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Case Reports
. 2020 Oct 31:34:101454.
doi: 10.1016/j.eucr.2020.101454. eCollection 2021 Jan.

Para-pelvic cyst-an unusual cause of pelviureteric obstruction in a malrotated kidney

Musab Umair Khalid  1 , Muhammad Usman Javed  1 , Khubaib Shahzad  1 , Zahoor Iqbal Mirza  1 , Ubaid Ullah Khan  1 , Ubaid Ullah Siddiqi  1
Affiliations
Case Reports

Para-pelvic cyst-an unusual cause of pelviureteric obstruction in a malrotated kidney

Musab Umair Khalid et al. Urol Case Rep. .

Abstract

Pelviureteric junction obstruction can be attributed to intrinsic and extrinsic pathologies. We report an unusual cause of pelviureteric junction obstruction due to a large parapelvic cyst in a malrotated kidney. The patient presented with intermittent flank pain. The diagnosis was arrived at following imaging. The cyst was managed by open surgery.

Keywords: PUJ obstruction; Parapelvic cyst; Renal cyst excision.

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Figures

Fig. 1
Fig. 1
CT KUB (axial sections) showing right PUJ obstruction with moderate hydronephrosis.
Fig. 2
Fig. 2
CT KUB (coronal section) showing right upper ureter is pulled upwards due to the parapelvic cyst.
Fig. 3
Fig. 3
Intraoperative: Blue arrow point towards the parapelvic cyst. Yellow towards ureter. Green towards the PUJ obstruction caused by the parapelvic cyst. (For interpretation of the references to colour in this figure legend, the reader is referred to the Web version of this article.)
See this image and copyright information in PMC

References

    1. Shah J.B., Whitman C., Lee M., Gupta M. Water under the Bridge: 5 Year outcomes after percutaneous ablation of obstructing parapelvic renal cysts. J Endourol. 2007;21(10):1167–1170. - PubMed
    1. Kiryluk K., Gupta M. A large obstructive parapelvic cyst: challenging diagnosis and management. Kidney Int. 2007;71:955. - PubMed
    1. Rabii R., Mezzour M.H., Essaki H. Retroperitoneal laparoscopic treatment of parapelvic renal cysts: report of 5 cases. Prog Urol. 2005;15(6):1070–1073. - PubMed

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