Presentation
Known renal impairment. Prior stones. Rigors.
Patient Data
Age: 60 years
Gender: Male
From the case:
Gigantic hydronephrosis
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The right kidney is severely hydronephrotic occupying the whole of the right side of the abdomen. The cortex is diffusely thinned to 1 mm.
14 mm stone at the right VUJ.
Normal left kidney.
Trace pelvic free fluid.
Right basal round atelectasis.
Case Discussion
The kidney is grossly enlarged. A nephrostomy was placed under ultrasound guidance, through an anterolateral approach. 4 liters of infected fluid was drained in the first 12 hours.
Subsequent analysis of the urine diagnosed genitourinary tuberculosis.