Background: The duplex collecting system is one of the congenital anomalies of kidney and urinary tract. It occurs in 0.2-2% of the general population. It can remain asymptomatic or become symptomatic. Affected children may present with urinary tract infections. Treatment options include pharmacological and surgical approaches. Case: We reported a 3-year-old male child, who was referred to Sanglah Hospital with recurrent fever. From the physical examination, we found positive costovertebral angle tenderness. Urinalysis showed high leukocyte sediments (1655/field of view), positive urine culture (Enterococcus gallinarum), and decreased glomerular filtration rate (68.75 ml/minute/1.73 m2). Ultrasonography of the right kidney showed two pelvicalyceal systems with severe hydronephrosis of upper moiety. The intravenous pyelography showed the drooping lily sign in the right kidney. We diagnosed the patient with a complicated urinary tract infection caused by Enterococcus gallinarum, duplex collecting system of right kidney, chronic kidney disease stage II. Antibiotics were administered due to complicated UTI. Open heminephrectomy was done. The patient was discharged in stable condition. Conclusion: The duplex collecting system may cause recurrent urinary tract infection. It can be a risk factor for renal scarring and cause chronic kidney disease. Comprehensive diagnostic workup and multidisciplinary management are needed to promote a good clinical outcome.
| Published in | American Journal of Pediatrics (Volume 8, Issue 2) |
| DOI | 10.11648/j.ajp.20220802.20 |
| Page(s) | 111-114 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2022. Published by Science Publishing Group |
Duplex Collecting System, Urinary Tract Infection, Chronic Kidney Disease
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APA Style
Ni Made Dwi Angga Riani, Gusti Ayu Putu Nilawati, Gede Wirya Kusuma Duarsa, Pande Putu Yuli Anandasari, Bagus Ngurah Mahakrishna. (2022). Duplex Collecting System of Right Kidney in 3-Year-Old Child: A Case Report. American Journal of Pediatrics, 8(2), 111-114. https://doi.org/10.11648/j.ajp.20220802.20
ACS Style
Ni Made Dwi Angga Riani; Gusti Ayu Putu Nilawati; Gede Wirya Kusuma Duarsa; Pande Putu Yuli Anandasari; Bagus Ngurah Mahakrishna. Duplex Collecting System of Right Kidney in 3-Year-Old Child: A Case Report. Am. J. Pediatr. 2022, 8(2), 111-114. doi: 10.11648/j.ajp.20220802.20
AMA Style
Ni Made Dwi Angga Riani, Gusti Ayu Putu Nilawati, Gede Wirya Kusuma Duarsa, Pande Putu Yuli Anandasari, Bagus Ngurah Mahakrishna. Duplex Collecting System of Right Kidney in 3-Year-Old Child: A Case Report. Am J Pediatr. 2022;8(2):111-114. doi: 10.11648/j.ajp.20220802.20
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Download@article{10.11648/j.ajp.20220802.20,
author = {Ni Made Dwi Angga Riani and Gusti Ayu Putu Nilawati and Gede Wirya Kusuma Duarsa and Pande Putu Yuli Anandasari and Bagus Ngurah Mahakrishna},
title = {Duplex Collecting System of Right Kidney in 3-Year-Old Child: A Case Report},
journal = {American Journal of Pediatrics},
volume = {8},
number = {2},
pages = {111-114},
doi = {10.11648/j.ajp.20220802.20},
url = {https://doi.org/10.11648/j.ajp.20220802.20},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajp.20220802.20},
abstract = {Background: The duplex collecting system is one of the congenital anomalies of kidney and urinary tract. It occurs in 0.2-2% of the general population. It can remain asymptomatic or become symptomatic. Affected children may present with urinary tract infections. Treatment options include pharmacological and surgical approaches. Case: We reported a 3-year-old male child, who was referred to Sanglah Hospital with recurrent fever. From the physical examination, we found positive costovertebral angle tenderness. Urinalysis showed high leukocyte sediments (1655/field of view), positive urine culture (Enterococcus gallinarum), and decreased glomerular filtration rate (68.75 ml/minute/1.73 m2). Ultrasonography of the right kidney showed two pelvicalyceal systems with severe hydronephrosis of upper moiety. The intravenous pyelography showed the drooping lily sign in the right kidney. We diagnosed the patient with a complicated urinary tract infection caused by Enterococcus gallinarum, duplex collecting system of right kidney, chronic kidney disease stage II. Antibiotics were administered due to complicated UTI. Open heminephrectomy was done. The patient was discharged in stable condition. Conclusion: The duplex collecting system may cause recurrent urinary tract infection. It can be a risk factor for renal scarring and cause chronic kidney disease. Comprehensive diagnostic workup and multidisciplinary management are needed to promote a good clinical outcome.},
year = {2022}
}
TY - JOUR T1 - Duplex Collecting System of Right Kidney in 3-Year-Old Child: A Case Report AU - Ni Made Dwi Angga Riani AU - Gusti Ayu Putu Nilawati AU - Gede Wirya Kusuma Duarsa AU - Pande Putu Yuli Anandasari AU - Bagus Ngurah Mahakrishna Y1 - 2022/05/12 PY - 2022 N1 - https://doi.org/10.11648/j.ajp.20220802.20 DO - 10.11648/j.ajp.20220802.20 T2 - American Journal of Pediatrics JF - American Journal of Pediatrics JO - American Journal of Pediatrics SP - 111 EP - 114 PB - Science Publishing Group SN - 2472-0909 UR - https://doi.org/10.11648/j.ajp.20220802.20 AB - Background: The duplex collecting system is one of the congenital anomalies of kidney and urinary tract. It occurs in 0.2-2% of the general population. It can remain asymptomatic or become symptomatic. Affected children may present with urinary tract infections. Treatment options include pharmacological and surgical approaches. Case: We reported a 3-year-old male child, who was referred to Sanglah Hospital with recurrent fever. From the physical examination, we found positive costovertebral angle tenderness. Urinalysis showed high leukocyte sediments (1655/field of view), positive urine culture (Enterococcus gallinarum), and decreased glomerular filtration rate (68.75 ml/minute/1.73 m2). Ultrasonography of the right kidney showed two pelvicalyceal systems with severe hydronephrosis of upper moiety. The intravenous pyelography showed the drooping lily sign in the right kidney. We diagnosed the patient with a complicated urinary tract infection caused by Enterococcus gallinarum, duplex collecting system of right kidney, chronic kidney disease stage II. Antibiotics were administered due to complicated UTI. Open heminephrectomy was done. The patient was discharged in stable condition. Conclusion: The duplex collecting system may cause recurrent urinary tract infection. It can be a risk factor for renal scarring and cause chronic kidney disease. Comprehensive diagnostic workup and multidisciplinary management are needed to promote a good clinical outcome. VL - 8 IS - 2 ER -
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