Friday, August 31, 2012

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..

No comments:

Post a Comment