Lower moiety hydronephrosis in duplicated kidneys

Edward S. Amis, John J. Cronan, Richard C. Pfister

Research output: Contribution to journalArticle

20 Scopus citations

Abstract

Because of the high incidence of lower pole reflux in complete duplications, decreased, delayed, or absent function in a hydronephrotic lower pole moiety is usually initially attributed to reflux nephropathy. Obstruction occurs commonly in the upper pole moiety due to an ectopic ureteral orifice or ureterocele. However, obstruction is not uncommon in the lower pole segment. Here, the etiologies are more numerous and, on occasion, result in confusing presentations. Eleven cases of obstruction involving the lower pole moiety are discussed. Pathologic entities involved include ureteropelvic junction obstructions in both complete and incomplete duplications, calculi and epithelial tumors obstructing the lower system at various levels, and an ectopic upper pole ureterocele compressing and obstructing the ureteral orifice to the lower pole.

Original languageEnglish (US)
Pages (from-to)82-88
Number of pages7
JournalUrology
Volume26
Issue number1
DOIs
StatePublished - Jul 1985

ASJC Scopus subject areas

  • Urology

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    Amis, E. S., Cronan, J. J., & Pfister, R. C. (1985). Lower moiety hydronephrosis in duplicated kidneys. Urology, 26(1), 82-88. https://doi.org/10.1016/0090-4295(85)90268-7