PMC10148173_01
total uterine prolapse associated with bilateral hydronephrosis and deterioration of renal function
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F1
During the gynecological examination, total uterine prolapse (fourth stage) with eversion of the vaginal wall was found, without extensive ulcers along the vaginal mucosa and perineum (Figure 1).
preoperative ultrasound imaging of the right kidney
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F2
The renal ultrasound showed hydronephrosis bilaterally with severe dilatation of the ureters in their initial part and thinning of the renal cortical thickness (Figure 2, Figure 3).
preoperative ultrasound imaging of the left kidney
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F3
The renal ultrasound showed hydronephrosis bilaterally with severe dilatation of the ureters in their initial part and thinning of the renal cortical thickness (Figure 2, Figure 3).
preoperative CT imaging of the abdomen
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F4
Apart from the total uterine prolapse, no other coexisting morbidity was depicted that could be associated with the impairment of renal function (Figure 4).
postoperative ultrasound imaging of the right kidney
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F5
The kidneys were visualized with normal echogenicity, normal perfusion and without dilatation of the pelvicalyceal system (Figure 5, Figure 6).
postoperative ultrasound imaging of the left kidney
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F6
The kidneys were visualized with normal echogenicity, normal perfusion and without dilatation of the pelvicalyceal system (Figure 5, Figure 6).