4 year female with Oxalosis, Oxalate crystals on renal biopsy, presented with UTI and Renal failure, Urinary Oxalate 1238 (180-350), Mag3: no functioning renal tissue seen. No crystals seen on Ophthamology review. HB 8, Creatinine 400, PTH 101, 58, 8 on peritoneal dialysis, anuric, N BP, phosphate 1,14, Ca 2.4, 10% for age for height & weight, bony rickets, pathological fracture of femur, due for combined liver kidney transplant.
4 year female with Oxalosis, Oxalate crystals on renal biopsy, presented with UTI and Renal failure, Urinary Oxalate 1238 (180-350), Mag3: no functioning renal tissue seen. No crystals seen on Ophthamology review. HB 8, Creatinine 400, PTH 101, 58, 8 on peritoneal dialysis, anuric, N BP, phosphate 1,14, Ca 2.4, 10% for age for height & weight, bony rickets, pathological fracture of femur, due for combined liver kidney transplant.
4 year female with incidental pickup of bilateral renal stones, no previous UTI, Ultrasound: bilateral hydronephrosis, no hydroureters. IVP: - megacalicosis, ?? stones obstructing PUJ, MAG 3: good uptake, not obstructed. Hypomagnasuria found on metabolic workup. Managed with stenting and ESWL.
4 year female with incidental pickup of bilateral renal stones, no previous UTI, Ultrasound: bilateral hydronephrosis, no hydroureters. IVP: - megacalicosis, ?? stones obstructing PUJ, MAG 3: good uptake, not obstructed. Hypomagnasuria found on metabolic workup. Managed with stenting and ESWL.
7 year female: recurrant UTI and fever, no history dysfuctional voiding, u/s R hysronephrosis, Mag3 bilateral renal scaring. MCUG Grade 4 right reflux, grade 3 left reflux. Treated with bilateral Cohen ureteric re-implant
4 year female with Urosepsis, palpable Left abdominal mass, Exploratory laparotomy for presumed Left Wilms turour. Finding Left imflamatory mass, Nephrostogram: Left Duplex. Biopsy of mass showed Malakoplakia, stable on chemophrophylaxis
4 year female with Urosepsis, palpable Left abdominal mass, Exploratory laparotomy for presumed Left Wilms turour. Finding Left imflamatory mass, Nephrostogram: Left Duplex. Biopsy of mass showed Malakoplakia, stable on chemophrophylaxis
2 month male, antenatal ultrasound showed Left hydronephrosis, postnatal ultrasound: Left PUJ, AP pelvis 39mm, thin cortex. no UTI, examination revealed palpable Left kidney. Mag3 Left 42% diferential function with good rim of functional tissue, but delayed excretion, no furosamide response. Left dismembered pyeloplasty. Post op Mag 3 showed improved excretion
2 month male, antenatal ultrasound showed Left hydronephrosis, postnatal ultrasound: Left PUJ, AP pelvis 39mm, thin cortex. no UTI, examination revealed palpable Left kidney. Mag3 Left 42% diferential function with good rim of functional tissue, but delayed excretion, no furosamide response. Left dismembered pyeloplasty. Post op Mag 3 showed improved excretion
2 month male, antenatal ultrasound showed Left hydronephrosis, postnatal ultrasound: Left PUJ, AP pelvis 39mm, thin cortex. no UTI, examination revealed palpable Left kidney. Mag3 Left 42% diferential function with good rim of functional tissue, but delayed excretion, no furosamide response. Left dismembered pyeloplasty. Post op Mag 3 showed improved excretion
2 month male, antenatal ultrasound showed Left hydronephrosis, postnatal ultrasound: Left PUJ, AP pelvis 39mm, thin cortex. no UTI, examination revealed palpable Left kidney. Mag3 Left 42% diferential function with good rim of functional tissue, but delayed excretion, no furosamide response. Left dismembered pyeloplasty. Post op Mag 3 showed improved excretion
Newborn boy with oligohydramnios, shortly after delivery respiratory distress requiring ventilation. Renal failure. Massive urinary ascites seen on plain film. MCUG suggested Posterior urethral valves. Ascites and renal function failed to settle on catheter. Vesicostomy and drainage of bilateral perinephic space and ascites caused the child to improve. Followup MCUG post ablation of valves and closure of vesicostomy
