Bilateral Ureteropelvic Junction Disruptions in a 17-Year-Old With Bilateral Ureteral Duplications: Impact of Unrecognized Duplications and Unique Management of Nephrocutaneous Fistula

Urology. 2020 May:139:171-174. doi: 10.1016/j.urology.2020.01.012. Epub 2020 Jan 17.

Abstract

A case of bilateral ureteropelvic junction (UPJ) disruptions in a patient with bilateral duplication anomalies is presented. A UPJ disruption with a duplication anomaly has not been reported let alone bilateral duplication anomalies. The unrecognized duplication anomalies led to isolated and obstructed upper pole segments that were managed by bilateral heminephrectomies. A nephrocutaneous fistula developed after one of the heminephrectomies that was successfully managed using a method of percutaneous fulguration and fibrin sealant. In UPJ disruption cases, the possibility of a duplicated collecting system should be considered as an unrecognized duplication may complicate management and prolong recovery.

Publication types

  • Case Reports

MeSH terms

  • Adolescent
  • Cutaneous Fistula* / etiology
  • Cutaneous Fistula* / therapy
  • Electrocoagulation / methods*
  • Female
  • Humans
  • Kidney Diseases / etiology
  • Kidney Diseases / therapy
  • Kidney* / diagnostic imaging
  • Kidney* / pathology
  • Nephrectomy* / adverse effects
  • Nephrectomy* / methods
  • Postoperative Care / methods
  • Postoperative Complications / therapy*
  • Tomography, X-Ray Computed / methods
  • Treatment Outcome
  • Ultrasonography / methods
  • Ureter* / abnormalities
  • Ureter* / diagnostic imaging
  • Ureteral Diseases* / congenital
  • Ureteral Diseases* / diagnosis
  • Ureteral Diseases* / surgery
  • Urinary Fistula* / etiology
  • Urinary Fistula* / therapy
  • Urography / methods