Masked Hydronephrosis

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Masked Hydronephrosis

A 77-year old woman visited the emergency room (ER) because of abdominal pain and severe diarrhea. She had undergone radiation therapy for cervical cancer 30 years earlier. Pertinent initial laboratory data included a serum urea nitrogen level of 90.9 mg/dL and a creatinine level of 4.1 mg/dL. Sigmoidoscopy showed circular ulceration with whitish exudates consistent with ischemic colitis in the...

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Hydronephrosis

Hydronephrosis means dilation of the pelvis of the kidney by urine which has accumulated, because of obstruction of the urinary tract at some point distal to the pelvis, most commonly the pelvi-ureteral junction. If the obstruction be at a lower level, the ureter becomes dilated first, and the kidney is involved later. Occasionally the obstruction is confined to one or more of the minor calyces...

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Antenatal Hydronephrosis

Objectives: To describe the maternal and fetal characteristics of isolated antenatal hydronephrosis (ANH), to address parental concerns by providing local data based on the fetal renal pelvis anteroposterior diameter (APD), and to determine the most effective APD cutoff in the second and third trimester for prediction of postnatal urological outcome. Methods: A retrospective review of all cases...

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Giant Hydronephrosis

CASE A 83-year-old man with a history of urinary stone disease presented to the emergency department with abdominal and rightsided flank pain. Examination demonstrated distended abdomen and right costovertebral angle tenderness. Vital signs were unremarkable, and laboratory evaluation showed a blood urea nitrogen level of 34.5 mg/dL and creatinine of 1.45 mg/dL. Urinalysis showed red blood cell...

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Physiology of Hydronephrosis

The term hydronephrosis denotes a condition of dilatation of the collecting system of the kidney above the level of the pelvi-ureteric junction. It acquires clinical significance by being classified according to the site and pathology of any obstruction to urine flow, but the descriptive groups so formed are unsatisfactory and not fully comprehensive. A review of the physiological processes inv...

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ژورنال

عنوان ژورنال: The Korean Journal of Internal Medicine

سال: 2012

ISSN: 1226-3303,2005-6648

DOI: 10.3904/kjim.2012.27.2.244