Percutaneous nephrostomy in a transplanted kidney due bladder neoplasia

Case contributed by Bruno Di Muzio
Diagnosis not applicable

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

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