Hydroureteronephrosis due to bladder prolapse (cystocele)

Case contributed by Yaïr Glick
Diagnosis almost certain

Presentation

Fever, right flank pain, elevated creatinine. Hx: DM type 2, anemia, rheumatoid arthritis, congestive heart failure.

Patient Data

Age: 80 years
Gender: Female

Bilateral hydronephrosis, severe on right and moderate on left. Dilated ureters. Urinary jets not detected.

Bilateral severe hydronephrosis. Urinary bladder and rectal prolapse.

Prior cholecystectomy.

Lumbar levoscoliosis.

Case Discussion

Urinary bladder prolapse should be considered as a cause of bilateral hydronephrosis in postmenopausal women.

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