A Nautilus kidney

Bo Sheng Wu; Yang Ho; Chih Yu Yang

doi:10.1007/s10157-020-01915-7

A Nautilus kidney

Bo Sheng Wu, Yang Ho, Chih Yu Yang^*

^*Corresponding author for this work

Institute of Clinical Medicine

Research output: Contribution to journal › Comment/debate

Abstract

We report a 71-year-old woman who presented with unilateral flank pain and sepsis. A computed tomographic (CT) scan demonstrated left-sided hydronephrosis. Subsequent percutaneous nephrotomy drainage showed pus-like material, confirming the diagnosis of pyonephrosis. The ureteral stricture was caused by previous radiation injury for cervical cancer in this ESRD patient who was on chronic dialysis for years. In our case, the grade IVB hydronephrosis is a result of an extremely atrophic kidney, pyonephrosis, and ureteral stricture. The CT section of pyonephrosis in an extremely atrophic kidney resembles a sagittal section of a Nautilus shell, as the shell corresponds to the diffusely thinned renal cortex.

Original language	English
Pages (from-to)	971-972
Number of pages	2
Journal	Clinical and Experimental Nephrology
Volume	24
Issue number	10
DOIs	https://doi.org/10.1007/s10157-020-01915-7
State	Published - 1 Oct 2020

Keywords

Atrophic kidney
ESRD
Pyonephrosis

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1007/s10157-020-01915-7

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title = "A Nautilus kidney",

abstract = "We report a 71-year-old woman who presented with unilateral flank pain and sepsis. A computed tomographic (CT) scan demonstrated left-sided hydronephrosis. Subsequent percutaneous nephrotomy drainage showed pus-like material, confirming the diagnosis of pyonephrosis. The ureteral stricture was caused by previous radiation injury for cervical cancer in this ESRD patient who was on chronic dialysis for years. In our case, the grade IVB hydronephrosis is a result of an extremely atrophic kidney, pyonephrosis, and ureteral stricture. The CT section of pyonephrosis in an extremely atrophic kidney resembles a sagittal section of a Nautilus shell, as the shell corresponds to the diffusely thinned renal cortex.",

keywords = "Atrophic kidney, ESRD, Pyonephrosis",

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T1 - A Nautilus kidney

AU - Wu, Bo Sheng

AU - Ho, Yang

AU - Yang, Chih Yu

PY - 2020/10/1

Y1 - 2020/10/1

N2 - We report a 71-year-old woman who presented with unilateral flank pain and sepsis. A computed tomographic (CT) scan demonstrated left-sided hydronephrosis. Subsequent percutaneous nephrotomy drainage showed pus-like material, confirming the diagnosis of pyonephrosis. The ureteral stricture was caused by previous radiation injury for cervical cancer in this ESRD patient who was on chronic dialysis for years. In our case, the grade IVB hydronephrosis is a result of an extremely atrophic kidney, pyonephrosis, and ureteral stricture. The CT section of pyonephrosis in an extremely atrophic kidney resembles a sagittal section of a Nautilus shell, as the shell corresponds to the diffusely thinned renal cortex.

AB - We report a 71-year-old woman who presented with unilateral flank pain and sepsis. A computed tomographic (CT) scan demonstrated left-sided hydronephrosis. Subsequent percutaneous nephrotomy drainage showed pus-like material, confirming the diagnosis of pyonephrosis. The ureteral stricture was caused by previous radiation injury for cervical cancer in this ESRD patient who was on chronic dialysis for years. In our case, the grade IVB hydronephrosis is a result of an extremely atrophic kidney, pyonephrosis, and ureteral stricture. The CT section of pyonephrosis in an extremely atrophic kidney resembles a sagittal section of a Nautilus shell, as the shell corresponds to the diffusely thinned renal cortex.

KW - Atrophic kidney

KW - ESRD

KW - Pyonephrosis

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DO - 10.1007/s10157-020-01915-7

M3 - Comment/debate

C2 - 32592079

AN - SCOPUS:85087304237

SN - 1342-1751

VL - 24

SP - 971

EP - 972

JO - Clinical and Experimental Nephrology

JF - Clinical and Experimental Nephrology

IS - 10

ER -

A Nautilus kidney

Abstract

Keywords

UN SDGs

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