EURORAD ESR

Case 8187

Bilateral double renal pelvis with partial ureteral duplication complicated with unilateral ureteral and renal lithiasis

Author(s)
Carmen Salvan 1, 2, 3, Paul Lazar 2, Doru Munteanu 2, Silviu Draghici 2, Andrei Lebovici 2, Elena Nastasa1, 3 , Daniel Dreptate 2, 3, Rodica Suciu 3, Anca George2
1) Praxis Medical SRL, 2) Hiperdia SA, 3) Spitalul Judetean de Urgenta, Bistrita, Romania.
 
Patient
female, 41 year(s)
 
 
  • Figure 1
    Ultrasound of the kidney
     

    Renal lithiasis with hydronephrosis

     

    Ureteral lithiasis with dilatation of the proximal ureter

     
     
     
  • Figure 2
    Simple renal radiography

    Left paravertebral radiodense opacity suggesting the ureteral lithiasis seen in ultrasound

     
     
     
  • Figure 3
    Native CT
     

    Bilateral normal upper pole kidney

     

    Hydronephrosis on the left

     

    Left renal lithiasis and ureteral lithiasis, with hydroureter

     

    Left renal lithiasis

     

    Left ureteral lithiasis and hydronephrosis

     
     
     
  • Figure 4
    CT urography - secretory phase
     

    Preserved, normal secretory function for the upper pole of the left kidney

     

    Grade 3 hydronephrosis of the left kidney

     

    Preserved secretory function of the left kidney. Hydronephrosis. Ureteral and renal lithiasis.

     

    Normal secretory function for the upper pole of the left kidney, but grade 3 hydronephrosis with preserved secretory function for the rest of the kidney.

     
     
     
  • Figure 5
    CT urography - excretory phase
     

    Bilateral double renal pelvis, with preserved excretory function of both kidneys

     

    Bilateral duplication of the lumbar ureter

     

    Partial duplication of the left ureter

     

    Partial duplication of the left ureter with joining point

     

    Duplication of the left lumbar part of the ureter with dilatation of one

     

    Duplication of the left lumbar part of the ureter with dilatation of one

     

    Partial duplication of the left ureter with joining point

     

    Just one ureter is seen on the left, on the right side the duplication is still present, the joining point being lower (not shown)

     
     
     
Renal lithiasis with hydronephrosis
 
Ureteral lithiasis with dilatation of the proximal ureter
 
Left paravertebral radiodense opacity suggesting the ureteral lithiasis seen in ultrasound
 
Bilateral normal upper pole kidney
 
Hydronephrosis on the left
 
Left renal lithiasis and ureteral lithiasis, with hydroureter
 
Left renal lithiasis
 
Left ureteral lithiasis and hydronephrosis
 
Preserved, normal secretory function for the upper pole of the left kidney
 
Grade 3 hydronephrosis of the left kidney
 
Preserved secretory function of the left kidney. Hydronephrosis. Ureteral and renal lithiasis.
 
Normal secretory function for the upper pole of the left kidney, but grade 3 hydronephrosis with preserved secretory function for the rest of the kidney.
 
Bilateral double renal pelvis, with preserved excretory function of both kidneys
 
Bilateral duplication of the lumbar ureter
 
Partial duplication of the left ureter
 
Partial duplication of the left ureter with joining point
 
Duplication of the left lumbar part of the ureter with dilatation of one
 
Duplication of the left lumbar part of the ureter with dilatation of one
 
Partial duplication of the left ureter with joining point
 
Just one ureter is seen on the left, on the right side the duplication is still present, the joining point being lower (not shown)
 
 
 
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