title: A complex case of abdominal pain in a patient with pelviureteric junction obstruction.
abstract: Pelviureteric junction (PUJ) obstruction is a condition frequently encountered in both adult and pediatric patients. Congenital abnormalities and crossing lower-pole renal vessels are the most common underlying pathologies in both men and women. This report presents a case of a young woman who was complaining of intermittent abdominal pain in whom right-sided hydronephrosis was diagnosed. The patient was scheduled for a laparoscopic right-sided Anderson-Hynes pyeloplasty. During the procedure a partly extraperitoneal appendix, with extensive adhesions to the posterior abdominal wall abutting on the ureter just below the obstructed PUJ, was identified. The patient underwent dismembered laparoscopic Anderson-Hynes pyeloplasty with concurrent appendectomy for likely dual pathologies being responsible for her symptoms.
authors.affiliation: Institute of Nursing and Obstetrics, Faculty of Health Sciences, Jan Kochanowski University, Kielce, Poland ; Department of Pediatric Surgery, Urology and Traumatology, Wladyslaw Buszkowski Children's Hospital, Kielce, Poland.
authors.forename: Przemysław
authors.initials: P
authors.lastname: Wolak
authors.affiliation: Department of Urology, Medical College Jagiellonian University, Krakow, Poland.
authors.forename: Tomasz
authors.initials: T
authors.lastname: Golabek
authors.affiliation: Department of Urology, Institute of Oncology, Kielce, Poland.
authors.forename: Mateusz
authors.initials: M
authors.lastname: Obarzanowski
authors.affiliation: Department of Urology, Medical College Jagiellonian University, Krakow, Poland.
authors.forename: Piotr
authors.initials: P
authors.lastname: Chłosta
keywords: abdominal pain; incidental appendectomy; laparoscopic pyeloplasty; pelviureteric junction obstruction
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