Original article| Volume 21, ISSUE 1, P85-96, July 1933

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Hemipyonephrosis in infants and children treatment by heminephrectomy

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      Five cases of hemipyonephrosis in very young children are reported. Being anomalous, reduplicated kidneys are more prone to disease than are normal organs. The condition illustrates another lesion which may cause persistent urinary infections in juveniles and because of pyuria, commonly leads to the diagnosis of “chronic pyelitis.” The correct diagnosis of hemipyonephrosis is made by urologic examination. When half of the double kidney remains undiseased, and the operation is technically feasible and the condition of the patient permits, ureteroheminephrectomy is the treatment. With marked renal infection, especially acute, nephrectomy is often the wiser course. In the youngest patient of this series, ureteroheminephrectomy was successfully performed at the age of six months.
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        • Campbell M.F.
        Ureteroheminephrectomy in infancy.
        J. Urol. 1931; 26: 433