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12356

Role of Magnetic Resonance Urography in Diagnosis of Pediatric Obstructive Uropathy: A Surgeon Perspective

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Last updated: 03 Jan 2025

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Abstract

Background: Obstructive uropathy is a group of different pathologies.  Congenital obstructive uropathy represents a major cause of renal failure in infants and children. Urinary tract obstruction is defined as any condition that impairs urinary drainage from the pelvicalyceal system and leads to increased pressure and reduced urine flow rate. Objective: The aim of this study was to assess the role of combined static and dynamic Magnetic Resonance Urography in the management of pediatric obstructive uropathy and to compare it with our basic investigations. Patients and Methods: This study was conducted on the pediatric patients presented to Pediatric Surgery Department in cooperation with Radiology Department, Ain Shams University Hospitals, presented with upper urinary tract dilatation detected by ultrasonograghy. Results: There was a high agreement between MRU and our standard imaging data as regard detection of urinary tract obstruction giving the MRU no superiority to the basic imaging in this field. Combined MRU showed the highest accuracy among other investigations in identification of the level of obstruction. Dynamic MRU and renal scintigraphy in our study yielded similar results for identification of split renal function. Conclusion: This study provides evidence that combined static and dynamic MRU is a promising technique that allows anatomical and functional evaluation of obstructed kidneys to be used as a single modality for the comprehensive evaluation of urinary tract obstruction.

DOI

10.21608/ejhm.2018.12356

Keywords

MRU, Obstructive Uropathy

Authors

First Name

Sameh AbdelHay

Last Name

AbdelHamid

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Affiliation

Department of Pediatric Surgery Ain Shams University, Cairo, Egypt

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First Name

Khaled AbouelFotouh

Last Name

Ahmed

MiddleName

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Affiliation

Department of Radiology Faculty of Medicine, Ain Shams University, Cairo, Egypt

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Volume

73

Article Issue

2

Related Issue

2209

Issue Date

2018-10-01

Receive Date

2018-09-03

Publish Date

2018-10-01

Page Start

5,961

Page End

5,969

Print ISSN

1687-2002

Online ISSN

2090-7125

Link

https://ejhm.journals.ekb.eg/article_12356.html

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https://ejhm.journals.ekb.eg/service?article_code=12356

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Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

Role of Magnetic Resonance Urography in Diagnosis of Pediatric Obstructive Uropathy: A Surgeon Perspective

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Article

Created At

22 Jan 2023