Gross hydronephrosis due to pelviureteric junction obstruction

Case contributed by Dr Chris O'Donnell

Presentation

Vague right sided abdominal pain "for years". Now worse.

Patient Data

Age: 25 years
Gender: Female

Grossly hydronephrotic right kidney with a thin mantle of enhancing cortex.  No distended ureter thus congenital PUJ obstruction seems most likely.  The kidney measures over 35 cm in length, filling the right side of the abdomen displacing the bowel to the left and liver upwards, and elevating the right hemidiaphragm. The left kidney is normal.

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Case information

rID: 34246
Published: 11th Feb 2015
Last edited: 4th Sep 2020
System: Urogenital
Inclusion in quiz mode: Included

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