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In pregnancy, dextrorotation (rotation to the right) of the uterus can cause compression on the right ureter, thus making hydronephrosis more common in the right kidney than in the left kidney. Besides, hormones such as estrogen, progesterone, and prostaglandin can cause ureter dilatation, thus causing hydronephrosis despite the absence of ...
Clinical symptoms in patients with pyonephrosis can range from frank sepsis (15%) to asymptomatic bacteriuria.Upon physical examination, the hydronephrotic kidney may be linked to a palpable abdominal mass. [4]
It is the most common cause of hydronephrosis detected in utero and is the most common anomaly detected on prenatal ultrasounds. [1] [2] It occurs in approximately 1 in every 1500 live births, is most commonly seen in males, involves the left ureter twice as often as the right ureter. [1] [2] UPJ obstruction is transient in most cases. [2]
The size of the renal pelvis plays a major role in the grading of hydronephrosis. Normally, the anteroposterior diameter of the renal pelvis is less than 4 mm in fetuses up to 32 weeks of gestational age and 7 mm afterwards. [2] In adults, 13% of the normal population have a transverse pelvic diameter of over 10 mm. [3]
Hydronephrosis is seen as an anechoic fluid-filled interconnected space with enhancement within the renal sinus, and normally, the dilated pelvis can be differentiated from the dilated calyces. [1] Figure 13. Hydronephrosis due to ureteropelvic junction obstruction in a pediatric patient. [1] Several conditions can result in urinary obstruction.
Neurogenic bladder can cause hydronephrosis (swelling of a kidney due to a build-up of urine), recurrent urinary tract infections, and recurrent kidney stones which may compromise kidney function. [7] This is especially significant in spastic neurogenic bladder that leads to high bladder pressures.
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The right kidney sits just below the diaphragm and posterior to the ... Hydronephrosis is the enlargement of one or both of the kidneys caused by obstruction of the ...