PMC6948346_01
Computerized tomographic (CT) scan of the abdomen and pelvis. Left hydronephrosis with presence of air in the collecting system suggestive of left-sided emphysematous pyelonephritis (arrow). Right parapelvic cyst (empty arrow).
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Urgent CT scan of the abdomen and pelvis revealed severe left hydronephrosis and hydroureter with the presence of gas in the left collecting system and left ureter (Figures 1 and 2).
Computerized tomographic (CT) scan of the abdomen and pelvis. Left hydroureter with presence of intraluminal air (arrow).
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Urgent CT scan of the abdomen and pelvis revealed severe left hydronephrosis and hydroureter with the presence of gas in the left collecting system and left ureter (Figures 1 and 2).
Computerized tomographic (CT) scan of the abdomen and pelvis ((a): axial view, (b): coronal view). Extrinsic compression of the left midureter (arrow) between an atherosclerotic external iliac artery and a giant fecaloma.
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The aforementioned hydroureteronephrosis resulted from an extrinsic compression of the left pelvic ureter between an atherosclerotic external iliac artery and a giant fecaloma (Figure 3).
Computerized tomographic (CT) scan of the abdomen and pelvis. The left ureter (arrow) distal to the level of obstruction was not dilated.
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It is noteworthy that the ureter distal to the level of obstruction was not dilated (Figure 4).
Follow-up noninjected computerized tomographic (CT) scan of the abdomen and pelvis. Resolution of the fecaloma and patency of the left ureter (arrow).
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A follow-up noninjected CT scan was performed one week after the admission to document the resolution of the infection, the absence of renal abscesses and the resolution of the fecaloma (Figure 5).
Antegrade ureterogram. Patency of the left ureter with absence of any intrinsic ureteral pathology.
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An antegrade ureterogram was performed showing a patent ureter with no intrinsic lesions (Figure 6); therefore the PCN was removed (in total nine days after patient's admission).