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Updated: Jun 30, 2025

Assessing Urinary Tract Junction Obstruction Defects by Methylene Blue Dye Injection
Published on: October 12, 2017
Ureteropelvic junction obstruction secondary to parapelvic cyst encased ureter
Austin Hill1, Cameron Charchenko1
1University of North Dakota School of Medicine and Health Sciences, Grand Forks, ND, United States.
Abstract:
We present a 64-year-old male who presented with right-sided flank pain secondary to a parapelvic cyst impinging on the proximal ureter. However, intraoperative findings showed that the ureter was encased within the parapelvic cyst and secondarily obstructed at the UPJ rather than extrinsically compressed by the cyst. This specific anatomic variant is exceedingly rare as no published cases with similar anatomy could be identified.
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