KUPPAN C T1,RAMESH BABU,DR.J. JEEVARATHAN
DOI: https://doi.org/We report a case of an 11-month-old girl with persistent hydronephrosis following antenatal diagnosis and a single episode of urinary tract infection (UTI). Investigations revealed a uretero pelvic Junction obstruction (UPJO) of the lower pole in a duplex however the ureteric anatomy was unclear. A retrograde pyelogram (RGP) revealed Y-duplication with UPJO close to the Y-junction. Laparoscopic excision of UPJ narrow segment was done along with an end to side pyeloureterostomy of lower pole pelvis to upper pole ureter. At 1 year follow up, the patient was asymptomatic with good resolution of hydronephrosis. We report this case for its rarity and to discuss laparoscopic pyeloureterotomy as a suitable option in UPJO of the lower pole with partial Y-duplication.
