Mega ureter

2. PATIENT’S PARTICULARS
NAME: Master XYZ
AGE: 6 YRS
PRESENTING COMPLAINTS
Pain Lt flank - 2 years

3. HISTORY OF PRESENT ILLNESS
Episodes of mild, non-radiating, dull
pain in Lt flank
Attacks increased in frequency and
severity
Generalized weakness, lethargy
No h/o haematuria, dysuria, nausea,
vomiting

4. PAST HISTORY
2 X episodes of UTI in past 2 yrs
PERSONAL HISTORY
NOTHING CONTRIBUTORY
FAMILY HISTORY

5. GENERAL PHYSICAL EXAMINATION
VITAL SIGNS:
PULSE: 70 / min
B.P: 110 / 80 mmHg
TEMP: 98.6 º F
RESP: 12 / min
OTHER SIGNS:
PALLOR +
CLUBBING
KOILONYCHIA
JAUNDICE ABSENT
DEHYDRATION
CYANOSIS
LYMPHADENOPATHY
J V P NOT RAISED
THYROID NOT ENLARGED

6. S Y S T E M I C E X A M I N A T I O N
 ABDOMEN
MILD TENDERNESS IN LT LUMBAR REGION
 CHEST
 C V S NOTHING REMARKABLE
 C N S

7. INVESTIGATIONS
• Full blood count: Hb – 9.5 g/dl
• Urea/Electrolytes/Creatinine
WNLs
• Urine R/E

13. CONGENITAL NON-REFLUXING
MEGA-URETER (LT)
DIAGNOSIS

14. OPERATION
REFASHIONING & REIMPLANTATION OF
LT URETER
15th SEP’ 2005
General anaesthesia
Grossly dilated Lt ureter
Aperistaltic segment in Lt lower ureter

26. POST-OP
 Uneventful recovery
 Drain has been removed
 Foley catheter to remain in place for
fifteen days

27. THANK YOU