%0 Journal Article
%T Le syndrome de Fraley symptomatique: A propos dĄŻune observation
%A A Nouri
%A M Zizi
%A T Karmouni
%A K El Kahder
%A A Koutani
%A A Ibn Attya
%J African Journal of Urology
%D 2012
%I 
%X Fraley in 1966 described a painful renal syndrome corresponding to upper hydrocalycosis related to extrinsic compression of the neck of the calyx by a vascular pedicle. Mostly asymptomatic with incidental radiological discovery, the syndrome may present with complications.We report the case of a patient with a painful left loin associated with stenosis of the upper caly ceal neck due to compression by a vascular pedicle. The diagnosis is based on ultrasound data, intravenous urography, and retrograde ureteropyelography. Surgical treatment consisted of an end-to-end anastomosis (infundibuloplasty of the upper calyceal neck) on a double J ureteral catheter. Follow up was marked by the early disappearance of loin pain. Radiological assessment after 3 months revealed a significant improvement in the dilatation and a resolution of the infundibular obstruction.
%U http://www.ajol.info/index.php/aju/article/view/84118