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    Go to the top of the page   ID: 20040123114021 Original case in english  More links about this topic on Pubmed (PubMed Reader)
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    Duplicated Renal Collecting System with Hydronephrosis of the Upper Pole Moiety due to Ectopic Ureter
    Dirk Schaper, J Hoff. Duplicated Renal Collecting System with Hydronephrosis of the Upper Pole Moiety due to Ectopic Ureter. PedRad [serial online] vol 4, no. 1.
    URL: www.PedRad.info/?search=20040123114021


     
     Pediatric Radiology CasesImages to this case: There are X-Ray-images available for this case. [ X-Ray ] There are Ultrasound-images available for this case. [ Ultrasound ] There are OP-Situs-images available for this case. [ OP-Situs ] View all modalities [ All ]   
     Pediatric Radiology CasesAuthor/s:

    Dirk Schaper, J. Hoff (Kinderchirurgie St. Barbara-Krankenhaus Halle/S.)  

     
     Pediatric Radiology CasesEmail Address:

    Viewable for logged on visitors (Log on)  

     
     Pediatric Radiology CasesAge:

    2 Weeks  

     
     Pediatric Radiology CasesGender:

    Male  

     
     Pediatric Radiology CasesRegion-Organ:

    Abdomen-Renals  

     
     Pediatric Radiology CasesMost likely etiology:

    congenital  

     
     Pediatric Radiology CasesHistory:

    14 day-old newborn, prenatal sonogram with a concern for of hydronephrosis on the right side. Postnatal confirmation of the urinary flow disturbance. Clinically healthy child.  

     
     Pediatric Radiology CasesPathomorphology or Pathophysiology of this disease :

    N/A  

     
     Pediatric Radiology CasesRadiological findings:


    Ultrasound 1 <- view Ultrasound 1

    Ultrasound 1: Lower abdomen, transverse: Bladder is filled. Image shows an echo free structure on the right side, retrovesically.




    Ultrasound 2 <- view Ultrasound 2

    Ultrasound 2: Lower abdomen, longitudinal: Tubular stucture cranio-lateral to the bladder, which is free of echos. Indicated tortuosity, no movement.




    Ultrasound 3 <- view Ultrasound 3

    Ultrasound 3: Right flank, diagonally: Tubular tortuous structure without own movement. Large mass without echos.




    Ultrasound 4 <- view Ultrasound 4

    Ultrasound 4: Anechoic structure with tubular tortuosity.




    Ultrasound 5 <- view Ultrasound 5

    Ultrasound 5: This image shows the right kidney. The mass which is free of echoes reaches cranially.




    Ultrasound 6 <- view Ultrasound 6

    Ultrasound 6: Right kidney without urinary obstruction.




    Ultrasound 7 <- view Ultrasound 7

    Ultrasound 7: Cranial to the right kidney, there is an anechoic structure with thin parenchymal rim.




    X-Ray 1 <- view X-Ray 1

    X-Ray 1: Intravenous pyelogram (IVP): Displaced kidney and ureter through non-contrast filled mass.






    OP-Situs 1 <- view OP-Situs 1

    OP-Situs 1: Intraoperative findings

     

     
     Pediatric Radiology CasesDiagnosis confirmation:

    Surgery / Histo  

     
     Pediatric Radiology CasesWhich DD would be also possible with the radiological findings:

    Intestinal duplication  

     
     Pediatric Radiology CasesCourse / Prognosis / Frequency / Other :

    Prenatal diagnostic and postnatal confirmation of the findings. The duplicated renal collecting system on the right side with severe dilatation of the ureter. The small upper pole moiety was shown. The ectopic ureter was shown under cystoscopy. The ureter terminates in the posterior urethra.

    Heminephrourectomy of the right side.  

