Page 28 - Pediatric Surgery Lounge Vol3 Paediatric Urology
P. 28

Duplex system -



     Upper pole ureteric



     obstruction






         • Retrograde pyelogram
             showing bilateral duplex

             kidney.

                 • Right sided
                    complete duplex

                    with no obstruction/
                    reflux.

                 • Left sided complete

                    duplex with
                    displaced lower pole
                    kidney because of

                    the upper pole
                    obstruction

                    (drooping lily sign)




                                                                                                                                      Left upper pole nephrectomy specimen
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