Nonobstructing Nonrefluxing Congenital Left Giant Megaureter with Ipsilateral Renal Dysplasia in a 6-year-old Male Child: A Case Report and Literature Review

Abstract

Background: A 6-year-old male child was admitted for lower abdominal mass. USG (Abdomen and pelvis), MCUG, CT-IVP, and MR – Urography diagnosed a left sided nonobstructing and non-refluxing, congenital giant megaureter (CGM) with left renal dysplasia. DTPA scan was suggestive of no visually and quantitatively appreciable function seen in left kidney. At surgery, dilated tortuous left megaureter and small left kidney was found. Left nephroureterectomy was done. Conclusion: CGM is a rare condition. The physical examination and radioimaging are essential for the diagnosis of CGM. The appropriate treatment methods should be based on patient’s specific condition and investigations.