Dr. Anil Takvani
Spotter19 Mar 2023 09:18:09 PM
A case: Diagnosis & ...10 Mar 2023 08:34:24 AM
Posterior Urethra Ma...15 Jan 2023 10:47:27 AM
Concealed Penis in C...13 Jan 2023 11:33:34 AM
Development of PUV -...13 Jan 2023 11:14:39 AM
Spot the diagnosis
24 years old male patient presented with severe pain in left flank since last 2 days.
No past history of similar pain.
No vomiting, no fever.
Lab reports normal, no UTI.
His usg was done, based on usg findings general surgeon advised CT IVP.
Posting few images of CT.
Please spot the diagnosis...
Dr. Anil Takvani18 Feb 2020 04:07:42 PM
I am providing link of very interesting article related to extrinsic cause of UPJO,anteriorly crossing vessels.1. Antenatal detection of HN is negative predictive factor for CRV.2. Late pediatric age and adolescence or adult detection of HN following pain or UTI is a positive predictive factor for CRV.In last two weeks I came across three patients. One age 24 years and two patients above 40 years. All 3 patients presented with flank pain, two patients additionally had UTI.We have to consider in these age group of patients with UPJ-O like USGs for additional investigation like CECT or fMRU. Advantage with fMRU is it gives both functional and anatomical details(like CRV).Or else we have to approach all these pyeloplasty keeping in mind CRV in all patients , so inadvertent injuries to crossing renal vessels can be avoided.http://www.journal-ina.com/article.asp?issn=2394-2916;year=2016;volume=3;issue=2;spage=31;epage=32;aulast=GuvenRegards,
Gaurang j Vaghela17 Feb 2020 09:59:09 AM
Puj obstruction due to Crossing vessel