Volume 24, Issue 2 (8-2010)                   Med J Islam Repub Iran 2010 | Back to browse issues page

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Hooman N, Hallaji F, Jahangiri F, Mostafavi S H. Huge obstructive bladder diverticula and cystic dysplastic kidneys in a newborn: a challenging dilemma. Med J Islam Repub Iran 2010; 24 (2) :109-114
URL: http://mjiri.iums.ac.ir/article-1-167-en.html
Huge obstructive bladder diverticula and cystic dysplastic kidneys in a newborn: a challenging dilemma
Nakysa Hooman , Farideh Hallaji , Fariba Jahangiri , Seyed Hassan Mostafavi
Department of Pediatric Nephrology, Ali-asghar Children Hospital, Iran University of MedicaSciences. N193, Ali- Asghar Children Hospital, Vahid-Dasgerdi St., Modarres Expressway, Tehran, Iran.l , hakiwa@iums.ac.ir.
Abstract:   (6831 Views)

Absract

This study investigated a 63-day boy with end stage renal disease and abdominal

cysts. The antenatal sonography detected anhydraminos, posterior urethral valve,

and cystic dysplastic kidneys. Voiding cystourethrogram revealed two obstructive

giant diverticula which at first looked like enlarged renal pelvis. The patient had persistent

urinary tract infection and perforation of diverticula. The dialysis was ineffective

because of leakage, immeasurable inflow and dwell volume, peritonitis and tunnel

infection. As a result, the availability of automated peritoneal dialysis for infants

is recommended to reduce morbidity and increasing the survival rate. Nonetheless

the giant bladder diverticules might be better managed by diverticulectomy procedure.
Keywords: congenital bladder diverticula, cystic renal dysplasia, end stage renal, disease anhydraminos, prenatal diagnosis, urinary tract infection
Full-Text [PDF 159 kb]   (2591 Downloads)    
Type of Study: case report | Subject: Pediatric Nephrology
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