대측 선천성 신무형성증이 동반된 거대수신중 1례
Giant Hydronephrosis with Contralateral Congenital Renal Agenesis: A Case Report
한경숙, 김광진,
소속 상세정보
한경숙 ( )
연세대학교
김광진 ( )
연세대학교 의과대학 원주기독병원
KMID : 0358319960370010101
Abstract
We report a case of giant hydronephrosis due to congenital ureteropelvic junction obstruction in a 7-month-old female infant with contralateral renal agenesis. Congenital renal agenesis is an uncommon congenital condition that results from a
failure of
induction of the metanephric blastema by the ureteral bud and fifteen per cent of cases show anomalies of the contralateral kidney. An excretory urogram and abdominal CT scan of the patient revealed nonvisualization of left kidney, and a
retrograde
pyelogram showed markedly dilated extrarenal pelvis crossing over the midline because of narrowing of ureteropelvic junction. However, the other combined anomalies were not identified. A successful dismembered pyeloplasty was performed after
temporary
urinary diversion with percutaneous nephrotomy for 4 weeks.
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