An Adult Case of Severe Asymptomatic Bilateral Ureteropelvic Junction Obstruction

While ureteropelvic junction (UPJ) obstruction is a well-recognized cause of unilateral or bilateral upper urinary tract dilatation in infants and the pediatric population, its occurrence in adults is less recognized. We present the case of a 68-year-old man who was being evaluated for chronic ortho...

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Main Authors: Md Fahad Hossain, Syed Sheheryar Shah, Bahar Bastani
Format: Article
Language:English
Published: Wiley 2023-01-01
Series:Case Reports in Nephrology
Online Access:http://dx.doi.org/10.1155/2023/9355564
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author Md Fahad Hossain
Syed Sheheryar Shah
Bahar Bastani
author_facet Md Fahad Hossain
Syed Sheheryar Shah
Bahar Bastani
author_sort Md Fahad Hossain
collection DOAJ
description While ureteropelvic junction (UPJ) obstruction is a well-recognized cause of unilateral or bilateral upper urinary tract dilatation in infants and the pediatric population, its occurrence in adults is less recognized. We present the case of a 68-year-old man who was being evaluated for chronic orthostatic hypotension and was incidentally found to have asymptomatic microscopic hematuria on urinalysis. A CT scan of the abdomen/pelvis, without and with contrast, revealed severe bilateral hydronephrosis due to UPJ obstruction. The patient has remained asymptomatic with preserved normal renal function over 7 years of follow-up.
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spelling doaj-art-496cf36ed7aa4f879d0bd0e8821a35d82025-08-20T02:05:55ZengWileyCase Reports in Nephrology2090-665X2023-01-01202310.1155/2023/9355564An Adult Case of Severe Asymptomatic Bilateral Ureteropelvic Junction ObstructionMd Fahad Hossain0Syed Sheheryar Shah1Bahar Bastani2Division of NephrologyDivision of NephrologyDivision of NephrologyWhile ureteropelvic junction (UPJ) obstruction is a well-recognized cause of unilateral or bilateral upper urinary tract dilatation in infants and the pediatric population, its occurrence in adults is less recognized. We present the case of a 68-year-old man who was being evaluated for chronic orthostatic hypotension and was incidentally found to have asymptomatic microscopic hematuria on urinalysis. A CT scan of the abdomen/pelvis, without and with contrast, revealed severe bilateral hydronephrosis due to UPJ obstruction. The patient has remained asymptomatic with preserved normal renal function over 7 years of follow-up.http://dx.doi.org/10.1155/2023/9355564
spellingShingle Md Fahad Hossain
Syed Sheheryar Shah
Bahar Bastani
An Adult Case of Severe Asymptomatic Bilateral Ureteropelvic Junction Obstruction
Case Reports in Nephrology
title An Adult Case of Severe Asymptomatic Bilateral Ureteropelvic Junction Obstruction
title_full An Adult Case of Severe Asymptomatic Bilateral Ureteropelvic Junction Obstruction
title_fullStr An Adult Case of Severe Asymptomatic Bilateral Ureteropelvic Junction Obstruction
title_full_unstemmed An Adult Case of Severe Asymptomatic Bilateral Ureteropelvic Junction Obstruction
title_short An Adult Case of Severe Asymptomatic Bilateral Ureteropelvic Junction Obstruction
title_sort adult case of severe asymptomatic bilateral ureteropelvic junction obstruction
url http://dx.doi.org/10.1155/2023/9355564
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