PMC3524075_01
Different computed tomography (CT) scans of the abdomen prior to surgery. This revealed left hydronephrosis and a parapelvic cyst, with no visible stones in the middle and distal segments of the double ureter, and little fluid accumulation in the pelvic cavity.
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Computed tomography (CT) of the abdomen revealed left hydronephrosis and a parapelvic cyst, with no visible stones in the middle or distal segments of both ureters and little fluid accumulated in the pelvic cavity (Fig. 1). An upper urinary tract retrograde pyelography plus intravenous pyelogram (IVP) also revealed left hydronephrosis and a parapelvic cyst (Fig. 1), with markedly dilated left renal calyces (Fig. 2).
Blood coagulation and fibrinolytic data statistics of clinical course. (A) The change of hemoglobin. Hemoglobin levels increased gradually after PAMBA therapy. (B) The changes of D-dimer and FDP, which increased sharply after hemorrhage and decreased synchronously when hemoglobin improved. (C, D and E) The white cell and platelet count, PT, APTT and Fg index remained at normal levels. PAMBA, p-aminomethylbenzoic acid; FDP, fibrin degradation product; ESR, erythrocyte sedimentation rate; PT, prothrombin time; APTT, activated partial thromboplastin time; Fg, fibrinogen.
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The immediate peripheral blood cell counts revealed a hemoglobin (Hb) level of 62 g/l, a white cell count of 11,400/mul and a platelet (PLT) count of 135,000/mul (Fig. 3).
Follow-up IVP examination three months post-surgery. The left hydronephrosis and parapelvic cyst were resolved. (A) Left renal secretion function has improved. (B) Left renal excretion function has improved. IVP, intravenous pyelogram.
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A follow-up IVP examination was performed three months post-surgery (Fig. 4); complete blood cell counts, blood coagulation and fibrinolytic function measurements were all within normal ranges.