Estenosis pieloureteral

Abstract

The current degree study detailed a case presented at the IESS Hospital in Latacunga, a 28-yearold female patient with a history of recurrent urinary infection and left lumbar pain. Physical examination revealed thermal increase of 38 degrees Celsius and tenderness at upper and middle left renal points. Laboratory studies reported an examination of infectious urine and normal renal function; the ultrasound indicated a left kidney pyelocaliceal dilatation with preserved renal parenchyma, hospitalization was decided for management, control and treatment of urinary tract infection due to a history of recidivism and to arrive at the diagnosis of origin. Imagine test were performed that suggested the presence of an anomalous vessel in the proximal ureter of the left kidney. As an initial treatment for stenosis of the ureter, placement of a left double J catheter was decided. Currently, the patient with a favorable response to treatment maintains the double J catheter on the left side, with periodic control of renal function awaiting surgical resolution. It was concluded that the most accurate diagnostic means are those imaging.