A complex case of abdominal pain in a patient with pelviureteric junction obstruction

Przemysław Wolak; Tomasz Golabek; Mateusz Obarzanowski; Piotr Chłosta

doi:10.5114/wiitm.2014.41599

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abstract:

Case report

A complex case of abdominal pain in a patient with pelviureteric junction obstruction

Przemysław Wolak

,

Tomasz Golabek

,

Mateusz Obarzanowski

,

Piotr Chłosta

Videosurgery Miniinv 2014; 9 (2): 273–275

DOI: https://doi.org/10.5114/wiitm.2014.41599

Online publish date: 2014/03/20

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Pelviureteric junction (PUJ) obstruction is a condition frequently encountered in both adult and pediatric patients. Congenital abnormalities and crossing lower-pole renal vessels are the most common underlying pathologies in both men and women. This report presents a case of a young woman who was complaining of intermittent abdominal pain in whom right-sided hydronephrosis was diagnosed. The patient was scheduled for a laparoscopic right-sided Anderson-Hynes pyeloplasty. During the procedure a partly extraperitoneal appendix, with extensive adhesions to the posterior abdominal wall abutting on the ureter just below the obstructed PUJ, was identified. The patient underwent dismembered laparoscopic Anderson-Hynes pyeloplasty with concurrent appendectomy for likely dual pathologies being responsible for her symptoms.

keywords:

A complex case of abdominal pain in a patient with pelviureteric junction obstruction

Przemysław Wolak , Tomasz Golabek , Mateusz Obarzanowski , Piotr Chłosta

laparoscopic pyeloplasty, pelviureteric junction obstruction, incidental appendectomy, abdominal pain

Przemysław Wolak

,

Tomasz Golabek

,

Mateusz Obarzanowski

,

Piotr Chłosta