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Imaging findings in fibroepithelial polyps causing ureteropelvic junction obstruction: report of one case

Chan-Yao Wu1, Tsan-Jung Yu, Yu-Tsun Su

  • 1Departments of Pediatrics, E-DA Hospital/I-Shou University, Kaohsiung County, Taiwan. wubird_2000@yahoo.com.tw

Acta Paediatrica Taiwanica = Taiwan Er Ke Yi Xue Hui Za Zhi
|March 14, 2007
PubMed

Insights

Benign fibroepithelial polyps are a rare cause of ureteropelvic junction obstruction in children. Surgical resection and pyeloplasty successfully treated a 9-year-old boy with this condition.

Area of Science:

  • Pediatric Urology
  • Surgical Pathology

Background:

  • Ureteropelvic junction (UPJ) obstruction is a common congenital anomaly in children.
  • Fibroepithelial polyps are uncommon causes of UPJ obstruction, particularly in the pediatric population.

Observation:

  • A 9-year-old boy presented with symptoms of UPJ obstruction.
  • Intravenous pyelography revealed left hydronephrosis and filling defects at the UPJ.
  • Surgical exploration identified multiple polypoid masses obstructing the ureteropelvic junction.

Findings:

  • Histological examination confirmed the diagnosis of benign fibroepithelial polyps.
  • The polyps were causing significant obstruction of the ureteropelvic junction.

Implications:

  • This case highlights the importance of considering rare causes of UPJ obstruction in pediatric patients.
  • Surgical management involving resection and pyeloplasty is effective for fibroepithelial polyps causing UPJ obstruction.
  • Further research into the etiology and optimal management of these rare pediatric urological lesions is warranted.

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