19-year-old male with renal failure

Images

Doctor's Information

Name :  Morteza
Family :Sanei Taheri
Affiliation : Radiology Department,Shohada Tajrish Hospital,SBMU
Academic Degree: Associate Professor of Radiology
Email :   This email address is being protected from spambots. You need JavaScript enabled to view it.
Resident :  Hussein Soleiman Tabar

Patient's Information

Gender : Male
Age : 19

Case Section

Uroradiology & Genital Male Imaging

Clinical Summary

19-year-old male with renal failure

Imaging Procedures and Findings

Both pelvicaliceal systems are markedly dilated (resulting in severe damage to kidneys), and then narrowed at ureteropelvic junctions. The ureters are not dilated (not shown).

Discussion

Ureteropelvic junction obstruction is a common congenital anomaly that may go undiagnosed until adulthood. The amount of hydronephrosis and parenchymal atrophy present depends on the severity of obstruction. The condition is bilateral in 30% of cases but is often not symmetric. XU and US demonstrate pelvicaliectasis, with sharply defined narrowing at the ureteropelvic junction. The ureter is not dilated. In 15% to 20% of cases, an aberrant renal vessel causes the obstruction. MDCT is effective in demonstrating the crossing vessel. In the majority of cases, the precise cause is unknown.

Final Diagnosis

Bilateral UPJO

References

Brant, William E.; Helms, Clyde A. Fundamentals of Diagnostic Radiology, 3rd Edition