Pelviureteric junction obstruction with crossing lower polar vessel: Indicators of preoperative diagnosis

Conclusions: Pain is the predominant presenting feature in these patients who present at an older age. Despite older age at presentation, these patients have well-preserved renal function and mild hydronephrosis. No specific RDS or ultrasound findings can predict the presence of a CLPV. As the incidence of CLPV is <10% and management is essentially same as PUJO with intrinsic obstruction, preoperative Doppler or MRA are extraneous.
Source: Journal of Indian Association of Pediatric Surgeons - Category: Surgery Authors: Source Type: research

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​BY MATTHEW WU, &DEANDRE WILLIANS, MDA 2-year-old girl presented to the emergency department for abdominal pain with urination. She had been diagnosed with a urinary tract infection three days earlier, and was in the process of completing a course of antibiotics.The pain with urination made it difficult to void urine even when soaking in warm baths, according to the patient's parents. Her mother said the patient had to be bribed to drink anything. Their daughter did not urinate for 14 hours before arriving at our ED. They were concerned about dehydration due to the lack of fluid intake. The patient also refused to ta...
Source: The Case Files - Category: Emergency Medicine Tags: Blog Posts Source Type: research
​Prepubertal boys who present to the emergency department with dysuria are uncommon. The adult with burning on urination is assumed to have a sexually transmitted disease, but of course that diagnosis should not be high on your list for boys.In fact, infectious urethritis in children is quite uncommon unless there is premature sexual activity or sexual abuse by an adult. Unfortunately, a variety of noninfectious urethral pathologies may mimic infectious urethritis in children. A urinary tract infection in a prepubertal boy is an infectious cause of dysuria. Those infections, however, rarely present with the isolated symp...
Source: M2E Too! Mellick's Multimedia EduBlog - Category: Emergency Medicine Tags: Blog Posts Source Type: blogs
Diuresis renography (DR) is widely used in the evaluation of hydronephrosis and hydroureter in infants and children. The goal of this provocative nuclear imaging exam should be to detect the hydronephrotic kidneys at risk for loss of function and development of pain, hematuria, and urinary tract infection. The reliability of DR is dependent on the acquisition and processing of the data as well as interpretation and utilization of the results. In this review, we highlight the key concepts of standardized DR and pitfalls to avoid.
Source: Journal of Pediatric Urology - Category: Urology & Nephrology Authors: Tags: Review Article Source Type: research
Conclusions: The frequency of urolithiasis in these pediatric patients was similar to that reported by the literature. A metabolic evaluation is required and the composition of stones should be better evaluated.
Source: Revista Paulista de Pediatria - Category: Pediatrics Source Type: research
Conclusions: There is no statistically significant difference in resolution of hydronephrosis following nonstented or stented dismembered pyeloplasty in children with UPJO. However, the patient is more symptomatic due to stent in the postoperative period.
Source: Journal of Indian Association of Pediatric Surgeons - Category: Surgery Authors: Source Type: research
A 28 year-old female presented to the emergency room with symptoms of left pyelonephritis. She was admitted and was found on imaging study to have left hydronephrosis and duplicated bladder. A left nephrostomy tube was placed, and urology was consulted for management of her infections in context of her anatomy. During her evaluation, the patient reported three to four urinary tract infections or episodes of left pyelonephritis per year, as well as recurrent left flank pain and mixed urinary incontinence for several years.
Source: Urology - Category: Urology & Nephrology Authors: Source Type: research
​​BY STUART ETENGOFF, DO, &ABDULLAH ​BOKHARI​, AB, DOA 20-year-old Caucasian man presented via EMS with a chief complaint of withdrawal from ketamine and secondary complaints of abdominal pain, blood in his urine, and painful urination with urgency for two days.He said he had been using ketamine intravenously daily for the past five days, up to 35 grams over the past week. His last use was 24 hours prior to presentation to the ED. He stated that he had been using ketamine regularly for four years and that he has used it intravenously, orally, and intranasally.He reported a history of ADHD and a family hist...
Source: The Case Files - Category: Emergency Medicine Tags: Blog Posts Source Type: research
This report deals with the unusual finding of S. stercoralis in a urine sample of an immunocompetent individual and absence of disseminated infection, but with hydronephrosis. Patients with nephropathies from S. stercoralis endemic areas should be monitored periodically, as early detection may prevent the worsening of symptoms and renal failure. PMID: 29672249 [PubMed - as supplied by publisher]
Source: The Journal of Parasitology - Category: Parasitology Authors: Tags: J Parasitol Source Type: research
Authors: Arora N, Saha A, Kaur M Abstract Tuberculous pyelonephritis is rare in children; three case reports are presented. Case 1 was an 11-year-old girl with a previous history of pulmonary tuberculosis who presented with flank pain and fever for 10 days. An ultrasound suggested focal pyelonephritis, and a contrast-enhanced computed tomography (CECT) scan demonstrated acute focal pyelonephritis and a perinephric collection. Mycobacterium tuberculosis was cultured in the urine. She responded well to anti-tuberculous treatment (ATT). Case 2 was a 13-year-old boy who presented with fever, haematuria, burning mi...
Source: Paediatrics and international child health - Category: Pediatrics Tags: Paediatr Int Child Health Source Type: research
AbstractBackgroundNuclear medicine imaging explores tissue viability and function by using radiotracers that are taken up at cellular level with different mechanism. This imaging technique can also be used to assess blood flow and transit through tubular organs. Nuclear medicine imaging has been used in paediatrics for decades and this field is continuously evolving.Sources of dataThe data presented comes from clinical experience and some milestone papers on the subject.Areas of agreementNuclear medicine imaging is well-established in paediatric nephro-urology in the context of urinary tract infection, ante-natally diagnos...
Source: British Medical Bulletin - Category: General Medicine Source Type: research
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