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Obstructive hydronephrosis

Smith ABS - MedPix

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Obstructive hydronephrosis

History: 30 year old female with bilateral hydronephrosis discovered on ultrasound

Findings: The MAG3 renal scan demonstrated prompt but decreased blood flow to both kidneys. Cortical uptake in both kidneys was also decreased, less in the left kidney. The size of the left kidney was also smaller than that of the right kidney. Delayed excretion was present in both kidneys without clearance. In this patient, cortical transit in both kidneys was markedly delayed; therefore, diuretic challenge was not performed. A CT scan of the abdomen and pelvis demonstrated thickening of the stomach wall and a conglomerate mass of para-aortic lymphadenopathy. Bilateral hydronephrosis was present.

Ddx: Non-Hodgkins lymphoma with resultant ureteral obstruction or Gastric carcinoma with nodal metastasis and resultant ureteral obstruction

No MeSH data available.


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Obstructive hydronephrosis

Smith ABS - MedPix

© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX1626&req=5

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Obstructive hydronephrosis

History: 30 year old female with bilateral hydronephrosis discovered on ultrasound

Findings: The MAG3 renal scan demonstrated prompt but decreased blood flow to both kidneys. Cortical uptake in both kidneys was also decreased, less in the left kidney. The size of the left kidney was also smaller than that of the right kidney. Delayed excretion was present in both kidneys without clearance. In this patient, cortical transit in both kidneys was markedly delayed; therefore, diuretic challenge was not performed. A CT scan of the abdomen and pelvis demonstrated thickening of the stomach wall and a conglomerate mass of para-aortic lymphadenopathy. Bilateral hydronephrosis was present.

Ddx: Non-Hodgkins lymphoma with resultant ureteral obstruction or Gastric carcinoma with nodal metastasis and resultant ureteral obstruction

No MeSH data available.