PMC6913245_01
Reformatted oblique coronal images of nonenhanced CT scan of the abdomen show the right ureter herniating through a medial diaphragmatic defect causing its obstruction and secondary mild to moderate hydronephrosis. Renal cortical thickness is still preserved. D: right hemidiaphragm. K: right kidney. U: ureter. H: diaphragmatic hernia.
CRIU2019-1092018.001.jpg
PMC6913245_01_CRIU2019-1092018.001.jpg
fig1
A CT scan done to rule out an intraabdominal process did not reveal any intraperitoneal pathology; however, a rightsided ureteral diaphragmatic herniation was seen, associated with mild-moderate hydronephrosis and significant blunting of calyceal fornices (Figures 1 and 2).
3-D reconstructed images showing the right ureter herniation and the secondary hydronephrosis. D: right hemidiaphragm. K: right kidney. U: ureter. H: diaphragmatic hernia.
CRIU2019-1092018.002.jpg
PMC6913245_01_CRIU2019-1092018.002.jpg
fig2
A CT scan done to rule out an intraabdominal process did not reveal any intraperitoneal pathology; however, a rightsided ureteral diaphragmatic herniation was seen, associated with mild-moderate hydronephrosis and significant blunting of calyceal fornices (Figures 1 and 2).
Serial ultrasound images of the right kidney done at 6 month intervals after diagnosis of the kidney obstruction. Showing similar ureteral and pelvicalyceal dilation (a and b) over the span of 6 months with no change in the renal cortex thickness.
CRIU2019-1092018.003.jpg
PMC6913245_01_CRIU2019-1092018.003.jpg
fig3
Serial ultrasounds performed every 6 months showed no progression of the hydronephrosis and no renal cortical thinning (Figure 3).