Clinical Case Database / Category: Patient Management
Pelviureteric junction obstruction
Publication details
Miss Bhamini Vadhwana MBChB, BSc (Hons), MRCS, Mr Asif Raza MBChB, FRCS (Urol), FEBU
Foundation Years Journal, volume 9, issue 1, p.14 (123Doc Education, London, January 2015)
Abstract
Pelviureteric junction obstruction (PUJO) is more frequent in children than adults. Congenital or acquired narrowing of the proximal ureter causes urinary outflow obstruction resulting in hydronephrosis and potential renal impairment. PUJO may be asymptomatic and found incidentally on imaging or present acutely with loin pain, pyrexia or both. Radiological, nuclear imaging and occasionally endoscopic procedures are required to demonstrate the cause and its functional effects.
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Authors
Miss Bhamini Vadhwana MBChB, BSc (Hons), MRCS (Corresponding author)
Urology Department, Ealing Hospital NHS Trust
Uxbridge Road, Southall, UB1 3HW
bhaminivadhwana@doctors.org.uk
Mr Asif Raza MBChB, FRCS (Urol), FEBU
Consultant Urological Surgeon
Honorary Senior Lecturer
Imperial College, London, SW7 2AZ
araza49@gmail.com
References
1. Park JM, Bloom DA. The pathophysiology of ureteropelvic junction obstruction. Urol Clin North Am 1998, 25:161-169.
2. Kausik S, Segura JW. Surgical management of ureteropelvic junction obstruction in adults. Int Braz J Urol 2003, 29(1):3-10.
3. Grasso M, Caruso RP, Phillips C. UPJ obstruction in the adult population: Are crossing vessels significant. Rev Urol 2001, 3(1):42-51.
4. Van Cangh PJ, Nesa S, Galeon M et al. Vessels around the ureteropelvic junction: significant and imaging by conventional radiology. J Endourol 1996, 10:111-119.
5. Van Cangh PJ, Nesa S. Endopyelotomy: prognostic factors and patient selection, Urol Clin North Am 1998, 25:281-288.
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About the Clinical Cases Database
The Foundation Years Clinical Cases Database is a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.
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