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ISSN: 2168-9857
Medical & Surgical Urology

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Neglected Pelviureteric Junction Obstruction

Goran Friad*

Department of Urology, Sulaimani University Hospital, Kurdistan Region, Iraq

*Corresponding Author:
Goran Friad
Department of Urology
Sulaimani University Hospital
Kurdistan Region, Iraq
Tel: 009647701564066
E-mail: [email protected]

Received date: August 14, 2015; Accepted date: August 20, 2015; Published date: August 25, 2015

Citation: Friad G (2015) Neglected Pelviureteric Junction Obstruction. Med Surg Urol 4:i101. doi: 10.4172/2168-9857.1000i101

Copyright: © 2015 Friad G. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

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The images are belonging to a child 12 year old, from a rural area in kurdistan region-iraq. He has been diagnosed as a case if pelviureteric obstruction since childhood, but his father refused to do any operation for his child based on misconception of operation harm people more than benefits.

The child was a case moderate mental retardation as a result of kernicterus due to severe jaundice during neonatal period, and thought it was due to delay in blood exchange!

The child gradually developed generalised distension of abdomen with divarication of recti muscles even eversion of umbilicus (Figures 1-4).


Figure 1:


Figure 2:


Figure 3:


Figure 4:

Ultrasound revealed a huge cyst arised from retroperitounium but occupied the whole left side of abdomen without being able to determine the boundaries.

CT scan revealed a huge cystic lesion from left retroperitounium and displaced the bowel and part of bladder to the right side.

The decision of exploration made, through flank approach, the cyst deflated then dissected off the surrounding. It was a complete pelviureteric obstruction. With completely lost cortex the kidney became a thin sac.

He has a smooth postoperative course.

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