EURORAD ESR

Case 15868

Percutaneous treatment in Post Transplant Ureteric Stricture

Author(s)
Dr. Soumil Singhal, Dr. Bibin Sebastian, Dr. Rohit Madhurkar, Dr M.C. Uthappa

BGS Gleaneagles Global, Intervention Radiology; Kengeri 560060 Bangalore, India; Email:drsoumilsinghal75@gmail.com
 
Patient
male, 52 year(s)
 
 
  • Figure 1
    Non Enhanced CT

    Non enhanced CT shows hydronephrosis in transplant kidney (arrow)

     
    Area of Interest: Kidney; Imaging Technique: CT; Procedure: Education; Special Focus: Transplantation;
     
     
  • Figure 2
    Scanogram

    Percutaneous nephrostomy drainage catheter in position.

     
    Area of Interest: Kidney; Imaging Technique: CT; Procedure: Catheters; Special Focus: Transplantation;
     
     
  • Figure 3
    CT Nephrostogram
     

    Dilated collecting system seen

     
    Area of Interest: Kidney; Imaging Technique: CT; Procedure: Catheters; Special Focus: Transplantation;

    Narrowed calibre of distal ureter

     
    Area of Interest: Kidney; Imaging Technique: CT; Procedure: Catheters; Special Focus: Transplantation;

    Stricturous narrowing in distal ureter (arrow)

     
    Area of Interest: Kidney; Imaging Technique: CT; Procedure: Catheters; Special Focus: Transplantation;
     
     
  • Figure 4
    Percutaneous Treatment
     

    Nephrostogram

     
    Area of Interest: Kidney; Imaging Technique: Fluoroscopy; Procedure: Catheters; Special Focus: Transplantation;

    Distal ureteric obstruction

     
    Area of Interest: Kidney; Imaging Technique: Fluoroscopy; Procedure: Catheters; Special Focus: Transplantation;

    Passage of wire across the stricture

     
    Area of Interest: Kidney; Imaging Technique: Fluoroscopy; Procedure: Catheters; Special Focus: Transplantation;
     
     
  • Figure 5
    Balloon Plasty
     

    Balloon plasty across distal narrowing

     
    Area of Interest: Kidney; Imaging Technique: Fluoroscopy; Procedure: Catheters; Special Focus: Transplantation;

    Flow noted across the stricture post plasty

     
    Area of Interest: Kidney; Imaging Technique: Fluoroscopy; Procedure: Catheters; Special Focus: Transplantation;

    Antegrade ureteric stenting performed post plasty

     
    Area of Interest: Kidney; Imaging Technique: Fluoroscopy; Procedure: Catheters; Special Focus: Transplantation;
     
     
Non enhanced CT shows hydronephrosis in transplant kidney (arrow)
 
Percutaneous nephrostomy drainage catheter in position.
 
Dilated collecting system seen
 
Narrowed calibre of distal ureter
 
Stricturous narrowing in distal ureter (arrow)
 
Nephrostogram
 
Distal ureteric obstruction
 
Passage of wire across the stricture
 
Balloon plasty across distal narrowing
 
Flow noted across the stricture post plasty
 
Antegrade ureteric stenting performed post plasty
 
 
 
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