A 22 years males presented with fever hematuria and hypertension, IVP shows “spider leg” deformity. The diagnosis is
**Core Concept**
The patient's presentation of fever, hematuria, and hypertension, along with the characteristic "spider leg" deformity on intravenous pyelography (IVP), suggests a diagnosis of a specific urinary tract disorder. This condition is characterized by a unique radiographic appearance, often associated with severe kidney damage and potential complications.
**Why the Correct Answer is Right**
The "spider leg" deformity on IVP is a classic sign of a **pyeloplasty stricture**, which is a narrowing of the ureteropelvic junction (UPJ). This narrowing leads to obstructive uropathy, causing pain, hypertension, and hematuria due to the increased pressure and potential renal damage. The patient's symptoms and radiographic findings are consistent with this diagnosis.
**Why Each Wrong Option is Incorrect**
**Option A:** This option is incorrect because it does not accurately describe the characteristic radiographic appearance of the condition. A "spider leg" deformity is a specific finding associated with UPJ obstruction, not a general term for urinary tract disorders.
**Option B:** This option is incorrect because it does not address the patient's symptoms or the characteristic radiographic findings. While certain urinary tract disorders can cause similar symptoms, the "spider leg" deformity is a distinctive feature of UPJ obstruction.
**Option C:** This option is incorrect because it is a more general term for urinary tract disorders and does not specifically address the patient's symptoms or the characteristic radiographic findings.
**Option D:** This option is incorrect because it does not accurately describe the patient's condition. While certain urinary tract disorders can cause similar symptoms, the "spider leg" deformity is a distinctive feature of UPJ obstruction.
**Clinical Pearl / High-Yield Fact**
In patients presenting with fever, hematuria, and hypertension, along with a characteristic "spider leg" deformity on IVP, consider the diagnosis of pyeloplasty stricture due to UPJ obstruction. This condition requires prompt recognition and treatment to prevent long-term kidney damage.
**Correct Answer:** C. Pyeloplasty stricture