Pyeloplasty · Recognition · D81
The vessel in front of the junction
Allow about two minutes for two rounds. This scenario is teaching content; the score supports revision and does not assess clinical competence.
The scenario
- Laparoscopic pyeloplasty for a pelviureteric junction obstruction.
- The renal pelvis is dilated.
What you see
- A vessel crosses the front of the junction from medial to lateral, entering the lower pole.
- The ureter beyond it is narrow.

Teaching only · not for diagnosis or treatment decisions