Obstructive uropathy

Case contributed by Ammar Haouimi
Diagnosis almost certain

Presentation

Right renal colic. History of cholecystectomy a few years ago.

Patient Data

Age: 50 years
Gender: Female
ct

Malrotated right kidney with hydronephrosis. A single stone is noted at the pleviureteric junction measuring 16 x 9 mm (mean density = 850 HU) with a normal size of the ureter.

Normal appearance of the left kidney with no renal or ureteral stone.

Case Discussion

CTU features of obstructive uropathy due to a pelviureteric stone.

Abnormal renal rotation may cause partial ureteropelvic junction (UPJ) obstruction, which can result in increased incidence of urolithiasis and infection.

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