{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,8,15]],"date-time":"2024-08-15T09:49:13Z","timestamp":1723715353955},"reference-count":17,"publisher":"Georg Thieme Verlag KG","issue":"01","license":[{"start":{"date-parts":[[2021,7,26]],"date-time":"2021-07-26T00:00:00Z","timestamp":1627257600000},"content-version":"vor","delay-in-days":1302,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Indian Journal of Radiology and Imaging"],"published-print":{"date-parts":[[2018,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>In infants and young children with suspicion of genitourinary tract anomalies, ultrasonography (USG) is usually the first imaging modality. Advantages of USG are well described. In the evaluation of complex congenital urogenital anomalies, ultrasound examination needs to be tailored according to the clinical suspicion and to yield maximum information. Primary megaureter is a congenital anomaly, which is associated with dilatation of ureter above an adynamic segment at the vesicoureteric junction (VUJ). Two different types are described in the literature: refluxing and obstructive. Absence of ureteric jet on USG in conjunction with vesicoureteric reflux (VUR) on voiding cystourethrogram (VCUG) prompts to the diagnosis of refluxing type of obstructed megaureter. Here we describe a case of duplex moiety with refluxing type of obstructed megaureter, where gray-scale USG and real-time color Doppler evaluation of the ureteric jet established the diagnosis. The aperistaltic segment of lower ureter near the VUJ with an absence of ureteric jet for the same moiety suggested the possibility of an obstructed megaureter. VUR was demonstrated on VCUG; thus, pointing toward a diagnosis of obstructed refluxing megaureter.<\/jats:p>","DOI":"10.4103\/ijri.ijri_208_17","type":"journal-article","created":{"date-parts":[[2018,3,28]],"date-time":"2018-03-28T09:31:37Z","timestamp":1522229497000},"page":"45-48","source":"Crossref","is-referenced-by-count":3,"title":["Utility of ureteric jet: A simple yet useful tool for the evaluation of complex urogenital anomaly"],"prefix":"10.1055","volume":"28","author":[{"given":"Pranav K","family":"Santhalia","sequence":"additional","affiliation":[{"name":"Department of Radiodiagnosis, All India Institute of Radiodiagnosis, New Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Disha","family":"Mittal","sequence":"additional","affiliation":[{"name":"Department of Radiodiagnosis, All India Institute of Radiodiagnosis, New Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Arun K","family":"Gupta","sequence":"additional","affiliation":[{"name":"Department of Radiodiagnosis, All India Institute of Radiodiagnosis, New Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Manisha","family":"Jana","sequence":"additional","affiliation":[{"name":"Department of Radiodiagnosis, All India Institute of Radiodiagnosis, New Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2021,7,26]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"41","DOI":"10.1016\/j.earlhumdev.2004.02.004","article-title":"Urogenital anomalies in human male fetuses","volume":"79","author":"A F Luciano","year":"2004","journal-title":"Earl Hum Dev"},{"issue":"01","key":"ref2","first-page":"1325","article-title":"Giant megaureter of a complete duplex system presenting as peri-umbilical mass in an elderly male: A case report","volume":"11","author":"T I Dar","year":"2014","journal-title":"Urol J"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"603","DOI":"10.1100\/tsw.2010.54","article-title":"Megaureter","volume":"10","author":"S J Hodges","year":"2010","journal-title":"Scientific World Journal"},{"key":"ref4","first-page":"417","article-title":"Doppler waveforms of the ureteric jet: An overview and implications for the presence of a functional sphincter at the vesicoureteric junction","volume":"37","author":"V Y Leung","year":"2007","journal-title":"PediatrRadiol"},{"issue":"06","key":"ref5","doi-asserted-by":"crossref","first-page":"77","DOI":"10.5489\/cuaj.1185","article-title":"Urolithiasis