PMC5035836_01
(a) Noncontrast computed tomography (NCCT) scan of the abdomen at presentation. (b) NCCT scan of the abdomen after amphotericin B therapy. (c) NCCT scan of the abdomen after nephroscopic clearance.
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After initial resuscitation, she underwent ultrasound scan of whole abdomen followed by noncontrast computed tomography (NCCT) scan of abdomen that revealed bilateral gross hydronephrosis with left emphysematous pyelonephritis with left renal pelvic stone and right infected hydronephrosis with hyperdense material in the pelvicaliceal system (Fig. 1a). On repeat NCCT scan of abdomen, both kidneys showed improvement and reduction in parenchymal gas (Fig. 1b). Postoperative NCCT scan of the abdomen is shown in Figure 1c.
(a) Histopathology of the nasal sinus mucosa (silver methenamine stain) showing broad aseptate hyphae. (b) Intraoperative nephroscopic view of necrotic material within the pelvicaliceal system.
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Microscopy of the same was suggestive of mucor (Fig. 2a). Bilateral sequential nephroscopic removal of stone and necrotic material was done; intraoperative picture is shown in Figure 2b.