Congenital distal ureteric stricture presenting as obstructive megaureter in an infant: a case report

Sreedhar Dayapule; Abhiram Kucherlapati; Sandeep Donthiri; Ifrah Ahmad Qazi

doi:10.18203/2320-6012.ijrms20232451

Authors

Sreedhar Dayapule Department of Urology, Narayana Medical College, Andhra Pradesh, India
Abhiram Kucherlapati Department of Urology, Narayana Medical College, Andhra Pradesh, India https://orcid.org/0000-0002-7386-9845
Sandeep Donthiri Department of Urology, Narayana Medical College, Andhra Pradesh, India https://orcid.org/0000-0003-4152-8410
Ifrah Ahmad Qazi Department of Urology, Narayana Medical College, Andhra Pradesh, India

DOI:

https://doi.org/10.18203/2320-6012.ijrms20232451

Keywords:

Megaureter, Di-mercapto succinic acid, Di-mercapto pentetic acid, UTI

Abstract

Congenital distal ureteric stricture is a rare but most important cause of hydro ureteronephrosis in infants presenting as obstructive megaureter. A 8 months old child suffering from recurrent episodes of fever and poor growth had giant hydroureteronephrosis due to distal ureteric stricture. Often misdiagnosed as primary megaureter or pelviureteric junction obstruction, congenital ureteral strictures and valves are the main causes of congenital ureteric obstruction. He was treated with excision of narrow ureteric segment with tapering ureteroplasty and a ureteral reimplantation was performed. This case is presented and discussed with reference to etiology of this rather rare anomaly.

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