Home > Journals > New Indian Journal of Surgery

New Indian Journal of Surgery

Submit your article Read this Journals View all journals
Full Text (PDF)
Case Report

Pelviureteric Junction Obstruction in Crossed Fused Ectopia Presenting as Peritonitis: Case Report and Review of Literature

Dhananjay Dobhal, Senior Resident, Department of Surgery, Government Doon Medical College, Dehradun, Uttarakhand 248001, India. , Mohit Kumar Joshia , Dhananjay Dobhalb

Author Information

Licence:



New Indian Journal of Surgery 8(3):p 451-454, Jul-Sep 2017. | DOI: https://dx.doi.org/10.21088/nijs.0976.4747.8317.30

How Cite This Article:

Timeline

Received : N/A         Accepted : N/A          Published : N/A

Abstract

Pelvi-ureteric junction obstruction (PUJO) is commonly seen in infants and children. Rarely it may go undetected and presents in adults with either minimal symptoms or is detected incidentally. We report the case of a previously healthy lady aged 26 years who presented with acute abdomen, respiratory distress and shock mimicking peritonitis. During resuscitation, a bedside percutaneous abdominal drain was placed in view her poor general condition. The patient improved dramatically following drainage of intra-abdominal collection and an emergency abdominal exploration was deferred for further diagnostic evaluation. Imaging findings suggested a massively dilated crossed fused ectopic left kidney with PUJO and drain in renal pelvis. A dismembered pyeloplasty was performed electively and the patient made an uneventful recovery. We present the clinical profile and imaging characteristics of this unknown presentation of PUJO with review of unusual clinical presentation of PUJO in adult patients from published literature. We also emphasize that this presentation of PUJO be entertained when dealing with a patient of acute abdomen and shock.

 

References

No records found.


About this article

Cite this article

Licence:



Received Accepted Published
N/A N/A N/A
DOI: https://dx.doi.org/10.21088/nijs.0976.4747.8317.30

Keywords

Pelviureteric Junction Obstruction; Peritonitis. 

Article Level Metrics

Last Updated

Sunday 21 June 2026, 22:27:18 (IST)

1755

Accesses

1
224
00

Citations


NA
NA
NA

Download citation


Article Keywords

Keyword Highlighting

Highlight selected keywords in the article text.


Timeline

Received N/A
Accepted N/A
Published N/A

licence




Access this article

Reprint Order Form
Buy this Article
Institutional Subscriptions

Share