     
     Pediatric Radiology CasesComments of the author about the case:

    N/A  

     
     Pediatric Radiology CasesFirst description / History:

    N/A  

     
     Pediatric Radiology CasesLiterature:

    1. Medline: Medline
    Musi L, Campobasso P, Cappellari F, Mercurella A, Belloli G
    Ectopic ureter
    Pediatr Med Chir. 1989 Mar-Apr; 11(2): 129-35

    2. Medline: Medline
    Smith P, Dunn M
    Duplication of the upper urinary tract
    Ann R Coll Surg Engl. 1979 Jul; 61(4): 281-6

    3. Medline: Medline
    Decter RM
    Renal duplication and fusion anomalies
    Pediatr Clin North Am. 1997 Oct; 44(5): 1323-41.  

     
     Pediatric Radiology CasesKeywords:

    Duplication of kidneys, duplication of renal collecting system, double, kidney, double kidney, ureterectopia, hydronephrosis, upper pole, ureterectopy, Weigert, Meyer, Weigert-Meyer, Weigert-Meyer law, Weigert-Meyer rule,duplicated renal collecting system , child, childhood, pediatric radiology  

     
     Pediatric Radiology Cases Cite this article:

    Dirk Schaper, J Hoff. Duplicated Renal Collecting System with Hydronephrosis of the Upper Pole Moiety due to Ectopic Ureter. PedRad [serial online] vol 4, no. 1.
    URL: www.PedRad.info/?search=20040123114021  

     
     Pediatric Radiology Cases Read similar articles: with corresponding keywords
    in the same field: Abdomen-Renals
    or in the region: Abdomen
    or in the tissue/organ: Renals
    or with the etiology: congenital
     
     Pediatric Radiology CasesImages to this case: There are X-Ray-images available for this case. [ X-Ray ] There are Ultrasound-images available for this case. [ Ultrasound ] There are OP-Situs-images available for this case. [ OP-Situs ] View all modalities [ All ]   
     
    Duplicated Renal Collecting System with Hydronephrosis of the Upper Pole Moiety due to Ectopic Ureter
    Dirk Schaper, J Hoff. Duplicated Renal Collecting System with Hydronephrosis of the Upper Pole Moiety due to Ectopic Ureter. PedRad [serial online] vol 4, no. 1.
    URL: www.PedRad.info/?search=20040123114021


     

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    Duplicated Renal Collecting System with Hydronephrosis of the Upper Pole Moiety due to Ectopic Ureter
    Other cases by these authors:

    Search Dirk Schaper in Medline Dirk Schaper (43)   
    Search J. Hoff in Medline J. Hoff (1)   

    Duplicated Renal Collecting System with Hydronephrosis of the Upper Pole Moiety due to Ectopic Ureter  
     
    Duplicated Renal Collecting System with Hydronephrosis of the Upper Pole Moiety due to Ectopic Ureter
    Dirk Schaper, J Hoff. Duplicated Renal Collecting System with Hydronephrosis of the Upper Pole Moiety due to Ectopic Ureter. PedRad [serial online] vol 4, no. 1.
    URL: www.PedRad.info/?search=20040123114021


     

    Which diagnosis have other collegues guessed?


    • Intestinal duplication
      Votes: 2 (15 %)


    • Duplicated renal system with hydronephrosis of the upper moiety
      Votes: 10 (76 %)


    • Ovarian cyst
      Votes: 0 (0 %)


    • Polycystic kidney disease
      Votes: 1 (7 %)



        Total answers: 13

     
    Duplicated Renal Collecting System with Hydronephrosis of the Upper Pole Moiety due to Ectopic Ureter
    Dirk Schaper, J Hoff. Duplicated Renal Collecting System with Hydronephrosis of the Upper Pole Moiety due to Ectopic Ureter. PedRad [serial online] vol 4, no. 1.
    URL: www.PedRad.info/?search=20040123114021


     

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    Duplicated Renal Collecting System with Hydronephrosis of the Upper Pole Moiety due to Ectopic Ureter
    Dirk Schaper, J Hoff. Duplicated Renal Collecting System with Hydronephrosis of the Upper Pole Moiety due to Ectopic Ureter. PedRad [serial online] vol 4, no. 1.
    URL: www.PedRad.info/?search=20040123114021


     




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