Chronic ureteropelvic junction obstruction

Case contributed by Dr Michael P Hartung

Presentation

Flank pain.

Patient Data

Age: 60 years
Gender: Male

Severely dilated left renal pelvis and calyces with cortical thinning. Abrupt transition at the proximal ureteropelvic junction. Proximal ureteral enhancement.

Case Discussion

This is a spectrum of the chronically obstructed kidneys (in this case due to a benign stricture), but in this setting there is no infection. It was managed with percutaneous nephrostomy and stent placement, with negative cultures, cytology and brushing were performed and supported a benign process.

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Case information

rID: 78365
Published: 3rd Jun 2020
Last edited: 4th Jun 2020
System: Urogenital
Inclusion in quiz mode: Included

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