A large abdominal cyst as a manifestation of pelviureteric junction obstruction in a neonate | [Pakistan Journal of Medical Sciences • 2024]

Author(s):

1. Syed Faisal Usman: Recep Tayyip Erdoğan Hospital (RTEH), Muzaffargarh, Punjab, Pakistan.

2. Athar Razaq: Recep Tayyip Erdoğan Hospital (RTEH), Muzaffargarh, Punjab, Pakistan.

3. Ejaz Ahmad: Recep Tayyip Erdoğan Hospital (RTEH), Muzaffargarh, Punjab, Pakistan.

4. Abdul Rehman Rashid: Recep Tayyip Erdoğan Hospital (RTEH), Muzaffargarh, Punjab, Pakistan.

5. Maham Shehzadi: Recep Tayyip Erdoğan Hospital (RTEH), Muzaffargarh, Punjab, Pakistan.

Abstract:

SUMMARY Intraabdominal cystic lesions diagnosed during antenatal period are uncommon. They are found to have varying origins, with renal tract being the most common site. Rarely, a large unilateral cystic lesion of renal origin is caused by Pelviureteric junction obstruction, crossing the midline, leading to compression of the contralateral kidney. We present a case of a neonate who was diagnosed with a large abdominal cyst in the antenatal period. The cyst persisted and crossed the midline causing hydronephrosis on the contralateral side. This is an unusual presentation of a commonly occurring condition, usually such large cyst at birth origins from alimentary tract rather renal system. It is important to understand unusual presentations of intraabdominal lesions and the associated pathology. It is mandatory to rule out renal obstruction, if there is any decompression of renal function, it is mandatory to save renal function till the time of definitive surgery.

Page(s): 587-590

DOI: 10.12669/pjms.40.2(ICON).8980

Published: Journal: Pakistan Journal of Medical Sciences, Volume: 40, Issue: 2, Year: 2024

Keywords:

Percutaneous nephrostomy PCN , Neonatal intensive care unit NICU , Intraabdominal cystic lesions , Pelviureteric junction obstruction PUJO , Ultrasound USG

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