CT IVU - hydronephrosis due to ureteric stone

Case contributed by Dr Ian Bickle

Presentation

Right flank pain and haematuria.

Patient Data

Age: 45 years
Gender: Male

Right VUJ stone.

Left lower pole stones.   Left renal cortical scarring.

CT-KUB component performed as part of work up for haematuria.  In a fully supervised CT list, with this finding one may not have continued to CT-IVU, with the assumption the stone is responsible for the haematuria.

CT-IVU component demonstrating a right hydronephroureter secondary to the VUJ stone.

Case Discussion

CT-IVU in most instances has replaced a traditional IVU in the assessment of the renal tracts.  The trade off is the radiation dose administered to the patient.

It may be combined with imaging of the kidneys, in the form of a split bolus technique study, when assessment is being undertaken for haematuria.

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Case information

rID: 21724
Published: 13th Feb 2013
Last edited: 24th Mar 2018
System: Urogenital
Inclusion in quiz mode: Included

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