PMC5774734_01
Ultrasound images of transplant kidney 1 week prior to admission, demonstrating mild hydronephrosis and incomplete visualization of distal ureter (A, B). Repeat ultrasound upon admission demonstrating interval worsening of hydroureteronephrosis (C).
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One week prior to admission, his creatinine rose to 280 micromol/L and an ultrasound of his transplant kidney revealed mild hydronephrosis and the entire length of the ureter was not visualized (Figure 1A and 1B). The distal ureter was obscured by overlying bowel gas and not seen (Figure 1C).
Abdominal computed tomography in coronal view, demonstrating moderate hydroureteronephrosis (1), herniation of the transplant ureter (2) through inguinal ring (arrow), and the urinary bladder (3).
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Abdominal computed tomography revealed moderate hydronephrosis of the transplant kidney due to obstructed herniation of the transplant ureter in a right inguinal hernia (Figures 2 and 3).
Abdominal computed tomography in axial view, demonstrating a dilated ureter (1) in right inguinal canal (arrow). The contralateral normal inguinal canal can be visualized.
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Abdominal computed tomography revealed moderate hydronephrosis of the transplant kidney due to obstructed herniation of the transplant ureter in a right inguinal hernia (Figures 2 and 3).