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Pyeloureteral Junction Syndrome in a Neonate With a Solitary Kidney Treated by Anderson-Hynes Pyeloplasty: A Case Report. | LitMetric

AI Article Synopsis

  • Newborn hydronephrosis is primarily caused by blockage at the pyeloureteral junction, potentially leading to serious complications like early kidney failure.
  • A case study discusses a male neonate who successfully received Anderson-Hynes pyeloplasty to treat hydronephrosis in one kidney, emphasizing the importance of timely intervention.
  • The study highlights the use of percutaneous nephrostomy for initial treatment and explores optimal timing for surgery to improve clinical outcomes in pediatric patients.

Article Abstract

A rare disorder called newborn hydronephrosis is mostly caused by the obstruction of the pyeloureteral junction. We describe a case study of a male neonate who underwent Anderson-Hynes pyeloplasty to effectively cure hydronephrosis in a single kidney that was further complicated by early renal failure. Considering kidney failure can result in progressive renal fibrosis, early management is essential. The gold standard is Anderson-Hynes pyeloplasty, which is usually advised for individuals who weigh over 10 kg. Percutaneous nephrostomy is frequently used in the early stages of care for newborns in order to reduce dilatation and restore renal elasticity. After surgery, the resolution of hydronephrosis may take up to 24 months. We note that pyeloureteral junction obstruction can appear as a single anomaly or a component of a multifactorial illness. This study aims to contribute to the discourse surrounding the optimal timing of Anderson-Hynes pyeloplasty in pediatric patients, providing insights into clinical management strategies and outcomes.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11349144PMC
http://dx.doi.org/10.7759/cureus.65589DOI Listing

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