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

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 yo...

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Bibliographic Details
Published in:IJU case reports 2023-11, Vol.6 (6), p.349-352
Main Authors: Machida, Arisa, Abe, Masakazu, Ishii, Shuhei, Sekiguchi, Kie, Takahashi, Kenta, Shiomi, Ei, Maekawa, Shigekatsu, Kato, Yoichiro, Uesugi, Noriyuki, Obara, Wataru
Format: Article
Language:English
Subjects:
Atrophy
Blood vessels
Case Report
Case Reports
Conflicts of interest
Connective tissue
diagnosis
Endoscopy
Hydronephrosis
Hyperplasia
kidney
Laparoscopy
Magnetic resonance imaging
Medical diagnosis
nephroureterectomy
Pathogenesis
Smooth muscle
stricture
Supervision
Surgery
Urinary tract infections
Urogenital system
Writing
young adult
Young adults
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Summary: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.
ISSN:2577-171X
2577-171X
DOI:10.1002/iju5.12620