Presentation
Single functioning kidney with ureteric stent. Worsening renal function and hydronephrosis.
Patient Data
Age: 40 years
Gender: Female
From the case:
Nephrostomy for pyonephrosis
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Disparity in the size of the kidneys. Atrophic on the right and enlarged on the right. Both contain renal calculi.
Left sided ureteric stent.
From the case:
Nephrostomy for pyonephrosis
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Hydronephrosis, with layering of debris in the middle and lower pole calyces.
From the case:
Nephrostomy for pyonephrosis
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Left sided hydronephrosis despite ureteric stent in situ. The upper ureter is thickened.
Bilateral renal calculi. Atrophic right kidney.
From the case:
Nephrostomy for pyonephrosis
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Nephrostomy performed. The locking 8F drain prior to insertion.
From the case:
Nephrostomy for pyonephrosis
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Sample from the renal collecting system after puncture.
Content from the left renal collecting system - murky appearances of pus and urine mixed together. Sent for microbiological analysis.
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