Year: 2005
Type: article
Study design: Case Report
Abstract: A 43-year-old man has been on chronic hemodialysis for two years.Three years previously, he had recurrent episodes of dysuria and gross hematuria.At that time, Mycobacterium tuberculosis was isolated in a urine culture and he had received a therapy of antituberculous multiple drugs.During an annual check-up, screening of abdominal computer tomography (CT) was performed in June 2004.Axial non-contrast image of CT scan showed enlargement of both kidneys, cortical thinning with markedly dilated calices, which appeared to communicate with the renal pelvis (Fig. 1).CT findings seemed to be compatible with bilateral hydronephrosis.Furthermore, CT film showed calcification of lymph nodes surrounding the pancreas.But coronal image of magnetic resonance (MR) urography demonstrated multiple cyst-like calices with well-defined margins, representing hydronephrotic calices secondary to infundibular stricture and/or renal papillary necrosis (Fig. 2).The coronal image of MR urography is the most sensitive in showing caliectasis without renal pelvic dilatation.
Source: Internal Medicine
Institution: Saiseikai Suita Hospital
Language: English
Subfield: Infectious Diseases
Field: Medicine
Domain: Health Sciences
Open Access status: bronze
OpenAlex ID: W2022962467