![]() ![]() The absence of the left kidney was confirmed. The patient was then sent for a non-contrast kidney, ureter and bladder (KUB) CT which revealed right-sided severe hydronephrosis and hydroureter with a non-obstructing 10 mm calculus in the lower pole calyx but no ureteric calculi with no evidence of prior urogenital TB or schistosomiasis. Abdominal ultrasound showed a right-sided hydronephrosis and an absent left kidney. The only significant finding was some mild renal angle tenderness on the right side.īlood and urine sent to the laboratory showed normal renal function and microscopic haematuria but no evidence of current urinary tract infection as well as negative urinary tuberculosis (TB) cultures. She had no past medical or surgical history and one previous uneventful pregnancy with a normal vaginal delivery. Keywords: solitary kidney, pelviureteric junction obstruction, vesicoureteric junction obstruction, renal calculus, endoscopyĪ 25-year-old female presented to the urology outpatient department complaining of occasional right flank pain and recurrent urinary tract infections which had been treated with repeated courses of antibiotics. This case demonstrates the efficacy and minimal invasive endoscopic urological surgery even in the face of numerous pathologies, which traditionally required more invasive procedures. The patient was successfully managed completely endoluminally over two procedures with the use of double-J stents and a laser fibre to incise the VUJ and perform endopyelotomy at the PUJ followed by extraction of the stone. We report on the diagnosis and management of a 25-year-old female with a congenital solitary kidney associated with simultaneous pelviureteric (PUJ) and vesicoureteric (VUJ) junction obstructions complicated by a lower pole renal stone. IVWits Donald Gordon Medical Centre, South Africa IIIOutpatient Department, Bertha Gxowa Hospital, South Africa IIDivision of Urology, Department of Surgery, Faculty of Health Sciences, University of the Witwatersrand, South Africa IDepartment of Urology, Helen Joseph Hospital, South Africa "Killing two birds with one stone": endoscopic management of PUJ and VUJ obstructions with a renal stone in a congenital solitary kidneyĬ Christofides I, II M Carides III, IV A Adam I, II, IV ![]()
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