South African medical journal = Suid-Afrikaanse tydskrif vir geneeskunde
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The clinical presentation and management of a young child with renal failure caused by bilharzial obstructive uropathy is discussed. Children from areas in which bilharzia is endemic have a high incidence of urological disease. Ureteric obstruction from inflammatory reaction will respond to medical treatment, whereas true mechanical obstruction from fibrosis will require surgical intervention.