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CodiEsp_corpus / dev /text_files_en /S0004-06142005000900016-1.txt
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A 29-year-old woman with a history of duodenal ulcer and constipation complaining of pain in the right renal fossa compatible with renoureteral crisis.
No history of nephrolithiasis, hematuria or urinary tract infections.
The examination only revealed a positive right renal percussion.
Ultrasound showed right foot and local ectasia with thinning of the parenchyma.
The UIV shows a functional annulation of the right renal unit and the rest of the examination is normal.
A retrograde pyelography showed stenosis in the right pyeloureteral junction and a negative right ureter urine cytology.
To perform a reconstructive surgery or an exeresis is performed renal scintigraphy showing a relative uptake of 33% for the right kidney and 67% for the left kidney.
1.
Right renal pyeloplasty was performed according to And-Hynes technique.
The anatomopathological examination of the stenosis of the urinary tract revealed a vesicular hemangioma as the cause of the obstruction, which did not allow passage of any cannula.
Postoperative urography at 3 months showed uptake and right renal elimination of contrast with slight delay compared to the left kidney.
1.
The patient was discharged from the outpatient clinic three years after the surgery. After two other controls had been performed, urologic consultation 7 years after pyeloplasty was not performed again.