Hidden problem in an elderly woman with repeated urinary tract infection: Giant megaureters resulting from a 'yo‐yo' phenomenon. Issue 3 (15th July 2013)

• Record Type: Journal Article
• Authors: Huang, Po‐Wei; Cha, Tai‐Lung; Chang, Huang‐Ching; Sun, Guang‐Huan; Yu, Dah‐Shyong; Meng, En
• Is Part Of: Surgical practice. Volume 17:Issue 3(2013:Aug.)
• Page Start: 110
• Page End: 114
• Publication Date: 2013-07-15
• Subjects: Surgery -- Periodicals; Operations, Surgical -- Periodicals; 617.005
• DOI: 10.1111/1744-1633.12021
• Languages: English
• ISSNs: 1744-1625

Abstract

<abstract abstract-type="main"> <title> <x xml:space="preserve">Abstract</x> </title> <p>An incomplete‐type ureteral duplication (IUD) is a congenital anomaly, and is usually found incidentally on imaging findings in children. Clinically, a marked megaureter is caused by a long‐term 'yo‐yo' phenomenon in IUD, and is a rare, initial suspicion in elderly people, especially when manifested through repeated urinary tract infections (UTI). We report on a 67‐year‐old woman who suffered from repeated UTI and left flank pain. IUD with marked megaureters resulting from the 'yo‐yo' phenomenon was diagnosed by a series of imaging studies. The symptoms were successfully relieved by tapering and reimplantation of the dilated ureters. Finally, we emphasize a paradoxical phenomenon in the interpretation of the effective renal plasma flow study, even if this means correcting for the pitfalls of the examination itself.</p> </abstract>