Motorcycle trauma unveiling massive pyeloureteral junction syndrome

MALKI Mohamed Amine *, JADOUANE Mouayad, AHSAINI Mustapha, MELLAS Soufiane, TAZI Mohammed Fadl, EL AMMARI Jalal, EL FASSI Jama and FARIH My HASSAN

Urology department, university hospital HASSAN II, Fez, Morocco.
 
Case Study
World Journal of Advanced Research and Reviews, 2023, 19(03), 1352–1355
Article DOI: 10.30574/wjarr.2023.19.3.1920
 
Publication history: 
Received on 10 August 2023; revised on 25 September 2023; accepted on 28 September 2023
 
Abstract: 
This medical case study presents a rare and intriguing incidentally discovered junctional syndrome in a 36-year-old male involved in a motorcycle accident. A subsequent CT scan revealed a massive pyelocalyceal dilatation measuring 22 cm with a 12 cm-diameter pyelon, compressing the renal parenchyma (Fig1,Fig2). Remarkably, despite the extensive dilation, the patient's renal function remained unaffected, as indicated by normal laboratory findings. Prompt management involved right-side JJ stenting (Fig3,Fig4) and renal scintigraphy, which revealed that the right kidney contributed only 20% of the total renal function. This exceptional presentation highlights the significance of early detection and intervention in such cases to optimize renal health and prevent potential complications. Long-term monitoring is essential to ensure the well-being of the patient and manage this rare medical condition effectively.
 
Keywords: 
Junctional syndrome; Massive pyelocalyceal dilatation; Abdominal traum; Extensive dilation
 
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