Percutaneous nephrostomy

Case contributed by Dr Omar Bashir

Presentation

Ureteric obstruction secondary to a pelvic tumor

Patient Data

Age: 50
Gender: Male
Fluoroscopy

1. Contrast injection through an 18 gauge needle confirms lower pole calyx puncture.

2. Guidewire inserted through the needle.

3. 9 Fr dilator inserted over the guidewire after removing the needle

4. 8 Fr pigtail drain inserted over guidewire. Contrast injection confirms satisfactory nephrostomy drain postion.

Case Discussion

Percutaneous nephrostomy is a technique in which percutaneous access to the kidney is achieved under radiological guidance. The access is then often maintained with the use of an indwelling catheter.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.