in adults with congenital megaureter","volume":"3","author":"G S Rosenblatt","year":"2009","journal-title":"Can Urol Assoc J"},{"key":"ref6","first-page":"3","volume-title":"Report of Working Party to establish the international nomenclature for the large ureter","author":"E D Smith","year":"1977"},{"key":"ref7","doi-asserted-by":"crossref","first-page":"222","DOI":"10.1016\/S0022-5347(17)55867-X","article-title":"Megaloureter definition, diagnosis, management","volume":"123","author":"L R King","year":"1980","journal-title":"J Urol"},{"key":"ref8","doi-asserted-by":"crossref","first-page":"861","DOI":"10.1046\/j.1464-410x.2000.00922.x","article-title":"Primary megaureter: Current trends in diagnosis and treatment","volume":"86","author":"A A Shokeir","year":"2000","journal-title":"BJU Intl"},{"key":"ref9","doi-asserted-by":"crossref","first-page":"245","DOI":"10.1016\/S0022-5347(17)59939-5","article-title":"Vesicoureteral reflux and distal ureteral obstruction","volume":"111","author":"R M Weiss","year":"1974","journal-title":"J Urol"},{"key":"ref10","doi-asserted-by":"crossref","first-page":"198","DOI":"10.14366\/usg.15073","article-title":"Ultrasonography of hydronephrosis in newborn: A practical review","volume":"35","author":"Y H Choi","year":"2016","journal-title":"Ultrasonography"},{"key":"ref11","first-page":"384","volume-title":"Urinary tract","author":"M J Siegel","year":"2011"},{"key":"ref12","doi-asserted-by":"crossref","first-page":"1139","DOI":"10.1148\/radiographics.22.5.g02se101139","article-title":"Ureteral anomalies of the distal ureter, bladder and urethra in children: Embryologic, radiologic and pathologic features","volume":"22","author":"T Berrocal","year":"2002","journal-title":"Radiographics"},{"key":"ref13","doi-asserted-by":"crossref","first-page":"349","DOI":"10.1148\/radiology.175.2.2183278","article-title":"Ureterovesical jets in infants and children: Duplex and color Doppler US studies","volume":"175","author":"S Jequier","year":"1990","journal-title":"Radiology"},{"key":"ref14","doi-asserted-by":"crossref","first-page":"201","DOI":"10.1002\/(SICI)1097-0096(199705)25:4<201::AID-JCU8>3.0.CO;2-I","article-title":"Color Doppler ultrasound for evaluation of collagen implants after endoscopic injection treatment of refluxing ureters in children","volume":"25","author":"F Gudinchet","year":"1997","journal-title":"J Clin Ultrasound"},{"key":"ref15","doi-asserted-by":"crossref","first-page":"349","DOI":"10.1148\/radiology.175.2.2183278","article-title":"Ureterovesical jets in infants and children: Duplex and color Doppler US studies","volume":"175","author":"S Jequier","year":"1990","journal-title":"Radiology"},{"issue":"03","key":"ref16","doi-asserted-by":"crossref","first-page":"209","DOI":"10.1016\/S0720-048X(01)00329-1","article-title":"Doppler visualization of ureteric jets in unilateral hydronephrosis in children and adolescents","volume":"39","author":"A Cvitkovi\u0107 Kuzmi\u0107","year":"2001","journal-title":"Eur J Radiol"},{"key":"ref17","volume-title":"Reflux and megaureter","author":"A Khoury","year":"2007"}],"container-title":["Indian Journal of Radiology and Imaging"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.4103\/ijri.IJRI_208_17.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,7,26]],"date-time":"2021-07-26T22:55:24Z","timestamp":1627340124000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.4103\/ijri.IJRI_208_17"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,1]]},"references-count":17,"journal-issue":{"issue":"01","published-online":{"date-parts":[[2021,7,26]]},"published-print":{"date-parts":[[2018,1]]}},"URL":"https:\/\/doi.org\/10.4103\/ijri.ijri_208_17","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0971-3026","1998-3808"],"issn-type":[{"value":"0971-3026","type":"print"},{"value":"1998-3808","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,1]]}}}