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Saudi Journal of Kidney Diseases and Transplantation
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CASE REPORT Table of Contents   
Year : 2019  |  Volume : 30  |  Issue : 6  |  Page : 1464-1469
Late occurrence of pelvi-ureteric junction obstruction in renal allograft and live-related kidney donor


1 Department of Urology, The Royal Hospital, Muscat, Oman
2 Department of Urology, Vedanayagam Hospital, Coimbatore, Tamil Nadu, India

Correspondence Address:
Kurian George
Department of Urology, The Royal Hospital, PO Box 603, PC 115, Madinat Al Sultan Qaboos, Muscat
Oman
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DOI: 10.4103/1319-2442.275495

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Pelvi-ureteric junction (PUJ) obstruction is an enigmatic condition. While in a reasonable majority it is clear cut, the diagnosis and the need for intervention in the remainder is still a challenge. We would like to share the details of two cases, one in a transplant recipient and the other in a living kidney donor, and propose an explanation as to why PUJ obstruction becomes manifest after such a long period of time. In this presentation, we would like to propose that forced drinking of fluids by patients who have an equivocal PUJ and a single kidney could tilt the balance resulting in overt PUJ obstruction.


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