ArticleJournal of surgical case reports2025
Unexpected proximal ureteral stricture in a 5-year-old girl: case report.
Article in Journal of surgical case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Congenital ureteral stricture is a rare but important differential diagnosis in antenatal hydronephrosis, often mistaken for ureteropelvic junction obstruction. We report the case of a 5-year-old girl who underwent surgery for suspected ureteropelvic junction obstruction based on imaging findings, including renal ultrasound and scintigraphy. Intraoperatively, the pyeloureteral junction appeared normal, but a proximal ureteral stricture was discovered 4 cm distal to the renal pelvis. Surgical management consisted of resecting the narrowed segment and performing a tension-free end-to-end ureteral anastomosis over a double-J stent. This case highlights the diagnostic limitations of standard imaging techniques in detecting ureteral anomalies and emphasizes the importance of accurate diagnosis and optimal management to preserve renal function.
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