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Pieretti-Vanmarcke R et al. - Megacalycosis is an extremely rare condition. Authors report the experience with two cases and discuss its pathogenesis, diagnosis and management in children. The diagnosis is suggested by ultrasound and confirmed by diuretic renography, intravenous pyelography or magnetic resonance urography. Voiding cystourethrography should be performed to rule out vesicoureteral reflux. A high index of suspicion is needed for the diagnosis of this condition.

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