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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. |
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No history of nephrolithiasis, hematuria or urinary tract infections. |
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The examination only revealed a positive right renal percussion. |
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Ultrasound showed right foot and local ectasia with thinning of the parenchyma. |
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The UIV shows a functional annulation of the right renal unit and the rest of the examination is normal. |
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A retrograde pyelography showed stenosis in the right pyeloureteral junction and a negative right ureter urine cytology. |
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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. |
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Right renal pyeloplasty was performed according to And-Hynes technique. |
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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. |
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Postoperative urography at 3 months showed uptake and right renal elimination of contrast with slight delay compared to the left kidney. |
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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. |
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