Hydronephrosis

Hydronephrosis is defined as dilatation of the urinary collecting system of the kidney (the calyces, the infundibula, and the pelvis) 1. The term hydroureteronephrosis is used when the dilatation also involves the ureter. 

Hydronephrosis in fetuses and newborns has specific causes that are covered in a separate article.

Following the identification of hydronephrosis, appropriate further investigations must be undertaken to establish an underlying cause, with potential aetiologies including everything from urolithiasis, UPJ obstruction, malignancy such as cervical cancer and retroperitoneal fibrosis.

A nuclear medicine diuretic renogram may be performed to assess for obstruction of urine and differentiate from other causes such as an extra-renal pelvis or parapelvic cysts

The radiologist may also play a part in procedures to treat the harmful effects of uncorrected hydronephrosis on renal function, such as placement of a percutaneous nephrostomy tube or antegrade ureteric stent insertion.

Differential diagnosis

See also

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Article information

rID: 23678
System: Urogenital
Section: Gamuts
Synonyms or Alternate Spellings:
  • Ureterohydronephrosis
  • Hydroureteronephrosis

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Cases and figures

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    Fig 1: gross pathology - macroscopic hydronephrosis
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    Case 1: bilateral hydronephrosis
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    An enlarged right...
    Case 2
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    Case 3: severe hydronephrosis
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    Case 4: chronic right hydronephrosis
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    Case 5
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    Case 6
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