Hydronephrosis

History

An elderly lady, one week post laparotomy developed mild RUQ pain with worsening liver function tests. The abdominal ultrasound revealed unexpected findings of her left kidney.

Ultrasound Findings

There is hydronephrosis of the left kidney. The dilated proximal left ureter can be traced a short distance. The distal ureter could not be seen.

The biliary findings can be seen under Biliary Cases – choledocholithiasis

Conclusion

Left hydronpehrosis

Learning Point

There is hydronephrosis of the left kidney. The dilated proximal left ureter can be traced a short distance. The distal ureter could not be seen.

In this case it was due to inadvertent ligation of the distal ureter

Topic Progress: