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

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

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 caliber 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
Published: 2nd Feb 2017
Last edited: 16th Jul 2018
System: Urogenital
Inclusion in quiz mode: Included

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