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Child's ultrasound shows mild fullness of pelvo calyceal structure. Meaning?

My 7 years old daughter ultrasound result last saturday showed she has mild fullness of the pelvo- calyceal structures, left, which may relate to any of the following: A. decreased ureteral peristalsis as seen in UTI , B. vesico ureteric reflux , C. mild form of uretero pelvic junction narrowing/ stenosis . What does this mean?
Asked On : Sat, 1 Dec 2012
Answers:  2 Views:  116
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Pediatrician 's  Response
Feb 2013

Thank you for your query on Healthcare Magic.

Fullness of the left pelvo calyceal structure is suggestive of some obstruction to the urine flow from kidney into ureter at the junction.

This is seen in conditions with obstruction at pelvicalycela junction and it is know as PUJ obstruction.

Further investigation such as nuclear renal scan is required to know the function of that kidney and further detailed study of obstruction.

Hence I advise you to consult a urologist for further management.

Hope I have answered your query.

Answered: Tue, 20 Aug 2013
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Pediatrician Dr. Taher Kagalwala's  Response
It would be pertinent to know if she has any symptoms as that could ease the interpretation of the result. Sometimes, some children have fullness of the P-C structures WITHOUT any symptoms, and the finding is discovered by chance. Since you went for the ultrasound, it seems that she had some symptoms, most likely a urinary tract infection (UTI). This infection causes a temporary back-flush of urine from the bladder into the upper reaches of the urinary system, causing a sort of damming up of urine into the kidneys. Most of the time, this resolves with time. However, occasionally, the problem persists, when we call it a vesico (bladder)-ureteric (urine tubes that start from the kidneys and empty into the bladder below) reflux (return). Stenosis implies a narrowing of the tubes below the expanded portions, but this seems unlikely in your case.

I hope this answers your question.

- Dr. Taher
Answered: Tue, 20 Aug 2013
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