DOI: 10.36347/sjmcr.2015.v03i09.024

Pages: 868-870

Congenital ureteric obstruction caused by ureteric valves with associated vesico-ureteric reflux on contra lateral side is an extremely rare entity. Our patient, a two and a half-year-old male, had undergone evaluation for recurrent pain in the abdomen and was diagnosed as a case of left hydronephrosis with hydro ureter on ultrasound abdomen. CT urography was suggestive of lower ureteric obstruction on left side with hydronephrosis and hydroureter. Voiding cystourethrogram was suggestive of Grade II vesico ureteric reflux on right side with no reflux on left side. Cystoscopy followed by excision of lower third of left ureter along with valve and Cohen's uretero neo cystostomy was planned. A high index of suspicion was required to make a correct preoperative diagnosis.