case_images: PMC6796751_01
case_images: Left, contrast enhanced CT showing hypodense middle and lower pole renal parenchyma. Right, pelvicalyceal system corresponding to middle and lower pole kidney not communicating with ureter.
case_images: gr1.jpg
case_images: PMC6796751_01_gr1.jpg
case_images: fig0005
case_images: The corresponding renal parenchyma of this obstructed renal segment was hypo dense (Fig. 1).
case_images: Left, arterial phase of CECT showing renal and superior mesenteric artery, Right, reconstructed angiogram showing close relationship of superior mesenteric artery and left renal artery.
case_images: gr2.jpg
case_images: PMC6796751_01_gr2.jpg
case_images: fig0010
case_images: Thus, it was realised that the artery cut earlier was SMA (Fig. 2).
case_images: Nephrectomy specimen showing pyelonephritic changes in mid and lower pole.
case_images: gr3.jpg
case_images: PMC6796751_01_gr3.jpg
case_images: fig0015
case_images: Nephrectomy was completed as usual (Fig. 3).
case_images: End-to-end anastomosis of superior mesenteric artery.
case_images: gr4.jpg
case_images: PMC6796751_01_gr4.jpg
case_images: fig0020
case_images: An end-to-end anastomosis with 6-0 prolene was done without any need of mobilisation of artery (Fig. 4).