Vaginal prolapse complicated by obstructive uropathy
Vaginal swelling , bilateral loin pain and renal impairment
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- 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.
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.