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Bilateral congenital midureteric strictures associated with multicystic dysplastic kidney and hydronephrosis: evaluation with MR urography.
MedLine Citation:
PMID:  20714713     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
We report a case of bilateral congenital midureteric strictures diagnosed using MR urography. The severity of obstruction differed in the two ureters, resulting in a multicystic dysplastic kidney (MCDK) with an atretic ureter on one side and hydronephrosis that worsened over time due to progressive stenosis on the other. Although midureteric strictures are usually misdiagnosed as ureteropelvic junction (UPJ) or ureterovesical junction (UVJ) obstruction on conventional imaging, MR urography was able to clearly demonstrate both the anatomical and functional abnormalities. Additionally, because of the excellent anatomical resolution, similarities in the underlying pathological lesions could be contrasted with the severity of the pathophysiological impact upon each kidney.
Authors:
J Damien Grattan-Smith; Richard A Jones; Stephen Little; Andrew J Kirsch
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Publication Detail:
Type:  Journal Article     Date:  2010-08-17
Journal Detail:
Title:  Pediatric radiology     Volume:  41     ISSN:  1432-1998     ISO Abbreviation:  Pediatr Radiol     Publication Date:  2011 Jan 
Date Detail:
Created Date:  2011-01-03     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0365332     Medline TA:  Pediatr Radiol     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  117-20     Citation Subset:  IM    
Affiliation:
Department of Radiology, Children's Healthcare of Atlanta, Atlanta, GA 30342, USA. Damien.grattan-smith@choa.org
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