec. 1981. The results were summarized as follows; 1. The congenitalhydronephrosis developed mostly in male (89%) and the distribution of age was between 4 months and 34 years. 2.The incidence of pathological side was 10 patients in left, 3 patients in right and 5 patients in bilateral. 3.The most common etiological factor was congenital UPJ stricture (33%), others composed of aberrant renal vessel(22%), ureterocele(22%), posterior urethral valve (11%), fibrous band(6%) and renal fusion(6%). 4. The mainsymptom was flank pain(56%) and in 7 cases (395) abdominal mass was palpable. 5. On laboratory examination, serumBUN and creatinine level were normal in 14 cases (78%) and 15 cases (825) respectively. In 2 cases of posteriorurethral valves, renal function was severely damaged. 6. Intravenous pyelography was performed in all cases andshowed pelvicaliceal dilatation in 13 cases, non-visualizing kidney in 5 cases, and characteristic crescent signin one case.