PMC6796751_01
Left, contrast enhanced CT showing hypodense middle and lower pole renal parenchyma. Right, pelvicalyceal system corresponding to middle and lower pole kidney not communicating with ureter.
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The corresponding renal parenchyma of this obstructed renal segment was hypo dense (Fig. 1).
Left, arterial phase of CECT showing renal and superior mesenteric artery, Right, reconstructed angiogram showing close relationship of superior mesenteric artery and left renal artery.
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Thus, it was realised that the artery cut earlier was SMA (Fig. 2).
Nephrectomy specimen showing pyelonephritic changes in mid and lower pole.
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Nephrectomy was completed as usual (Fig. 3).
End-to-end anastomosis of superior mesenteric artery.
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An end-to-end anastomosis with 6-0 prolene was done without any need of mobilisation of artery (Fig. 4).