Pelvi-ureteric junction obstruction

Case contributed by Dr Ian Bickle

Presentation

Intermittent right flank pain

Patient Data

Age: 55
Gender: Male

Ultrasound elsewhere reported a dilated right renal pelvis

Modality: Fluoroscopy
The IVU demonstrates progressive dilatation of the right renal pelvis without excretion into the ureter even after one hour and the administration of intravenous frusemide.

Case Discussion

This is a case of pelvi-ureteric junction (PUJ) obstruction. The diagnosis has traditionally and may still be confidently made on an IVU study, although CT urography and MRI urography are increasing used.  The later has the advanage of being a radiation free investigation.

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Case Information

rID: 21177
Case created: 8th Jan 2013
Last edited: 14th Feb 2016
System: Urogenital
Tag: puj
Inclusion in quiz mode: Included

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