Presentation
Single functioning kidney with ureteric stent. Worsening renal function and hydronephrosis.
Patient Data
Age: 40 years
Gender: Female
From the case:
Nephrostomy for pyonephrosis
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_examine_pipeline_reports":false,"can_pin":false},"extraPropsURL":"/studies/21437/annotated_viewer_json?iframe=true\u0026lang=us"}
Disparity in the size of the kidneys. Atrophic on the right and enlarged on the right. Both contain renal calculi.
Left sided ureteric stent.
From the case:
Nephrostomy for pyonephrosis
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_examine_pipeline_reports":false,"can_pin":false},"extraPropsURL":"/studies/21438/annotated_viewer_json?iframe=true\u0026lang=us"}
Hydronephrosis, with layering of debris in the middle and lower pole calyces.
From the case:
Nephrostomy for pyonephrosis
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_examine_pipeline_reports":false,"can_pin":false},"extraPropsURL":"/studies/21439/annotated_viewer_json?iframe=true\u0026lang=us"}
Left sided hydronephrosis despite ureteric stent in situ. The upper ureter is thickened.
Bilateral renal calculi. Atrophic right kidney.
From the case:
Nephrostomy for pyonephrosis
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_examine_pipeline_reports":false,"can_pin":false},"extraPropsURL":"/studies/21441/annotated_viewer_json?iframe=true\u0026lang=us"}
Nephrostomy performed. The locking 8F drain prior to insertion.
From the case:
Nephrostomy for pyonephrosis
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_examine_pipeline_reports":false,"can_pin":false},"extraPropsURL":"/studies/21440/annotated_viewer_json?iframe=true\u0026lang=us"}
Sample from the renal collecting system after puncture.
Content from the left renal collecting system - murky appearances of pus and urine mixed together. Sent for microbiological analysis.