Motorcycle trauma unveiling massive pyeloureteral junction syndrome

Abstract

This medical case study presents a rare and intriguing incidentally discovered junctional syndrome in a 36-year-old male involved in a motorcycle accident. A subsequent CT scan revealed a massive pyelocalyceal dilatation measuring 22 cm with a 12 cm-diameter pyelon, compressing the renal parenchyma (Fig1,Fig2). Remarkably, despite the extensive dilation, the patient's renal function remained unaffected, as indicated by normal laboratory findings. Prompt management involved right-side JJ stenting (Fig3,Fig4) and renal scintigraphy, which revealed that the right kidney contributed only 20% of the total renal function. This exceptional presentation highlights the significance of early detection and intervention in such cases to optimize renal health and prevent potential complications. Long-term monitoring is essential to ensure the well-being of the patient and manage this rare medical condition effectively.