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What Does This Ultrasound Report For Pelvi-ureteric Junction (PUJ) Obstruction Indicate?
Question: My 11 years old son has been diagnosed with mildly dilated left renal pelvicalyceal system -possiblly pelviureteric junction obstruction. As per USG report there is mild fullness of pelvicalyceal system, with renal pelvis AP diamete of 23 mm approx. Left kidney measured 102 x 50 mm approx. Kindly suggest
Brief Answer:
Needs further investigation
Detailed Answer:
Hello
Thanks for the query
It looks like your son is having a pelvi-uretric abnormality commonly called as puj. Most often it is congenital detected only later in life. There is nothing to be alarmed about.
Here is how you should go about it
1. ultra sound of the kidney is not a very good modality to note puj abnormality, you must get a ct scan of the kidney ureter and bladder to have a better view of the pelvicalycleal system
2. once the ct scan is done get a dtpa renogram, this test will tell us how well the kidney is functioning
3. if the kidney is functioning well then you will be referred to a urologist where he will advice you corrective surgeries (if required). Mild dilatation is most often medically managed, few puj abnormalities get corrected on its own once the child grows
I am sure you have several doubts, please get back to me so that I can help you
Regards
Needs further investigation
Detailed Answer:
Hello
Thanks for the query
It looks like your son is having a pelvi-uretric abnormality commonly called as puj. Most often it is congenital detected only later in life. There is nothing to be alarmed about.
Here is how you should go about it
1. ultra sound of the kidney is not a very good modality to note puj abnormality, you must get a ct scan of the kidney ureter and bladder to have a better view of the pelvicalycleal system
2. once the ct scan is done get a dtpa renogram, this test will tell us how well the kidney is functioning
3. if the kidney is functioning well then you will be referred to a urologist where he will advice you corrective surgeries (if required). Mild dilatation is most often medically managed, few puj abnormalities get corrected on its own once the child grows
I am sure you have several doubts, please get back to me so that I can help you
Regards
Note: For further queries related to kidney problems and comprehensive renal care, talk to a Nephrologist. Click here to Book a Consultation.
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
Answered by
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