Bilateral Hydroureteronephrosis with a Hypertrophied, Trabeculated Urinary Bladder

Iqbal, Showkathali; Iqbal, Rashid; Faiz, Iqbal

doi:10.21315/mjms2017.24.2.14

Cited by 9 publications

(13 citation statements)

References 17 publications

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“…It is a common medical problem encountered by the primary healthcare workers, emergency physicians, and urologist’s worldwide. 1 Hydronephrosis divided into obstructive and non-obstructive. Obstructive usually caused by urinary stones, blood clots, ureteropelvic junction (UPJ) obstruction, stricture or external compression by tumor, fibrosis or others.…”

Section: Introductionmentioning

confidence: 99%

Association between grades of Hydronephrosis & detection of urinary stones by ultrasound imaging

Alshoabi¹

2018

Pak J Med Sci

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Objective:To correlate between hydronephrosis grades and detection of urinary stones by B-mode ultrasound imaging.Methods:This study included 210 ultrasound reports of patients who underwent abdominal ultrasound imaging in the period from 1st January 2016 to 31st October 2017, and diagnosed as hydronephrosis. Data collected from the ultrasound reports. The detection rates of stones using B-mode ultrasound imaging compared in different grades of hydronephrosis. Chi-square test and Odds Ratio (OR) were performed to assess the relationship between variables.Results:Of 210 patients, hydronephrosis was unilateral in 91.8% of patients and bilateral in 8.1%. It was distributed in grade 2, grade 3, grade 1 and grade 4 in 58.57%, 20%, 12.38% and 9.1% of the patients respectively. B-mode ultrasound imaging determined the cause of hydronephrosis in 65.2% of cases. Urinary stones were the cause in 60% of the patients. The detection rate of urinary stones was 50%, 61% and 71.4% for grades 1, 2 and 3 hydronephroses respectively. On simple logistic regression analysis, urinary stones detected in Grade-3 were four times more compared to that in grade 4 (P=0.016) (OR 4.125, 95% CI 1.29-13.136%).Conclusion:Detection of urinary stones as the cause of hydronephrosis increases with increasing the grade of hydronephrosis from Grade-I to Grade-III and decrease in Grade-IV. Urinary stones were the cause of hydronephrosis in 60% of the patients in this study.

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Section: Introductionmentioning

confidence: 99%

Association between grades of Hydronephrosis & detection of urinary stones by ultrasound imaging

Alshoabi¹

2018

Pak J Med Sci

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“…Hydroureteronephrosis is defined as an obstruction to free-flowing urine complicated by dilation of the ureter, renal pelvis, and renal calyces. In severe cases, it can lead to atrophy of the renal cortex [ 6 ].…”

Section: Discussionmentioning

confidence: 99%

An Incidental Finding of Retrocaval Ureter Causing Hydroureteronephrosis

Ray¹,

Smith²,

Quiros³

et al. 2022

Cureus

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Retrocaval ureter is a rare, congenital anomaly of the inferior vena cava. Due to an abnormal process in embryogenesis, the ureter descends posterior to the inferior vena cava. Although the anomaly can be found in pediatric patients, it most commonly manifests symptoms between the third and fourth decade of life that are typically due to ureteric obstruction, such as hydronephrosis. Retrocaval ureter can be asymptomatic and may be the reason for unreported cases and low incidence in the world. In this case, we reviewed the record of a patient with the diagnosis of retrocaval ureter incidentally found during admission for a lower gastrointestinal bleed.

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“…Hydronephrosis produces a dull pain and irritation in the abdominal area due to increasing bladder distension. A continuous obstruction in the flow of urine due to high blood pressure, sepsis, urinary tract infection, hematuria, and renal failure [13]. Pregnancy, parapelvic tumors, retrocaval ureter, cancer, trauma, perinephric scarring, and prostatic abscess are all examples of extrinsic compression [1].…”

Section: Congenital Renal and Urinary Tract Disorders Affect 1 Percen...mentioning

confidence: 99%

Bilateral Hydrouteronephrosis Dilated Vur with Cystitis: A Case Study

Dighade

Tivaskar

Luharia

et al. 2021

JPRI

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Background: Hydroureteronephrosis is a blockage to free flow of urine from the kidney causes hydroureteronephrosis, which causes dilation of the renal pelvis, calyces, and ureter, resulting in gradual atrophy of the renal cortex. “Dilation of the ureter due to obstruction of urine outflow is called hydroureter”. Hydronephrosis produces a dull pain and discomfort in the lower abdomen due to increasing bladder distension. A continuous obstruction in the flow of urine can lead to high blood pressure, sepsis, urinary tract infection, hematuria, and renal failure. Clinical Findings: Difficulty in passing urine since 2-3month, in situations of benign prostate enlargement, urinary frequency, a weak urine stream, and a sense of incomplete emptying, lack of appetite and fever (Temperature - 101˚F). Diagnostic Assessment: Blood test: Hb – 9.1 gm%, Total RBC count – 5.04millions/cumm, RDW – 17.8%, HCT – 31.9%, Total WBC count – 11600/cumm, Monocytes – 04%, Granulocytes – 30%, Lymphocytes – 64%, AST(SGOT) – 45U/L. Peripheral Smear: RBCs – predominantly microcytic mildly hypochromic with mild anis poikilocytosis showing few pencil cells. Platelets – adequate on smear. No hemiparasite seen. Ultrasonography: The right kidney measure is 5 x1.9cm and left is 5.6 x2.6cm shows mild dilation of pelvic-calyceal system. Left kidney shows mild hydronephrosis with renal pelvic diameter 1.06cm hydroureters seen up to left vesico-urethric junction. Bilateral uterus dilated up to lower end to UVR. Uterus bladder is thickened wall and distended Mild cystitis dilation of B/L dilated uterus and hydronephrosis with UVR. Therapeutic Intervention: Syp Cefixime 2.5ml x BD, Syp. MVBC 5ml x BD, Syp. Calcimax 5ml x BD, Syp. Orofer 5ml x OD, Syp. Nitrofurantoin 2.5ml x BD, Inj. Metro 100mg x TDS, Inj. Pantop 40mg x OD, Inj. Ceftriaxone 500mg IV x B and IVF DNS with Inj. KCL stat. Outcome: After treatment, the child show improvement. No complaint of fever, pain, and difficulty in urine pass and urine frequency . Conclusion: The patient was hospitalized to AVBRH's Pediatric Ward No. 14 with Bilateral hydrouteronephrosis dilated VUR with cystitis. Her health begins to improve when he received proper therapy.

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Bilateral Hydroureteronephrosis with a Hypertrophied, Trabeculated Urinary Bladder

Cited by 9 publications

References 17 publications

Association between grades of Hydronephrosis & detection of urinary stones by ultrasound imaging

Association between grades of Hydronephrosis & detection of urinary stones by ultrasound imaging

An Incidental Finding of Retrocaval Ureter Causing Hydroureteronephrosis

Bilateral Hydrouteronephrosis Dilated Vur with Cystitis: A Case Study

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