CASE REPORT

Collaborative management of pediatric duplex collecting system with upper pole hydronephrosis, vesicoureteral reflux, and ureterocele: A case report

Kirana Dyah Larasati Budhiarta , Ketut Suarta, Gede Wirya Kusuma Duarsa, Pande Putu Yuli Anandasari

Kirana Dyah Larasati Budhiarta
Department of Child Health Faculty of Medicine Universitas Udayana Sanglah General Hospital. Email: kiranabudhiarta@gmail.com

Ketut Suarta
Department of Child Health, Faculty of Medicine Udayana University/Sanglah Hospital

Gede Wirya Kusuma Duarsa
Department of Urology, Faculty of Medicine Udayana University/Sanglah Hospital

Pande Putu Yuli Anandasari
Department of Radiology, Faculty of Medicine Udayana University/Sanglah Hospital
Online First: August 01, 2020 | Cite this Article
Budhiarta, K., Suarta, K., Duarsa, G., Anandasari, P. 2020. Collaborative management of pediatric duplex collecting system with upper pole hydronephrosis, vesicoureteral reflux, and ureterocele: A case report. Bali Medical Journal 9(2): 553-555. DOI:10.15562/bmj.v9i2.1859


Congenital anomalies of the kidney and urinary tract (CAKUT) is an uncommon finding with challenging diagnosis establishment and potentially devastating long-term renal outcome. We describe a case of unilateral duplex collecting system with upper pole vesicoureteral reflux and lower pole ureterocele. This 4-year-old female with prior antenatal assessment of kidney abnormality presented with recurrent urinary tract infection. A multidisciplinary approach was employed to encourage comprehensive diagnostic workup and management strategy. The complexity of such a rare case warrants higher index of suspicion and coordinated collaboration of a multispecialistic team.

References

Murugapoopathy V, Gupta IR. A primer on congenital anomalies of the kidneys and urinary tracts (CAKUT). Clin J Am Soc Nephrol. 2020;15(5):723–31. Available from: https://pubmed.ncbi.nlm.nih.gov/32188635/

Capone VP, Morello W, Taroni F, Montini G. Genetics of congenital anomalies of the kidney and urinary tract: The current state of play. Int J Mol Sci. 2017;18(4). Available from: /pmc/articles/PMC5412380/?report=abstract

Wühl E, van Stralen KJ, Verrina E, Bjerre A, Wanner C, Heaf JG, et al. Timing and outcome of renal replacement therapy in patients with congenital malformations of the kidney and urinary tract. Clin J Am Soc Nephrol. 2013;8(1):67–74. Available from: /pmc/articles/PMC3531653/?report=abstract

Renda R. Renal outcome of congenital anomalies of the kidney and urinary tract system: A single-center retrospective study. Minerva Urol e Nefrol. 2018;70(2):218–25. Available from: https://pubmed.ncbi.nlm.nih.gov/29161808/

Becherucci F, Roperto RM, Materassi M, Romagnani P. Chronic kidney disease in children. Clin Kidney J. 2016;9(4):583–91.

Kogan BA. Disorders of the ureter and ureteropelvic junction. In: McAninch JW, Lue TF, editors. Smith & Tanagho’s general urology. 19th ed. New York: McGraw-Hill Education; 2020. p. 571–4.

López Sastre JB, Ramos Aparicio A, Coto Cotallo GD, Fernández Colomer B, Crespo Hernández M. Urinary tract infection in the newborn: Clinical and radio imaging studies. Pediatr Nephrol. 2007;22(10):1735–41. Available from: https://pubmed.ncbi.nlm.nih.gov/17665222/

Vachvanichsanong P, Dissaneewate P, McNeil E. What did we find from imaging studies in childhood urinary tract infection and which studies are mandatory? Urology. 2018;111:176–82. Available from: https://pubmed.ncbi.nlm.nih.gov/28982546/

Soliman NA, Ali RI, Ghobrial EE, Habib EI, Ziada AM. Pattern of clinical presentation of congenital anomalies of the kidney and urinary tract among infants and children. Nephrology. 2015;20(6):413–8. Available from: https://pubmed.ncbi.nlm.nih.gov/25645028/

Simões e Silva AC, Oliveira EA, Mak RH. Urinary tract infection in pediatrics: an overview. J Pediatr (Rio J). 2020;96:65–79. Available from: https://pubmed.ncbi.nlm.nih.gov/31783012/

Radmayr C, Bogaert G, Dogan HS, Kocvara R, Nijman JM, Stein R, et al. EAU guidelines on paediatric urology [Internet]. European Association of Urology & European Societyfor Paediatric Urology; 2018. 76–80 p. Available from: https://uroweb.org/wp-content/uploads/EAU-Guidelines-on-Paediatric-Urology-2018-large-text.pdf

Katsoufis CP, DeFreitas MJ, Infante JC, Castellan M, Cano T, Vaccaro DS, et al. Risk assessment of severe congenital anomalies of the kidney and urinary tract (CAKUT): A birth cohort. Front Pediatr. 2019;7(MAY):182. Available from: /pmc/articles/PMC6527773/?report=abstract


Article Views      : 0
PDF Downloads : 0