Congenital Solitary Kidney

Emanuel, Benjamin

doi:10.1001/archpedi.1974.02110200019002

Cited by 48 publications

(3 citation statements)

References 13 publications

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“…A stab incision on the fundus of the uterus adequate to just admit a probe was used to minimize post-operative adhesion formation that could affect future fertility. Unilateral renal agenesis is complicated by recurrent urinary tract infections, hypertension and renal stones [12]. This patient had none of these and is being closely monitored.…”

Section: Discussionmentioning

confidence: 93%

Transverse vaginal septum with menouria and unilateral renal agenesis-case report

Opoku¹,

Kwarteng²,

Prempeh³

2015

Gynecol

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Transverse vaginal septum is a rare condition that results from abnormalities in the vertical fusion between the vaginal components of the Mullerian ducts and the urogenital sinus. Associated menouria as a result of a fistulous connection of the vagina with the bladder is even rarer. A case is presented of a 22 year old unmarried woman who in addition to presenting with primary amenorrhea, complete transverse vaginal septum and cyclic hematuria, also had unilateral renal agenesis and a corrected congenital imperforate anus. A surgical correction is described as well as simple measures during follow-up that ensured non-contracture of the excision site. The fistulous connection between the bladder and upper vagina closed spontaneously. The patient has since been having normal menses for the past 15 months with no associated hematuria. The vagina has remained patent since. We conclude that for cases of transverse vaginal septum associated with menouria excision of the septum that ensures normal outflow of menstrual blood is sufficient to facilitate spontaneous closure of the fistulous connection between the bladder and vagina.

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Section: Discussionmentioning

confidence: 93%

Transverse vaginal septum with menouria and unilateral renal agenesis-case report

Opoku¹,

Kwarteng²,

Prempeh³

2015

Gynecol

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“…Most adult patients who have unilateral renal agenesis or atrophy are asymptomatic and are usually diagnosed with this condition by incidental findings on abdominal imaging for unrelated medical conditions. Congenital unilateral renal agenesis, which is a relatively well-described urological anomaly, has an approximate incidence of 1 in 2000 to 2 Case Reports in Obstetrics and Gynecology 2500 live births and 1 in 1000 based on autopsy results [2,3]. This condition can occur as an isolated congenital anomaly; however, between 30 and 50% of patients have associated urological, genital, cardiovascular, gastrointestinal, and skeletal abnormalities [3].…”

Section: Discussionmentioning

confidence: 99%

Absent Ureteral Efflux after Hysterectomy Leads to Diagnosis of Ureteral Atresia with Renal Atrophy

Mutter

Grebenyuk

Ayala-Crespo

et al. 2020

Case Reports in Obstetrics and Gynecology

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Iatrogenic injury to the urinary system is a known complication of gynecologic surgery; therefore, intraoperative cystoscopy is frequently performed to assess for such injuries. However, if an abnormality is seen, the differential diagnosis extends beyond iatrogenic causes. A 42-year-old patient underwent a total abdominal hysterectomy and had absent efflux from the right ureteral orifice on cystoscopy. While iatrogenic injury was initially suspected, the intraoperative workup (including intravenous pyelography (IVP)) that ensued led to an empiric diagnosis of right ureteral atresia with ipsilateral renal atrophy that was then confirmed on postoperative imaging. When an abnormality is seen on cystoscopy following gynecologic surgery, it is important to maintain a broad differential diagnosis and to pursue an intraoperative workup with early involvement and close collaboration with urology.

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“…Zerin et al (22) found that in children referred for imaging due to antenatally detected renal abnormalities, reflux appeared in 4 of 4 with renal agenesis, in 4 of 15 with multicystic kidney disease and in 8 of 40 with pelvo-ureteric junction obstruction. Other reports (23,24) quote contralateral reflux frequency in children with renal agenesis as 37-50%. Lebowitz and Blickman (25) found contralateral reflux in 10% of children with pelvo-ureteric junction obstruction.…”

Section: Congenital Abnormalitiesmentioning

confidence: 96%

Diagnosis of vesico‐ureteric reflux

Hellström

Jacobsson

1999

Acta Paediatrica

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The demonstration and grading of reflux is crucial in examination and follow‐up of any child with upper urinary tract infection. A variety of factors can influence the occurrence of reflux, e.g. race, genetics, state of maturation of the ureterovesical valve, diuresis, infection and bladder dysfunction, including obstruction and neurogenic disorders. Even when reflux is investigated under strictly standardized conditions, two consecutive bladder fillings frequently show different grades of reflux. Voiding cystourethrography is, to date, the only method with a generally accepted, well‐defined grading of reflux. It also allows detection of intrarenal reflux and anatomical and functional information about the bladder and urethra that is unobtainable by other methods. It is therefore usually considered the method of choice. Radionuclide cystography and, possibly, contrast enhanced ultrasonography can be complementary to voiding cystourethrography, but mainly for postoperative follow‐up and screening of siblings.

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Congenital Solitary Kidney

Cited by 48 publications

References 13 publications

Transverse vaginal septum with menouria and unilateral renal agenesis-case report

Transverse vaginal septum with menouria and unilateral renal agenesis-case report

Absent Ureteral Efflux after Hysterectomy Leads to Diagnosis of Ureteral Atresia with Renal Atrophy

Diagnosis of vesico‐ureteric reflux

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