Presentation
Single functioning kidney with ureteric stent. Worsening renal function and hydronephrosis.
Patient Data
Age: 40 years
Gender: Female
From the case:
Nephrostomy for pyonephrosis
Frontal
Disparity in the size of the kidneys. Atrophic on the right and enlarged on the right. Both contain renal calculi.
Left sided ureteric stent.
From the case:
Nephrostomy for pyonephrosis
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Longitudinal
Hydronephrosis, with layering of debris in the middle and lower pole calyces.
From the case:
Nephrostomy for pyonephrosis
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Axial non-contrast
Left sided hydronephrosis despite ureteric stent in situ. The upper ureter is thickened.
Bilateral renal calculi. Atrophic right kidney.
From the case:
Nephrostomy for pyonephrosis
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AP
Nephrostomy performed. The locking 8F drain prior to insertion.
From the case:
Nephrostomy for pyonephrosis
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.