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Case Reports in Urology
Volume 2015, Article ID 307319, 4 pages
http://dx.doi.org/10.1155/2015/307319
Case Report

Symptomatic Infundibulopelvic Dysgenesis in an Adolescent

1Tufts University School of Medicine, Boston, MA 02111, USA
2Department of Urology, Maine Medical Center, Portland, ME 04102, USA

Received 16 February 2015; Revised 30 March 2015; Accepted 5 April 2015

Academic Editor: Apul Goel

Copyright © 2015 Daniel Pitts et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Infundibulopelvic dysgenesis is a rare condition characterized by congenital malformation of the pelvicalyceal system. We present the case of an 18-year-old boy with chronic intermittent right flank pain and cystic dilation with parenchymal thinning on ultrasonography. The left kidney was normal. The patient denied dysuria, constipation, and history of UTIs or renal calculi. Cystoscopy with retrograde pyelogram showed marked stenosis of the right pelvicalyceal system and anatomy unfavorable to stenting. The patient’s symptoms were unresponsive to conservative management. Reconstruction of the right collecting system was unsuccessful and a simple nephrectomy was performed, which led to complete resolution of his symptoms.