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Left Gross Hydronephrosis S/O PUJO

By Anonymous October 25, 2011 - 2:53am
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My son is about a month old and he has been diagnosed with the above. The ultrasound scan reports the below.
Ultrasound Abdomen

Liver: Normal in size, outline and echotexture. No focal lesions are seen. Hepatic veins, portal vein branches are normal.
Portal: Portal vein, CBD is normal.
Spleen: Normal in size, outline and echotexture. No focal lesions are seen.
Gall Bladder: Normal in distension and wall thickness. Lumen is anechoic.

Pancreas: Normal in size, outline and echotexture. No focal lesions are seen. Pancreatic duct is normal.
Kidneys: Kidneys are normal in size, shape, and outline. Cortical echotexture is normal. Corticomedullary differentiation present. Collecting system appears compact on right side. Gross hydronephrosis noted left side with thinned out cortex. No calculi, focal lesion are seen.
Urinary bladder: Is normal in distension and outline. Wall thickness is normal. No intraluminal filling defects are seen.
No evidence of free fluid/lymphadenopathy is seen.
Diagnosis - Left Gross Hydronephrosis S/O PUJO

The doctor has suggested for another scan before going ahead with the procedure. Please let me know what are the options available so that I can be prepared during this course.

Add a Comment7 Comments

EmpowHER Guest

Isotope renal scan is a very good test in this case before doing any surgery.

May 19, 2014 - 1:47am
HERWriter Guide

Hi Sam

Thanks for the update and I hope Baby is doing well.

You need to ask the doctor these questions because the answers will depend on your baby's personal health and how he is thriving.With some babies, kidney damage can occur if surgery isn't done but many babies do well without it.

Have you discussed this with your son's doctor? It's also a good idea to talk to other parents whose children have gone through the same thing. Doctor-patient confidentiality may apply but he may know of some parents who would like to talk to you.

I also think a second opinion is a good idea.



November 7, 2011 - 10:22am
EmpowHER Guest
Anonymous (reply to Susan Cody)

Hi Susan,

Thanks for your suggestion. We did seek out a second opinion and the doctors have suggested to go ahead with the surgery. The doctor will performing the surgery on him in a week's time.


November 8, 2011 - 5:36am
HERWriter Guide (reply to Anonymous)

Hi Sam

Best of luck to you all and please let us know how everything goes. As a new mom, I know you'll be scared out of your wits but trust the doctors and know you're doing the right thing for your baby!

We hope to hear back from you!


November 8, 2011 - 11:36am
HERWriter Guide

Hi Anon

Thank you for your question and congratulations on your baby son!

To understand more about your baby's condition, read here: http://www.empowher.com/hydronephrosis/content/hydronephrosis-and-fetal-surgery

Let me know if you need more information and please stay in touch with us - we wish you and your baby the best,

October 25, 2011 - 9:46am
EmpowHER Guest
Anonymous (reply to Susan Cody)

Hi Susan,

The test scans (Isotopo Rowac Scan) are done and the results indicate:
1. Normal sized mildly hydronephrotic right kidney with normal function and no obstruction.
2. Enlarged grossly hydronephrotic left kidney with preserved function and PUJO.
Left Kidney Right Kidney
Differential Function 47.7% 52.3%
The doctor has advised a correction surgery to the left kidney. My concerns are:
1. Can the treatment be with medications and defer surgery.
2. Right kidney shows mild hydronephrosis, will that be a concern.
Awaiting your reply at the earliest.


October 30, 2011 - 12:22am
EmpowHER Guest
Anonymous (reply to Susan Cody)

Hi Susan,

Thanks for your prompt response. The doctor has now suggested a scan - Isotopo Rowac Scan. We are having this done on Saturday. I'll be updating you on the scan results.


October 26, 2011 - 10:34pm
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