Mid-ureteric obstruction due to diaphragmatic valve: Case report with review of literature (original) (raw)
2014, IOSR Journal of Dental and Medical Sciences
Congenital ureteric obstruction caused by a ureteric valve is an extremely rare entity. Our patient, a 6-year-old male, had undergone evaluation for recurrent pain in the left lower part of abdomen and was diagnosed as a case of left hydrouretronehrosis on ultrasound abdomen. Intravenous urography revealed left hydronephrosis and hydroureter with a cutoff in mid-ureteric region. Micturating cysto-urethrogram (MCUG) and cystoscopy were normal. Laparotomy with excision of valve with end to end uretro-uretrostomy was performed. Histopathology revealed Type II ureteric valve. A high index of suspicion is required to make a correct preoperative diagnosis.
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