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CASE REPORT
Boari flap reconstruction in a male infant with solitary kidney and associated megaureter
  1. Durgesh Kumar Saini,
  2. Rahul Janak Sinha,
  3. Ashok Kumar Sokhal,
  4. Vishwajeet Singh
  1. Department of Urology, King George's Medical University, Lucknow, Uttar Pradesh, India
  1. Correspondence to Dr (Prof) Vishwajeet Singh MS (Surgery), MCh (Urology), Professor, Department of Urology KGMU, Lucknow, India, drvishwajeet68{at}gmail.com

Summary

A 1-year-old male infant presented with fever and abdominal lump for 3 months with increased leucocyte count (15 300/mm3) and serum creatinine (0.83 mg%). Abdominal ultrasound and renal scan demonstrated solitary left kidney with dilated tortuous left ureter. Voiding cystourethrogram was unequivocal. Left percutaneous nephrostomy was placed after poor response to perurethral catheterisation. His serum creatinine dropped to 0.58 mg/dL. Subsequent percutaneous nephrostogram and CT nephrostogram showed dilated left pelvicalyceal system, dilated, tortuous left ureter. A diagnosis of obstructed megaureter was made and ureteric plication and reimplantation planned. Intraoperatively, there were primitive ureteral valves until proximal one-third of the ureter. The distance between the upper ureter and bladder was ∼6 cm. This defect was bridged by Boari flap. The postoperative period was uneventful and now after 6 months of follow-up, he is doing fine.

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Footnotes

  • Contributors RJS and VS did the surgery. DKS contributed in conception and design of the study and he worked on drafting the article or revising it critically for important intellectual content. AKS helped in acquisition of data.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.