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Congenital PUJ obstruction

Case contributed by Chris O'Donnell
Diagnosis certain

Presentation

Mild left loin pain

Patient Data

Age: 40 years
Gender: Male

CT IVP

mri

CT IVP technique ie preliminary injection of 30 mls and delay of 20 mins followed by renal parenchymal phase using 70 mls of contrast.

Gross hydronephrosis with no residual cortical tissue = PUJ obstruction not multicystic dysplastic kidney as has it maintains a reniform shape

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