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Paediatric unilateral giant hydroureteronephrosis from idiopathic ureterovesical stricture: a case report

Marco Zaffanello1, Milena Brugnara, Mariangela Cecchetto

  • 1University of Verona, Department of Mother-Child and Biology-Genetics, Piazzale LA Scuro, 10, Verona, 37134, Italy.

BMJ Case Reports
|June 21, 2011
PubMed

Insights

Idiopathic ureterovesical junction obstruction can cause severe hydroureteronephrosis in children. Surgical intervention restored kidney function in a 6-year-old boy presenting with flank pain.

Area of Science:

  • Pediatric Urology
  • Congenital Abnormalities
  • Nephrology

Background:

  • Congenital ureterovesical junction obstruction is a potential fetal or childhood condition.
  • It is often linked to urinary tract infections or other secondary causes.
  • Idiopathic obstruction can manifest later in childhood, even with normal prenatal screening.

Purpose of the Study:

  • To present a case of a 6-year-old boy with idiopathic ureterovesical junction obstruction.
  • To highlight the diagnostic and therapeutic challenges of late-presenting obstruction.
  • To emphasize the importance of surgical intervention for significant hydroureteronephrosis and declining kidney function.

Main Methods:

  • Case report of a 6-year-old male patient.
  • Diagnostic evaluation included scintigraphy to assess kidney function and imaging for hydronephrosis.
  • Surgical intervention for ureterovesical junction obstruction.

Main Results:

  • The patient presented with monthly worsening colic and flank pain.
  • A giant hydroureteronephrosis was diagnosed, secondary to idiopathic ureterovesical junction obstruction.
  • Kidney function improved significantly after surgical correction of the obstruction.

Conclusions:

  • Idiopathic ureterovesical junction obstruction can present symptomatically in late childhood.
  • Severe hydroureteronephrosis with decreased kidney function and pain are indications for surgical correction.
  • Prompt surgical treatment can lead to substantial recovery of renal function.

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