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Abstract
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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References
- Ureteroheminephrectomy in infancy.J. Urol. 1931; 26: 433
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© 1933 Published by Elsevier Inc.
