Delayed Recognition of an Ureteropelvic Junction Obstruction in a Young Adult Female
A percentage of ureteropelvic junction obstruction cases are clinically silent in childhood and manifest symptoms in adults. Herein we present a 25-year-old female with several years of intermittent flank pain and abdominal symptoms with prior inconclusive diagnostic workup including abdominal imagi...
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| Format: | Article |
| Language: | English |
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Wiley
2015-01-01
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| Series: | Case Reports in Urology |
| Online Access: | http://dx.doi.org/10.1155/2015/654350 |
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| _version_ | 1832551368083111936 |
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| author | Ariel Schulman Jean Paul Wuilleumier Ervin Teper |
| author_facet | Ariel Schulman Jean Paul Wuilleumier Ervin Teper |
| author_sort | Ariel Schulman |
| collection | DOAJ |
| description | A percentage of ureteropelvic junction obstruction cases are clinically silent in childhood and manifest symptoms in adults. Herein we present a 25-year-old female with several years of intermittent flank pain and abdominal symptoms with prior inconclusive diagnostic workup including abdominal imaging without hydronephrosis. Ultimately, a CT scan performed during an acute pain crisis clearly identified right-sided hydronephrosis. The keys to diagnosis are awareness of this entity, a detailed history, and obtaining imaging studies during a crisis. The patient subsequently underwent a right robotic-assisted laparoscopic pyeloplasty with preservation of a lower pole crossing vessel. We highlight noteworthy features of the clinical presentation and surgical repair. |
| format | Article |
| id | doaj-art-02f8595761f54419813a153b735f059a |
| institution | Kabale University |
| issn | 2090-696X 2090-6978 |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Urology |
| spelling | doaj-art-02f8595761f54419813a153b735f059a2025-02-03T06:01:39ZengWileyCase Reports in Urology2090-696X2090-69782015-01-01201510.1155/2015/654350654350Delayed Recognition of an Ureteropelvic Junction Obstruction in a Young Adult FemaleAriel Schulman0Jean Paul Wuilleumier1Ervin Teper2Urology Residency Program, Maimonides Medical Center, 4802 10th Avenue, Brooklyn, NY 11219, USAUrology Department, Maimonides Medical Center, 4802 10th Avenue, Brooklyn, NY 11219, USAUrology Department, Maimonides Medical Center, 4802 10th Avenue, Brooklyn, NY 11219, USAA percentage of ureteropelvic junction obstruction cases are clinically silent in childhood and manifest symptoms in adults. Herein we present a 25-year-old female with several years of intermittent flank pain and abdominal symptoms with prior inconclusive diagnostic workup including abdominal imaging without hydronephrosis. Ultimately, a CT scan performed during an acute pain crisis clearly identified right-sided hydronephrosis. The keys to diagnosis are awareness of this entity, a detailed history, and obtaining imaging studies during a crisis. The patient subsequently underwent a right robotic-assisted laparoscopic pyeloplasty with preservation of a lower pole crossing vessel. We highlight noteworthy features of the clinical presentation and surgical repair.http://dx.doi.org/10.1155/2015/654350 |
| spellingShingle | Ariel Schulman Jean Paul Wuilleumier Ervin Teper Delayed Recognition of an Ureteropelvic Junction Obstruction in a Young Adult Female Case Reports in Urology |
| title | Delayed Recognition of an Ureteropelvic Junction Obstruction in a Young Adult Female |
| title_full | Delayed Recognition of an Ureteropelvic Junction Obstruction in a Young Adult Female |
| title_fullStr | Delayed Recognition of an Ureteropelvic Junction Obstruction in a Young Adult Female |
| title_full_unstemmed | Delayed Recognition of an Ureteropelvic Junction Obstruction in a Young Adult Female |
| title_short | Delayed Recognition of an Ureteropelvic Junction Obstruction in a Young Adult Female |
| title_sort | delayed recognition of an ureteropelvic junction obstruction in a young adult female |
| url | http://dx.doi.org/10.1155/2015/654350 |
| work_keys_str_mv | AT arielschulman delayedrecognitionofanureteropelvicjunctionobstructioninayoungadultfemale AT jeanpaulwuilleumier delayedrecognitionofanureteropelvicjunctionobstructioninayoungadultfemale AT ervinteper delayedrecognitionofanureteropelvicjunctionobstructioninayoungadultfemale |