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CASE REPORT
Year : 2012  |  Volume : 28  |  Issue : 3  |  Page : 350-352

Equivocal pelvi-ureteric junction obstruction manifesting in a renal transplant recipient


Department of Urology, Christian Medical College, Vellore, India

Correspondence Address:
Vivek Venkatramani
Department of Urology, Christian Medical College and Hospital, Vellore 632004, Tamil Nadu
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0970-1591.102727

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Partial and intermittent pelvi-ureteric junction obstruction (PUJO) can potentially confound the diagnosis of upper tract obstruction. We report the case of a gentleman who received a renal graft from his sister. The donor kidney had a box-shaped extra-renal pelvis, which showed unobstructed drainage on the diuretic renogram. However, it manifested in the recipient as PUJO, and he needed pyelo-native ureterostomy for deteriorating graft function. The purpose of this report is to highlight a seemingly innocuous entity in the donor that may manifest in the recipient with significant consequences on graft function. It also discusses the appropriate timing of intervention in these cases.


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