Sunday, 21 July 2013

CASE 201: ULTRASOUND FIRST of R. HYDRONEPHROSIS, Dr PHAN THANH HẢI, MEDIC MEDICAL CENTER, HCMC, VIETNAM

Woman 37 yo in pregnancy for 7 weeks, onset acute pain at right kidney.
Ultrasound first at  FV hospital revealed  hydronephrosis of  right kidney in first degree, but cannot find out any stone. After 24 hours,  second ultrasound at MEDIC CENTER detected one small stone  intramural urinary bladder at right ureteral orifice (see  picture 1:  hydronephrosis of right kidney , picture 2:  uterus in gestation, picture 3: intramural stone).





Urologist  requests  MRI  for make sure the right ureteral stone (2 MRI pictures).




Cystoendoscopy in emergency for releasing pain by JJ stent in ureter.
Discussion: Ultrasound first or second time are better for patient by safety and cost-benefit.

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