Case 90: Acute Nephropathy with Urinary Bladder Debris || Ultrasound

     

Clinical Features:

A 12-year-old female patient came with fever, burning micturition & left back pain.

Ultrasound Features:

• Swollen & echogenic left kidney with accentuation of corticomedullary differentiation.
• Urinary bladder debris.
• Mild hepatomegaly.

Ultrasound Diagnosis:

• Left-sided acute nephropathy, possibly pyelonephritis. Urine RME can easily exclude glomerulonephritis.
• Urinary bladder debris.
• Mild hepatomegaly.

Ultrasound Images:

Mild hepatomegaly

Right kidney & gallbladder

Swollen & echogenic left kidney

Urinary bladder lumen filled with debris

Renal parenchyma on Doppler

Swollen & echogenic left kidney with accentuation of corticomedullary differentiation.

Hazy pyramids on high-frequency ultrasound

Urinary bladder debris on high-frequency ultrasound