[Laparoscopic pyeloplasty for ureteropelvic junction obstruction with crossing vessel and parapelvic cyst].
A 52-year-old male presented with flank pain and was diagnosed as having right ureteropelvic junction obstruction (UPJO) at another hospital. He underwent trans uretheral balloon dilation, but the symptom recurred. Thereafter, he was referred to our hospital for additional treatment. Abdominal dynamic computed tomography showed right hydronephrosis. The ureteropelvic junction seemed to be caught between a parapelvic cyst and crossing vessel. We successfully performed laparoscopic pyeloplasty with unroofing of the parapelvic cyst. To date, the patient has remained free of symptoms for four months postoperatively.
Miyake
Miki
M
Department of Urology, Yokohama City University Graduate School of Medicine.
Makiyama
Kazuhide
K
Nakaigawa
Noboru
N
Sano
Futoshi
F
Murakami
Takayuki
T
Kubota
Yoshinobu
Y
Sawada
Takuto
T
Chiba
Kimio
K
D003560:Cysts / Q000150:complications*; D006801:Humans; D007682:Kidney Pelvis / Q000601:surgery*; D010535:Laparoscopy; D008297:Male; D008875:Middle Aged; D010388:Pelvis; D019651:Plastic Surgery Procedures / Q000379:methods; D014517:Ureteral Obstruction / Q000209:etiology / Q000601:surgery*