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Percutaneous nephrostomy in a child with obstructive uropathy

S K Teplick, J M Kaplan, G A Mandell

    Postgraduate Medicine
    |January 1, 1982
    PubMed
    Summary

    Percutaneous nephrostomy offers rapid, safe urinary drainage and diagnostic capabilities for obstructed kidneys. This minimally invasive technique provides a viable alternative to traditional surgical nephrostomy tubes in pediatric obstructive uropathy.

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    Area of Science:

    • Urology
    • Pediatric Surgery
    • Interventional Radiology

    Background:

    • Obstructive uropathy in children often requires urinary diversion.
    • Traditional nephrostomy tube placement can involve general anesthesia and surgical risks.
    • Percutaneous nephrostomy presents a less invasive alternative.

    Observation:

    • A case of an 8-year-old girl with a duplicated right collecting system and distal upper pole ureteral obstruction is presented.
    • Percutaneous nephrostomy was utilized for rapid and safe drainage.
    • Antegrade pyelography under fluoroscopic guidance identified the obstruction's cause.

    Findings:

    • Percutaneous nephrostomy achieved rapid and safe drainage of the obstructed collecting system.
    • Local anesthesia and sedation were sufficient, avoiding general anesthesia.

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  • The procedure facilitated diagnosis via antegrade pyelography.
  • Kidney function was evaluated during temporary diversion, potentially avoiding nephrectomy.

    • Implications:

    • Percutaneous nephrostomy is a valuable, minimally invasive option for pediatric obstructive uropathy.
    • It allows for timely diagnosis and functional assessment of the obstructed kidney.
    • This technique may help preserve renal function and avoid more extensive surgeries.