Caption: Figure 1: Noncontrast CT abdomen pelvis in sagittal (a) and coronal (b) views revealing transplant ureter within inguinal hernia resulting in hydroureteronephrosis
8,9) The patients noticed only mechanical problems due to the POP; bilateral hydroureteronephrosis
and renal failure had developed undetected.
Other authors have questioned the clinical significance of hydronephrosis and suggest resorting to VCUG when the patient has ultrasound findings consistent with renal dysplasia or hypoplasia, renal cystic disease, cortical thinning, loss of corticomedullary differentiation, high-grade unilateral or bilateral dilation, alteration in the kidney number or kidney size, presence of ureteroceles or hydroureteronephrosis
, or suspected bladder outlet obstruction (such as thickening of the bladder wall or ureters) (1,6.
The etiology of hydroureteronephrosis
was a neurogenic bladder secondary to meningomyelocele in five patients, a posterior urethral valve in four patients.
The results demonstrated a congenital left hydroureteronephrosis
that extended down to and appeared to obstruct the ureterovesical junction.
However, bladder amyloidosis and left ureter amyloidosis with moderate left hydroureteronephrosis
were found 10 months and 21 months later, respectively.
An ultrasound abdomen revealed a large bladder diverticulum in the left posterolateral aspect of bladder, mild right sided hydronephrosis with a right renal calculus and severe left hydroureteronephrosis
with a thinned out cortex.
Retrograde pyelogram demonstrated bilateral hydroureteronephrosis
and bilateral extrinsic ureteral compression with medial deviation.
was present, with multiple renal abscesses.
includes dilation of the ureter as well.
It may manifest by renal colic, de novo hydroureteronephrosis
, UTI, or lower urinary tract symptoms.
Ultrasound KUB was done for all patients postoperatively on post-operative Day 1 (POD #1) to look for residual calculi, hydroureteronephrosis
and perinephric collection.