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June 1981, Vol 135, No. 6 >
Article | June 1981

Radiological Case of the Month FREE

Jeff Wacksman, MD; Anthony F. Lalli, MD; Ronald J. Kallen, MD; Lionel W. Young, MD
[+] Author Affiliations

Reprint requests to Department of Radiology, Children's Hospital of Pittsburgh, 125 DeSoto St, Pittsburgh, PA 15213 (Dr L. W. Young).


Am J Dis Child. 1981;135(6):561-562. doi:10.1001/archpedi.1981.02130300061020.
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A 13-year-old boy was first observed for massive hydronephrosis at the age of 5 years. He had been well until 18 months of age, when he was noted to have a poor voiding stream. Evaluation at that time showed bilateral hydronephrosis, necessitating placement of a permanent suprapubic tube. Increasing renal failure ensued over the subsequent 3½ years, and at the age of 5 years he was referred for further evaluation. A voiding cystogram was obtained (Fig 1). Consistent with marked renal insufficiency (serum creatine level, 2.2 mg/dL), an intravenous urogram (IVU) showed virtual nonvisualization. An exploratory operation was performed, and because of massively dilated ureters, bilateral cutaneous ureterostomies were accomplished. A follow-up IVU showed residual massive caliectasis but obviously improved renal function (Fig 2). Over the next several years the child did relatively well, but gradually increasing signs of renal failure developed. To improve drainage of both kidneys,

REFERENCES

1 +
Marion G:  Surgery of the neck of the bladder . Br J Urol 1933;;4:351-356.
2 +
Bodian M:  Some observations on the pathology of congenital 'idiopathic bladder neck obstruction' (Marion's disease) . Br J Urol 1957;;29:393-398.
3 +
Williams DI:  Congenital bladder-neck obstruction and megaureter: Clinical observation . Br J Urol 1957;;29:389-392.
4 +
Kjellberg SR, Ericsson ND, Rudhe V: The Lower Urinary Tract in Childhood: Some Correlated Clinical and Roentgenologic Observations . Chicago, Year Book Medical Publishers, 1957;, pp 172-179.
5 +
Shopfner CE:  Roentgenological evaluation of bladder neck obstruction . AJR 1967;;100:162-176.
6 +
Kaplan GW, King LR:  An evaluation of Y-V vesicourethroplasty in children . Surg Gynecol Obstet 1970;;130:1059-1066.
7 +
Hinman F:  Urinary tract damage in children who wet . Pediatrics 1974;;54:142-150.
8 +
Johnston JH, Shapiro SR, Thomas GG:  Antireflux surgery in congenital neuropathic bladder . Br J Urol 1976;;48:639-642.
9 +
Allen RD:  The non-neurogenic neurogenic bladder . J Urol 1977;;117:232-238.
10 +
Williams DI, Hirst G, Doyle D:  The occult neuropathic bladder . J Pediatr Surg 1974;;9:35-41.

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Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

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References

1 +
Marion G:  Surgery of the neck of the bladder . Br J Urol 1933;;4:351-356.
2 +
Bodian M:  Some observations on the pathology of congenital 'idiopathic bladder neck obstruction' (Marion's disease) . Br J Urol 1957;;29:393-398.
3 +
Williams DI:  Congenital bladder-neck obstruction and megaureter: Clinical observation . Br J Urol 1957;;29:389-392.
4 +
Kjellberg SR, Ericsson ND, Rudhe V: The Lower Urinary Tract in Childhood: Some Correlated Clinical and Roentgenologic Observations . Chicago, Year Book Medical Publishers, 1957;, pp 172-179.
5 +
Shopfner CE:  Roentgenological evaluation of bladder neck obstruction . AJR 1967;;100:162-176.
6 +
Kaplan GW, King LR:  An evaluation of Y-V vesicourethroplasty in children . Surg Gynecol Obstet 1970;;130:1059-1066.
7 +
Hinman F:  Urinary tract damage in children who wet . Pediatrics 1974;;54:142-150.
8 +
Johnston JH, Shapiro SR, Thomas GG:  Antireflux surgery in congenital neuropathic bladder . Br J Urol 1976;;48:639-642.
9 +
Allen RD:  The non-neurogenic neurogenic bladder . J Urol 1977;;117:232-238.
10 +
Williams DI, Hirst G, Doyle D:  The occult neuropathic bladder . J Pediatr Surg 1974;;9:35-41.

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