title: Bilateral hydronephrosis from uretero-pelvic (U-P) obstruction: some clinico-pathological aspects.
abstract: Three cases of bilateral hydronephrosis from ureteropelvic obstruction in Nigerian children are presented. The unique association of this disease with congenital musculoskeletal disorders is shown in one of the cases. Frank haematuria was not a presenting complaint but presence of altered blood in urine described here as "Coca cola" coloured urine is common in all of the cases probably a feature of advanced disease process. Intermittent pyrexia mistaken for malaria in this environment and the tendency to mimic gastrointestinal disorders could lead to unnecessary delay in recognition of this disease. The morbidity attendant to operation on two compromised kidneys and the dangers posed by infection especially pseudomonas species have also been highlighted. The good reparative capacity of the kidneys in Young children enhance the chances of success in salvage operations on the kidney. Even though preoperative urinary tract infection may not be evident post operative infection often supervenes hence prophylactic antibiotics is to be recommended in this Surgery.
authors.affiliation: Department of Paediatric Surgery, University of Nigeria Teaching Hospital Enugu, Anambra State.
authors.forename: C
authors.initials: C
authors.lastname: Ihezue
authors.forename: G
authors.initials: G
authors.lastname: Ugbam
mesh_terms: D002648:Child; D005260:Female; D006801:Humans; D006869:Hydronephrosis / Q000209:etiology* / Q000473:pathology; D008297:Male; D014517:Ureteral Obstruction / Q000150:complications* / Q000473:pathology