A case of mid‐ureteral stricture with ipsilateral atrophic kidney in a young adult

Author:

Machida Arisa1ORCID,Abe Masakazu1ORCID,Ishii Shuhei1ORCID,Sekiguchi Kie1,Takahashi Kenta1,Shiomi Ei1,Maekawa Shigekatsu1,Kato Yoichiro1,Uesugi Noriyuki2,Obara Wataru1ORCID

Affiliation:

1. Department of Urology Iwate Medical University School of Medicine Yahaba Japan

2. Department of Pathology Iwate Medical University School of Medicine Yahaba Japan

Abstract

IntroductionMost congenital ureteral strictures occur at the ureteropelvic or ureterovesical junction in children. Mid‐ureteral stricture is very rare and can cause congenital hydronephrosis. Only a few studies have reported on coexisting mid‐ureteral stricture with ipsilateral atrophic kidney in young adults.Case presentationA 16‐year‐old girl presented with repeated urinary tract infection. Computed tomography revealed a right atrophic kidney and hydroureter. Retrograde pyelography showed a mid‐ureteral stricture. Laparoscopic nephroureterectomy was performed, and histological examination revealed mid‐ureteral stricture with hyperplasia of the fibrous connective tissue and an atrophic kidney.ConclusionMid‐ureteral stricture in a young adult is extremely rare. Appropriate imaging studies including retrograde pyelography are necessary for accurate diagnosis of mid‐ureteral stricture.

Publisher

Wiley

Subject

Urology

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