Newborn boy with oligohydramnios, shortly after delivery respiratory distress requiring ventilation. Renal failure. Massive urinary ascites seen on plain film. MCUG suggested Posterior urethral valves. Ascites and renal function failed to settle on catheter. Vesicostomy and drainage of bilateral perinephic space and ascites caused the child to improve. Followup MCUG post ablation of valves and closure of vesicostomy
Newborn boy with oligohydramnios, shortly after delivery respiratory distress requiring ventilation. Renal failure. Massive urinary ascites seen on plain film. MCUG suggested Posterior urethral valves. Ascites and renal function failed to settle on catheter. Vesicostomy and drainage of bilateral perinephic space and ascites caused the child to improve. Followup MCUG post ablation of valves and closure of vesicostomy
9 month female with palpable Left flank mass. Ultrasound & CT Scan: Left cystic mass, with bilateral hydroureteronephrosis, MCUG no reflux, Mag 3: Left 0% function, 100% Right, non-obstructed primary megaureter. Left nephrectomy for pyonephrosis and observation of Right.
9 month female with palpable Left flank mass. Ultrasound & CT Scan: Left cystic mass, with bilateral hydroureteronephrosis, MCUG no reflux, Mag 3: Left 0% function, 100% Right, non-obstructed primary megaureter. Left nephrectomy for pyonephrosis and observation of Right.
9 month female with palpable Left flank mass. Ultrasound & CT Scan: Left cystic mass, with bilateral hydroureteronephrosis, MCUG no reflux, Mag 3: Left 0% function, 100% Right, non-obstructed primary megaureter. Left nephrectomy for pyonephrosis and observation of Right
9 month female with palpable Left flank mass. Ultrasound & CT Scan: Left cystic mass, with bilateral hydroureteronephrosis, MCUG no reflux, Mag 3: Left 0% function, 100% Right, non-obstructed primary megaureter. Left nephrectomy for pyonephrosis and observation of Right
6 year Male with Classic Bladder Exstrophy, 6 attempts at closure at another hospital, Charity of Kimberley community sent child to Red Cross Hospital. Decision not for further attempts at primary continence. Decision to Augmentation cystoplasty, pelvic osteotomy, Mitrofanoff, CT showed pelvic diastasis
9 year female with primary total incontinence and paradoxical voiding. Ultrasound Left Duplex, IVP & Mag3 shows good upper & lower pole function. Managed with distal uretero-ureterostomy, became continent post op
9 year female with primary total incontinence and paradoxical voiding. Ultrasound Left Duplex, IVP & Mag3 shows good upper & lower pole function. Managed with distal uretero-ureterostomy, became continent post op
Neonate presented with E.Coli septicaemia and renal failure and Potassium 9 mmol/L, MCUG: bilateral Grade 5 reflux into bilateral Duplex kidneys. Mag 3 non-functional right lower pole. R lower pole heminephrectomy done and planned for bilateral ureteric reimplant.
Neonate presented with E.Coli septicaemia and renal failure and Potassium 9 mmol/L, MCUG: bilateral Grade 5 reflux into bilateral Duplex kidneys. Mag 3 non-functional right lower pole. R lower pole heminephrectomy done and planned for bilateral ureteric reimplant.
Neonate presented with E.Coli septicaemia and renal failure and Potassium 9 mmol/L, MCUG: bilateral Grade 5 reflux into bilateral Duplex kidneys. Mag 3 non-functional right lower pole. R lower pole heminephrectomy done and planned for bilateral ureteric reimplant.
Neonate presented with E.Coli septicaemia and renal failure and Potassium 9 mmol/L, MCUG: bilateral Grade 5 reflux into bilateral Duplex kidneys. Mag 3 non-functional right lower pole. R lower pole heminephrectomy done and planned for bilateral ureteric reimplant.
