CASE 432: A K I by STONE, Dr PHAN THANH HẢI, MEDIC MEDICAL CENTER, HCMC, VIETNAM

Man  51 yo with acute  pain at  right flank, type colicky  pain. History of being treated  renal stone of  left kidney by operation and ESWL for 2 years.

Emergency  ultrasound  detected right and left kidney hydronephrosis (US 1, US 2).

CT scanning  with CE:  CT 1= kidneys no CE.

CT 2 with CE,  arterial phase.

CT 3,  venous phase.

CT 4,  delay phase.

CT 5,  frontal view.

 CT 7,  3D view.

Blood test: EGFR=  23mL/s.

Discussion: Ultrasound  scanning in acute renal colic crisis cannot make diagnosis of  A K I ( acute kidney insufficiency);   CT  non CE  with HU  low and CE phase in delay  secretion that suspected AKI.

 Emergent  operation was done  for removing  of the stuck stone in right ureter for this case.