Nephrostomy for pyonephrosis

Case contributed by Dr Ian Bickle

Presentation

Single functioning kidney with ureteric stent. Worsening renal function and hydronephrosis.

Patient Data

Age: 40
Gender: Female
Modality: X-ray

Disparity in the size of the kidneys. Atrophic on the right and enlarged on the right.  Both contain renal calculi.

Left sided ureteric stent.

Modality: Ultrasound

Hydronephrosis, with layering of debris in the middle and lower pole calyces.

Modality: CT

Left sided hydronephrosis despite ureteric stent in situ.  The upper ureter is thickened.

Bilateral renal calculi. Atrophic right kidney.

Modality: Fluoroscopy

Nephrostomy performed.

Modality: Photo

Sample from the renal collecting system after puncture.

Content from the left renal collecting system - murky appearances of pus and urine mixed together.  Sent for microbiological analysis.

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Case Information

rID: 21498
Case created: 27th Jan 2013
Last edited: 7th Feb 2016
Inclusion in quiz mode: Included

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