Perioperative serum creatinine, electrolytes, blood gas, and a follow-up excretory urogram, cystogram, and pathological examination were used to assess the surgical outcome.
Ureteroureterostomy or pyeloureterostomy using native distal ureter were relatively effective and safe .It is advisable for the treatment of ureteric obstruction after kidney transplantation.
A large staghorn calculus is seen obstructing the renal peli-calyceal system. The lower pole of the kidney shows areas of hemorrhage and necrosis with collapse of cortical areas.
To define the optimal methods of diagnosis of ureteral injury from blunt abdominal trauma, the intravenous urography and retrograde pyelograph were used for the earlier diagnosis of ureteral injury.
In this case, a large "staghorn" calculus (so named because the prominent projections of the stone into the calyces resemble deer antlers) was present that filled up the pelvis and calyceal system.
Chronic vesicoureteral reflux can cause pyelonephritis, or inflammation of the kidney, and renal scarring, or fibrosis which damages the kidney tissue.
Other potential causes of renal papillary necrosis are chronic use of analgesics, like aspirin, as well as diabetes mellitus, sickle cell disease, and pyelonephritis.
In grade IV, the ureter is so swollen that it begins to get curvy and the renal pelvis and calyces—the urine collection ducts—become moderately swollen and distorted.
So for ascending infections that cause acute pyelonephritis, the most common organisms are E. coli, Proteus species, and Enterobacter species, all of which are commonly found in the bowel flora.
As neutrophils infiltrate and die off, they make their way through the urinary tract, and are peed out; so people with acute pyelonephritis often have white blood cells in their urine.
And finally, the innermost layer is the renal pelvis, a funnel-shaped tube surrounded by smooth muscle that uses peristalsis to move urine out of the kidney, into the ureter, and into the bladder.