Vaginal prolapse complicated by obstructive uropathy

Case contributed by Dr. Mohamed Mansour

Presentation

Vaginal swelling , bilateral loin pain and renal impairment

Patient Data

Age: 80 years old
Gender: Female
  • Marked dilatation of both pelvi-calyceal collecting system and ureters down to their distal ends with no obstructive dense stones within. 
  • Atrophic renal parenchyma on both sides with no dense stones or masses.
  • Evidence of vaginal prolapse involving uterine cervix, trigone of urinary bladder and lower end both ureters appear stretched, attenuated and protruding inferiorly.
  • Innumerable variable sized calcified lymphadenopathy are seen at the para-aortic, aorto-caval, para-caval and mesenteric groups.

Case Discussion

Vaginal prolapse with downward descent of trigone of the urinary bladder and lower ends of both ureters associated with advanced obstructive uropathy.

Variable sized multi-regional calcified lymphadenopathy likely related to granulomatous lymphadenitis.

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Case Information

rID: 45059
Case created: 12th May 2016
Last edited: 13th May 2016
Inclusion in quiz mode: Included

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