Multicystic dysplasia in one-half of a horseshoe kidney with megaureter and lower ureteric atresia.
During evaluation of chronic abdominal pain, a 9-year-old male was found to have a horseshoe kidney (HSK) with multicystic dysplasia (MCD) of the left-sided component. Attached to the MCD was a very large, tortuous ureter occupying almost the whole left side of the abdomen. This ureter on dissection was found to end blindly adjacent to the bladder. MCD of one-half of a HSK is an unusual lesion. Its association with a large megaureter with juxtavesical atresia is a unique event. In HSKs, controversy exists about the need to remove a small dysplastic segment. If this segment is associated with a large ureter, as in our case, removal is mandatory in order to avoid pain and infection.
Sripathi
V
V
Department of Pediatric Urology, CHILDS Trust Hospital, Sundaram Medical Foundation Community Hospital, Chennai, South India. sripathi@md3.vsnl.net.in
D015746:Abdominal Pain / Q000209:etiology; D002648:Child; D006801:Humans; D007668:Kidney / Q000002:abnormalities* / Q000601:surgery; D008297:Male; D007690:Polycystic Kidney Diseases / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D014513:Ureter / Q000002:abnormalities* / Q000601:surgery; D014515:Ureteral Diseases / Q000150:complications / Q000175:diagnosis / Q000601:surgery*