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Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Pelvo-ureteric junction obstruction in the lower pole moiety of a duplex kidney with an associated intraparenchymal abscess: a case report | Journal of Medical Case Reports BioMed Central Open Access Case report Pelvo-ureteric junction obstruction in the lower pole moiety of a duplex kidney with an associated intraparenchymal abscess a case report James Lenton and Tze Wah Address Department of Radiology St James University Hospital Leeds LS9 7TF UK Email James Lenton - jlenton@doctors.org.uk Tze Wah - tze.wah@leedsth.nhs.uk Corresponding author Published 24 July 2008 Received 6 December 2007 Journal of Medical Case Reports 2008 2 241 doi 10.1186 1752-1947-2-241 Accepted 24 July 2008 This article is available from http www.jmedicalcasereports.cOm content 2 1 241 2008 Lenton and Wah licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http creativecommons.org licenses by 2.0 which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Introduction Pelvo-ureteric junction obstruction and duplex kidney are common radiological findings. However pelvo-ureteric junction obstruction in a duplex kidney is a rare finding. We present the case of a patient who presented with septic complications secondary to this combination. Case presentation An adult woman presented with urinary sepsis and her initial investigation with ultrasound revealed hydronephrosis of the lower moiety of a duplex kidney. Further investigations with computed tomography and magnetic resonance imaging showed an associated intrarenal abscess and a pelvo-ureteric junction obstruction of the lower moiety of a duplex kidney. Conclusion This patient had a rare and unreported complication of an unusual congenital urological abnormality. This case report highlights the role of multiple imaging modalities in correct diagnosis for clinical management. Introduction Pelvo-ureteric junction obstruction PUJO is a relatively common finding during urological investigation as is duplex kidney. PUJO is the most .
