Severe long standing hydronephrosis

Case contributed by Mohammad Taghi Niknejad
Diagnosis certain


Work up for abdominal pain.

Patient Data

Age: 65 years
Gender: Male

Severe hydronephrosis is present on the left side due to a 25×15 mm proximal ureteral stone, causing marked left renal parenchymal atrophic changes. 

Two 11 mm and 4 mm adjacent stones are observed at the middle calyces of the right kidney. 

The prostate gland is enlarged. 

Case Discussion

Severe left hydronephrosis with marked renal parenchymal atrophic changes due to large proximal ureteral stone.

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