PMC5730810_01
Fistulous tract.
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It was pale red in color and did not bleed to touch (Fig. 1).
Ultrasonography abdomen showing sinus tract with a ruptured calyceal calculus in the sinus tract.
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Ultrasonography abdomen (USG-KUB) revealed a small contracted kidney with multiple calculi in the left kidney and renal pelvis, sinus tract from the lower pole with a ruptured calyceal calculus in the sinus tract (Fig. 2).
CT urography showing non excreting left kidney with multiple renal calculi, with hyperdense collection of the renal parenchyma extending to subcutaneous tissue.
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CT-IVU was done which revealed a non excreting left kidney with multiple renal calculi, with hyperdense collection in the renal parenchyma extending to the subcutaneous tissue and the left lung suggesting XGP (Fig. 3).
Post operative nephrectomy specimen with multiple calculi.
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Nephrectomy was done by thoracolumbar incision (Fig. 4).