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Benign Fibroepithelial Polyps: A Rare Cause of Ureteropelvic Junction Obstruction in Children

Anitha Ezekiel1, Vaidehi Agrawal2, Elena Romero3

  • 1Department of Pediatrics, Driscoll Children's Hospital, Corpus Christi, TX, USA.

Urology Case Reports
|January 22, 2016
PubMed

Insights

Fibroepithelial polyps (FEPs) are rare growths causing urinary obstruction. Early diagnosis using ultrasound and MRI is recommended for persistent infections, aiding conservative management.

Area of Science:

  • Urology
  • Pediatric Urology
  • Medical Imaging

Background:

  • Fibroepithelial polyps (FEPs) are uncommon benign growths originating from the urothelium.
  • These polyps can lead to urinary tract obstruction, affecting both pediatric and adult patients.
  • Symptoms may include recurrent urinary tract infections and hydronephrosis.

Observation:

  • A case study of a 10-year-old Hispanic male with recurrent UTIs and hydronephrosis is presented.
  • Preoperative diagnosis of FEPs proved challenging despite multiple radiographic examinations.
  • The study highlights diagnostic difficulties associated with these rare growths.

Findings:

  • Accurate preoperative diagnosis of FEPs remains a significant clinical challenge.
  • Ultrasound (US) and Magnetic Resonance Imaging (MRI) combination may improve diagnostic accuracy.
  • Timely diagnosis is crucial for effective management strategies.

Implications:

  • Suggests a combined US and MRI approach for earlier FEPs diagnosis in children with persistent UTIs.
  • Emphasizes the importance of considering FEPs in the differential diagnosis of pediatric urinary obstruction.
  • Highlights the potential for less invasive treatment protocols through improved diagnostic capabilities.

Keywords:
FEP, Fibroepithelial polypsHydronephrosisMAG3 scan, Mercaptoacetyltriglycine 3 scanPediatric urologyPolypsRenal ultrasoundUPJ obstructionUPJ, ureteropelvic junction

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