PMC3961938_01
Preoperative percutaneous nephrostogram, (a) Scout film showing right PCN and left calcified (Putty) kidney. (b) Nephrostogram showing gross right hydroureteronephrosis. Arrow is indicating smooth narrowing at the vesico-urethral junction
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F1
HDUN with smooth tapering at the right vesicoureteric junction [Figure 1]. Her serum creatinine was normal.
Post-operative micturating cystourethrogram (MCU) showing normal augmented bladder with DJ stent in situ
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F2
Double J stent was removed after confirming normal MCU without leak [Figure 2].
Intraoperative photograph showing incised lower segment and undisturbed bladder
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F3
Urinary bladder was in place [Figure 3].
Intraoperative finding: Forceps indicating the bowel loop, which was used previously for augmentation
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F4
Bowel loop, which was used for augmentation, was visible on right side of bladder and was undisturbed [Figure 4].