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Παρασκευή 20 Απριλίου 2018

Ureterocele Causing Bladder Outlet Obstruction

A 1-month-old boy presented to the pediatric urologist with antenatally detected hydronephrosis. He was born at 39 weeks via cesarean delivery with no history of oligo or polyhydramnios. His parents described some straining and grunting with urination. Renal ultrasound showed bilateral duplicated collecting systems with grade 4 hydronephrosis of the right upper and lower poles. The patient was receiving antibiotic prophylaxis with amoxicillin and had not had any urinary tract infections. MAG3 nuclear medicine renal scan showed minimal function in the right upper pole.

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