case_images: PMC6948346_01
case_images: Computerized tomographic (CT) scan of the abdomen and pelvis. Left hydronephrosis with presence of air in the collecting system suggestive of left-sided emphysematous pyelonephritis (arrow). Right parapelvic cyst (empty arrow).
case_images: CRIU2019-8743525.001.jpg
case_images: PMC6948346_01_CRIU2019-8743525.001.jpg
case_images: fig1
case_images: Urgent CT scan of the abdomen and pelvis revealed severe left hydronephrosis and hydroureter with the presence of gas in the left collecting system and left ureter (Figures 1 and 2).
case_images: Computerized tomographic (CT) scan of the abdomen and pelvis. Left hydroureter with presence of intraluminal air (arrow).
case_images: CRIU2019-8743525.002.jpg
case_images: PMC6948346_01_CRIU2019-8743525.002.jpg
case_images: fig2
case_images: Urgent CT scan of the abdomen and pelvis revealed severe left hydronephrosis and hydroureter with the presence of gas in the left collecting system and left ureter (Figures 1 and 2).
case_images: Computerized tomographic (CT) scan of the abdomen and pelvis ((a): axial view, (b): coronal view). Extrinsic compression of the left midureter (arrow) between an atherosclerotic external iliac artery and a giant fecaloma.
case_images: CRIU2019-8743525.003.jpg
case_images: PMC6948346_01_CRIU2019-8743525.003.jpg
case_images: fig3
case_images: The aforementioned hydroureteronephrosis resulted from an extrinsic compression of the left pelvic ureter between an atherosclerotic external iliac artery and a giant fecaloma (Figure 3).
case_images: Computerized tomographic (CT) scan of the abdomen and pelvis. The left ureter (arrow) distal to the level of obstruction was not dilated.
case_images: CRIU2019-8743525.004.jpg
case_images: PMC6948346_01_CRIU2019-8743525.004.jpg
case_images: fig4
case_images: It is noteworthy that the ureter distal to the level of obstruction was not dilated (Figure 4).
case_images: Follow-up noninjected computerized tomographic (CT) scan of the abdomen and pelvis. Resolution of the fecaloma and patency of the left ureter (arrow).
case_images: CRIU2019-8743525.005.jpg
case_images: PMC6948346_01_CRIU2019-8743525.005.jpg
case_images: fig5
case_images: A follow-up noninjected CT scan was performed one week after the admission to document the resolution of the infection, the absence of renal abscesses and the resolution of the fecaloma (Figure 5).
case_images: Antegrade ureterogram. Patency of the left ureter with absence of any intrinsic ureteral pathology.
case_images: CRIU2019-8743525.006.jpg
case_images: PMC6948346_01_CRIU2019-8743525.006.jpg
case_images: fig6
case_images: An antegrade ureterogram was performed showing a patent ureter with no intrinsic lesions (Figure 6); therefore the PCN was removed (in total nine days after patient's admission).