Nephrostomy for urosepsis

Case contributed by Dr Ian Bickle

Presentation

Middle aged patient with right ureteric colic with rigours.

Patient Data

Age: 40
Gender: Female
CT

BIlateral renal calculi, with a right hydronephrosis due to a proximal ureteric calculus.

Fatty liver.

Fluoroscopy

Control film: large proximal ureteric calculus.

Nephrostogram: Hydronephrosis due to almost complete obstruction from the ureteric calculus.

8F nephrostomy tube in the renal pelvis.

Case Discussion

In this case a percutaenous nephrostomy tube was inserted for urosepsis secondary to obstruction from a ureteric stone.

The patient's clinical status improved significantly within 12 hours of nephrostomy tube insertion showing its value in the acute setting with infected stone disease.

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Case information

rID: 26180
Case created: 4th Dec 2013
Last edited: 6th Mar 2016
System: Urogenital
Inclusion in quiz mode: Included

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