Transplant kidney vesicoureteric junction calculus

Case contributed by Dr Craig Hacking

Presentation

LIF pain and dysuria. Fever and rigors.

Patient Data

Age: 63
Gender: Male

A 4 mm calculus (best seen on the coronals) at the vesicoureteric junction of the LIF transplant kidney is causing moderate hydroureter and hydronephrosis with perinephric stranding. No collection is identified. There is bladder wall thickening and perivesical fat stranding suggestive of inflammation of the bladder wall. No intravesical gas identified.

Bilateral atrophic native kidneys again noted. No calculus is identified in the native collecting systems or along the course of the native ureters.

Within the limits of a non-contrast study, the remainder of the abdominal viscera are unremarkable. No peritoneal free fluid or gas. The imaged lung bases are clear. No suspicious osseous lesions.

Conclusion

4 mm calculus at the vesicoureteric junction of the LIF transplant kidney is causing moderate obstruction. Contaminant cystitis and pyelonephritis.

Case Discussion

Urine MCS = E. coli

Blood cultures = negative

Background Hx of reflux nephropathy and prolonged immunosuppression.

PlayAdd to Share

Case Information

rID: 38278
Case created: 13th Jul 2015
Last edited: 18th May 2016
System: Urogenital
Inclusion in quiz mode: Included

Updating… Please wait.
Loadinganimation

Alert accept

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

Alert accept Thank you for updating your details.