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Suggest Treatment For Renal Duplex System In An Infant

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Posted on Mon, 4 May 2015
Question: Left renal duplex with thinned out cortex at upper moity with marked upper moity hydroureter ending into large ureterocele


Mild hydronephrosis and hydroureter in left moity ureter

Right renal duolex D/d bifid renal pelvis

Can you please suggest what is this for a male 8 month old.

Doctor has suggested immediate surgery
doctor
Answered by Dr. Diptanshu Das (38 minutes later)
Brief Answer:
It is a common ailment. Often it can go well even without surgery.

Detailed Answer:
Thanks for asking on HealthcareMagic.

Renal duplex system is a common birth defect formed due to improper fusion of the upper and lower part of the kidneys. Unless associated with other complaints, the condition does not need surgery for itself. So, whether surgery is essential depends on other significant problems that the child is suffering from. Unless they are significant, surgery is not essential. The following link would be helpful for you:
http://radiopaedia.org/articles/duplex-collecting-system
http://emedicine.medscape.com/article/0000-treatment

Since hydronephrosis is developing, eventual surgery might be required. But I think that you should get a second and expert opinion from a pediatric nephrologist about the treatment line.

Regards
Dr. Diptanshu Das
Note: For further queries related to your child health, Talk to a Pediatrician. Click here to Book a Consultation.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Diptanshu Das

Pediatrician

Practicing since :2005

Answered : 3875 Questions

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Suggest Treatment For Renal Duplex System In An Infant

Brief Answer: It is a common ailment. Often it can go well even without surgery. Detailed Answer: Thanks for asking on HealthcareMagic. Renal duplex system is a common birth defect formed due to improper fusion of the upper and lower part of the kidneys. Unless associated with other complaints, the condition does not need surgery for itself. So, whether surgery is essential depends on other significant problems that the child is suffering from. Unless they are significant, surgery is not essential. The following link would be helpful for you: http://radiopaedia.org/articles/duplex-collecting-system http://emedicine.medscape.com/article/0000-treatment Since hydronephrosis is developing, eventual surgery might be required. But I think that you should get a second and expert opinion from a pediatric nephrologist about the treatment line. Regards Dr. Diptanshu Das