Friday, August 31, 2012

TITBITS IN URORADIOLOGY

1. Pancreatic calcification MASQERADING as kidney stone. 

This is as plain X-ray KUB of 44 years gentleman presenting with right flank pain. On evaluation there was a right upper ureteric calculus with Hydroureteronephrosis  and a left lower calyceal calculus . Right URS Laser Litho + JJ stenting was done . This is post operative KUB showing radio-opaque density in the right renal fossa. He is known case of chronic calcific pancreatitis.   


Pancreatic calculus

TITBITS IN URORADIOLOGY
1. PANCREATIC CALCIFICATION MASQUERADING AS KIDNEY STONE




Nephrectomy for pyonephrotic kidney

A 60 year old lady came with on and off fever and left  iliac fossa pain.On evaluation she was found to have ectopic enlarged kidney with pyonephrosis.She was a known case of atrial septal defect with early changes of Pulmonary Arterial Hypertension.She was taken up for open nephrectomy with Extended Gibsons incision.Subcapsular nephrectomy was performed for the planes around the kidney were obscured because of adhesions.The patient recovered well after the surgery and was discharged on 4 th post operative day.
The specimen of the kidney is shown below..