Chronic pelviureteric junction obstruction

Case contributed by Dr Ian Bickle

Presentation

Impaired renal function. Right hydronephrosis on ultrasound scan.

Patient Data

Age: 55
Gender: Female
Modality: CT

Severe right sided hydrophrosis to the level of the PUJ.  Ureter normal in calibre.

Advanced cortical thinning of the right kidney to 3mm.

No meaningful excretion in the right collection system.

Normal left kidney.

Case Discussion

A late presentation of a PUJ obstruction.  Abrupt calibre change at the PUJ, with severe obstruction and cortical thinning.

The minimal excretion from the right kidney suggests this has minimal residual function.  A MAG-3 scan would clarify this.

 

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Case Information

rID: 50985
Case created: 1st Feb 2017
Last edited: 3rd Feb 2017
System: Urogenital
Inclusion in quiz mode: Included

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