Large Lower Uretric Calculus cleared with Holmium Laser

This is the plain CT image of a 55 y gentleman who presented with left flank pain, revealing a large 2.7x1.6 cm left lower ureteric calculus. It was completely fragmented by holmium laser endoscopically. He was discharged on the next day in a stable condition.

Post Op KUB

UTERINE PROLAPSE CAUSING OBSTRUCTIVE UROPATHY AND RENAL DYSFUNCTION

UTERINE PROLAPSE

A 55 Y lady presented with features of chronic renal failure. On detailed history she also complained of recurrent uterine prolapse for the past 15 years. On evaluation she had bilateral severe hydroureteronephrosis and renal parenchymal atrophy. Her serum creatinine was - 2.5 mg%.
Cystoscopy showed severe urethral kinking and a grossly trabeculated bladder. RGP revealed B/l severely dilated and tortuous ureters. B/l Double J stents were kept with extreme difficulty, and a vaginal hysterectomy was done. post operative period was uneventful.

Plain CT S/O B/L Gross Hydroureteronephrosis

Plain CT S/O B/L Gross Hydroureteronephrosis

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..