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Ruptured asymptomatic and undetected pelviureteric junction obstruction after trivial abdominal trauma: A case report | ||
| Medical Journal of Tikrit | ||
| Article 1, Volume 1, Issue 151, 2012, Pages 167-170 | ||
| Authors | ||
| Ayoob M. Zaidan; Mustafa K. Hameed; Azzawi M. Hadi | ||
| Abstract | ||
| Since the routine use of antenatal ultrasonography, congenital pelviureteric junction (PUJ) obstruction rarely presents as an incidental diagnosis following renal trauma. Acute sever abdominal pain following seemingly trivial trauma should arouse the suspicion of a pre-existing abnormality. Eight year-old boys with previously asymptomatic and undetected PUJ obstruction who first presented with acute abdomen following a trivial trauma from his little brother. During abdominal exploration every thing was normal other than ruptured cystic lesion found in the lesser sac, the provisional diagnosis was as ruptured mesenteric cyst. The drain that we put in the sac start to drain clear fluid as the same as that of urinary catheter. Contrast enhanced spiral CT scan confirm the diagnosis of bilateral PUJ obstruction with rupture of the right side, the drain was shown inside the right pelvis. The renal CT scan confirmed good cortical thickness and good renal function, and the improved general condition, a delayed Anderson-Hynes’ pyeloplasty was performed | ||
| Keywords | ||
| Ruptured asymptomatic and undetected pelviureteric junction obstruction after trivial abdominal trauma; pelviureteric | ||
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