Summary
Background A 40-year-old male presented with right-sided abdominal pain and no lower urinary tract symptoms. Examination was unremarkable, apart from mild right renal angle tenderness.
Investigations Renal function, full blood count and C-reactive protein levels were all normal. Ultrasound of renal tract, abdominal computed tomography (CT) and 99mTc-mercaptoacetyltriglycine (MAG3) renogram confirmed ureteropelvic junction obstruction.
Diagnosis The ureteropelvic junction obstruction of the right kidney was identified, with a crossing lower pole renal vessel as the possible cause. An absent left kidney was also noted.
Management Laparoscopic transperitoneal dismembered AndersonHynes pyeloplasty was performed, with posterior transposition of the crossing lower pole vessel.
Nat Clin Pract Urol. 2007;4(11):625-629. © 2007
Nature Publishing Group
The authors declared no competing interests.
Cite this: Laparoscopic Pyeloplasty in a Solitary Kidney - Medscape - Nov 01, 2007.
Comments