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| CASE REPORT |
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| Year : 2019 |
Volume
: 30 | Issue : 6 | Page
: 1464-1469 |
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Late occurrence of pelvi-ureteric junction obstruction in renal allograft and live-related kidney donor
Kurian George1, Ganesh Gopalakrishnan2, Said Abdallah Al-Mamari1, SB Viswaroop2
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 PMID: 31929298 
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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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