PMC3980517_01
CT urogram (coronal); (A) Contrast in right ureter; (B) contrast in right fallopian tube.
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The patient was catheterised and a CT urogram demonstrated a leak from a stenosed distal right ureter (Fig. 1[A]) with drainage of contrast/urine via the right fallopian tube (Fig. 1[A]) into the uterus, then vagina.
CT urogram (saggital); (A) gross right hydroureter down to stenosis; (B) contrast in vagina.
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The proximal ureter was grossly dilated down to the stenosis (Fig. 2[A]) with contrast seen in the vagina (Fig. 2[B]).
Right retrograde urography; (A) proximal dilated right ureter; (B) salpingo-ureteric fistula; (C) outline of contrast-enhanced tortuous right fallopian tube.
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Fig. 3 illustrates the dilated right ureter proximally [A]; salpingo-ureteric fistula [B]; and outline of contrast-enhanced tortuous right fallopian tube [C].
Right 6Fr, 24 cm ureteric stent in situ.
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A 4.5Fr, 26 cm ureteric stent was negotiated over a guidewire into the right renal pelvis under X-ray guidance (Fig. 4).