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 - July 4, 2018 Category: Surgery Authors: Alisha Gupta Anjan Dhua Sandeep Agarwala Veereshwar Bhatnagar Source Type: research