Presentation
Work up for microscopic hematuria.
Patient Data
Age: 25 years
Gender: Male
From the case:
Bilateral ureteropelvic junction obstruction
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In non-contrast images, a small stone is noted in the lower part of the left renal lodge.
After contrast media administration, the enhancement of both kidneys is non-uniform. In the secretory phase, moderate hydronephrosis without hydroureter is evident bilaterally; the left is more severe than the right causing delayed contrast excretion.
From the case:
Bilateral ureteropelvic junction obstruction
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Moderate dilatation of the pelvicalyceal system is seen on both sides without ureter dilatation or ureteral stone.
A stone is also noted in the left kidney's lower part.
Case Discussion
Typical IVU and CT scan appearance of the bilateral ureteropelvic junction obstruction (UPJO).