Bilateral calcular pelviureteric junction obstruction
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Presented to ED with new onset status epilepticus. Palpable organomegaly.
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Bilateral gross hydronephrosis, bilateral pelviureteric junction calculi, severely effaced renal cortex, with multiple intrarenal calculi. The appearance suggests a long-standing calculus disease and chronic obstruction.
The right calculus is 18 x 9 x 11 mm.
The left calculus is 9 x 6 x 14 mm.
Moderate cardiomegaly, small pericardial effusion.
Bibasal pulmonary segmental collapse; left greater than right.
Endotracheal tube, nasogastric tube, and indwelling urinary catheter, all appropriately positioned.
This case demonstrates an atypical presentation of chronic bilateral urolithiasis.
Patient presented with complications of renal failure: uremic encephalopathy and uremic gastritis without any symptoms prior.
Patient received urgent haemodialysis and filtration, and subsequently urological intervention with the insertion of bilateral DJ stents.
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