URETERAL OBSTRUCTION IN INFANCY

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Abstract
This article constitutes an outline of a clinicopathologic study of ureteral obstruction in infancy and childhood, a detailed report of which, with follow-up histories, will be presented later. The conclusions in this work were drawn from observation in seventy-four cases of ureteral lesions discovered by autopsy, by urologic examination and, in some instances, by both. In infants, as in adults, urinary stasis predisposes to and perpetuates infection of the urinary tract. Stasis is predominantly the result of obstruction, and in infants the majority of urinary obstructions are found along the course of the ureter. A recent autopsy study of 2,420 pediatric cases at Bellevue Hospital revealed gross evidence of ureteral blockage in forty-seven cases, an incidence of nearly 2 per cent. Infection was demonstrated in four fifths of these by urinalysis or autopsy, allowing one to deduce that approximately one in fifty of all children has some form of ureteral

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