case_images: PMC6815552_01
case_images: Kidney ultrasound scan showed severe right hydronephrosis with parenchymal thinning and normal left kidney.
case_images: CRIOG2019-9194615.001.jpg
case_images: PMC6815552_01_CRIOG2019-9194615.001.jpg
case_images: fig1
case_images: An ultrasound scan of the upper renal tract incidentally noted significant right hydronephrosis, with a renal pelvis anterior-posterior diameter of 42 mm and the presence of parenchymal thinning (Figure 1).
case_images: CT urogram confirmed significant right hydronephrosis with marked thinning of the renal parenchyma (a), and right hydroureter at the level of the pelvic brim where it crosses the common iliac artery (b).
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case_images: PMC6815552_01_CRIOG2019-9194615.002.jpg
case_images: fig2
case_images: A CT urogram confirmed the significant right hydronephrosis with marked thinning of the renal parenchyma (Figure 2).
case_images: MAG3 scintigraphy showing complete loss of function of the right kidney.
case_images: CRIOG2019-9194615.003.jpg
case_images: PMC6815552_01_CRIOG2019-9194615.003.jpg
case_images: fig3
case_images: A MAG 3 scintigraphy showed that the right kidney was nonfunctional (Figure 3).
case_images: Right retrograde pyelogram showing a blind-ending right ureter at the level of the pelvic brim (a), where a wire could not be passed through the obstruction (b).
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case_images: PMC6815552_01_CRIOG2019-9194615.004.jpg
case_images: fig4
case_images: Cystoscopy, right retrograde pyelogram (Figure 4) and ureteroscopy (Figure 5) showed a normal bladder, and a blind-ending right ureter compressed by a mass with purple discolouration at the level of the pelvic brim.
case_images: Ureteroscopy showing a blind-ending right ureter compressed by a mass with purple discolouration at the level of the pelvic brim.
case_images: CRIOG2019-9194615.005.jpg
case_images: PMC6815552_01_CRIOG2019-9194615.005.jpg
case_images: fig5
case_images: Cystoscopy, right retrograde pyelogram (Figure 4) and ureteroscopy (Figure 5) showed a normal bladder, and a blind-ending right ureter compressed by a mass with purple discolouration at the level of the pelvic brim.
case_images: MRI confirmed significant right hydronephrosis with marked thinning of the renal parenchyma (a), and right hydroureter (b).
case_images: CRIOG2019-9194615.006.jpg
case_images: PMC6815552_01_CRIOG2019-9194615.006.jpg
case_images: fig6
case_images: MRI confirmed the presence of gross right-sided hydronephrosis and hydroureter to the level of the pelvic brim, and the ureter was not visible below this point (Figure 6). Marked thinning of the right renal cortex was noted.
case_images: Laparoscopy revealed a dense 3 cm nodule over the right ureter at the pelvic brim involving the small bowel mesentery.
case_images: CRIOG2019-9194615.007.jpg
case_images: PMC6815552_01_CRIOG2019-9194615.007.jpg
case_images: fig7
case_images: Laparoscopy revealed a dense 3 cm nodule over the right ureter at the pelvic brim involving the small bowel mesentery (Figure 7).