Published in:
01-11-2018 | Clinical Quiz
Cry of a dying kidney: Answers
Published in: Pediatric Nephrology | Issue 11/2018
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From history and examination, it is clear that patient is a case of large renal pelvis stone with a sinus/fistula in the lumbar region. Other than ultrasonography, the simplest and easiest investigation one can perform is sinogram/fistulogram. A fistulogram was performed using water soluble contrast material, which revealed a fistula connecting the left kidney, pelvis, ureter, and urinary bladder (Fig. 1).
Fig. 1
Fistulogram showing stone in the renal pelvis and flow of dye from skin fistula to urinary bladder through kidney and ureter
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