Pelvo-ureteric junction obstruction in the lower pole moiety of a duplex kidney with an associated intraparenchymal abscess: a case report

IntroductionPelvo-ureteric junction obstruction and duplex kidney are common radiological findings. However, pelvo-ureteric junction obstruction in a duplex kidney is a rare finding.

We present the case of a patient who presented with septic complications secondary to this combination.Case presentationAn adult woman presented with urinary sepsis, and her initial investigation with ultrasound revealed hydronephrosis of the lower moiety of a duplex kidney. Further investigations with computed tomography and magnetic resonance imaging showed an associated intrarenal abscess and a pelvo-ureteric junction obstruction of the lower moiety of a duplex kidney.

Conclusions: This patient had a rare and unreported complication of an unusual congenital urological abnormality.

This case report highlights the role of multiple imaging modalities in correct diagnosis for clinical management.

Author: James Lenton and Tze Wah
Credits/Source: Journal of Medical Case Reports 2008, 2:241

Published on: 2008-07-24

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