Open AccessPelviureteric junction obstruction with crossing lower polar vessel: Indicators of preoperative diagnosis
Author(s) -
Alisha Gupta,
Anjan Kumar Dhua,
Sandeep Agarwala,
Veereshwar Bhatnagar
Publication year - 2018
Publication title -
journal of indian association of pediatric surgeons
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.306
H-Index - 17
eISSN - 1998-3891
pISSN - 0971-9261
DOI - 10.4103/jiaps.jiaps_207_17
Subject(s) - medicine , pyeloplasty , hydronephrosis , asymptomatic , ultrasound , magnetic resonance imaging , radiology , pelvis , surgery , renal pelvis , retrospective cohort study , urinary system , ureter
A crossing lower polar vessel (CLPV) is found in 11%-20% of children of pelviureteric junction obstruction (PUJO). Preoperative imaging (Doppler or magnetic resonance angiography (MRA)) may help but does not form a part of routine diagnostic workup. An attempt has been made here to evaluate clinical and imaging features (ultrasound and renal dynamic scan [RDS]) in children of PUJO with CLPV and define variables that could provide a diagnostic clue to its presence.