Percutaneous nephrostomy in a transplanted kidney due bladder neoplasia

Case contributed by Dr Bruno Di Muzio

Presentation

Patient with previous transplanted kidney due chronic renal failure presents with renal function decrease.

Patient Data

Age: 60
Gender: Male

Non-contrast CT scan shows bilateral kidney atrophy due chronic renal disease and a left pelvic transplanted kidney. There is a mild hydroureteronephrosis causes by a focal thickening on bladder wall and a bladder clot around urinary catheter balloon. 

Ultrasound study confirms the same findings of CT. A percutaneous nephrostomy was proposed to relieve the hydronephrosis.  

CT

Ct Abdomen and pelvis (selected images)

CT scan performed after nephrostomy shows resolution of hydronephrosis with correct placement of the catheter. 

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Case information

rID: 28431
Case created: 25th Mar 2014
Last edited: 10th Sep 2015
Inclusion in quiz mode: Included

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