PMC5121166_01
a-b Axial (a) and cornal (b) view of hydronephosis of the lower moiety. The course of the ureter draining the lower pole was not visible.
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fig1
A tardive scan at 60 min showed a persistent retention of contrast medium within the pelvis (Fig. 1a-b).
a-b) bifid system with a dilated lower pelvis; c-d) the common ureter and the dilated pelvis is incised as close as possible to each other; e) after realization of the posterior anastomosis, an antegrade double-J ureteral stent is placed intraoperatively; f) pyeloureteric anastomosis with a 5-0 interrupted PDS suture. The figures 2b and 2d are the schemes of figures 2a and 2c respectively. So it would be appropriate to change the pattern of figures i.e. a and b in the same line, c and d in another one and the last e and f in a third line.
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fig2
We closed the mesocolon with a 5-0 PDS running suture (Fig. 2).
US at 3 months follow-up showing reduction of pelvic dilatation.
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fig3
The stent was cistoscopically removed after 1 month and at 3 months follow-up, the US confirmed a reduction of pelvic diameter (10 mm) (Fig. 3).