A large abdominal cyst as a manifestation of pelviureteric junction obstruction in a neonate

Intraabdominal cystic lesions diagnosed during antenatal period are uncommon. They are found to have varying origins, with renal tract being the most common site. Rarely, a large unilateral cystic lesion of renal origin is caused by Pelviureteric junction obstruction, crossing the midline, leading t...

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Bibliographic Details
Published in:Pakistan journal of medical sciences 2024-01, Vol.40 (2ICON Suppl), p.S87-S90
Main Authors: Usman, Syed Faisal, Razaq, Athar, Ahmad, Ejaz, Rashid, Abdul Rehman, Shehzadi, Maham
Format: Article
Language:English
Subjects:
Abdomen
Antihypertensives
Case Report
Cysts
Hydronephrosis
Hypertension
Infants (Newborn)
Kidneys
Neonatal care
Neonatal intensive care
Neonatology
Prenatal care
Urogenital system
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Summary:Intraabdominal cystic lesions diagnosed during antenatal period are uncommon. They are found to have varying origins, with renal tract being the most common site. Rarely, a large unilateral cystic lesion of renal origin is caused by Pelviureteric junction obstruction, crossing the midline, leading to compression of the contralateral kidney. We present a case of a neonate who was diagnosed with a large abdominal cyst in the antenatal period. The cyst persisted and crossed the midline causing hydronephrosis on the contralateral side. This is an unusual presentation of a commonly occurring condition, usually such large cyst at birth origins from alimentary tract rather renal system. It is important to understand unusual presentations of intraabdominal lesions and the associated pathology. It is mandatory to rule out renal obstruction, if there is any decompression of renal function, it is mandatory to save renal function till the time of definitive surgery.
ISSN:1682-024X
1681-715X
DOI:10.12669/pjms.40.2(ICON).8980