Non-functioning kidney due to renal stone

Case contributed by Hidayatullah Hamidi
Diagnosis almost certain

Presentation

Chronic right flank pain.

Patient Data

Age: 21 year
Gender: Male
Fluoroscopy

Plain radiograph demonstrate radio opaque calculus at the region of right kidney. No nephrogram and pyelogram are seen in the right side on interval images taken after IV injection of non-ionic water soluble contrast material.

Left side normal nephrogram and pyelogram are seen.

 

Case Discussion

Intravenous urography (IVU) is the oldest imaging modality for evaluation of anatomy and function of the upper urinary tract. Long standing obstruction due to renal calculi can result in impaired functioning of the kidney.

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