Spot Radiological Diagnosis

http://jacknaimsnotes.blogspot.com/2010/02/spot-radiological-diagnosis.html

55 years Old Malay Lady complaints of Left lower abdominal pain which is colicky in nature,

relieved by Tab. Tramadol 50 mg, no aggravation factor and no history of trauma.

After an evaluation, she undergone Procedure X. Below is the radiological picture taken after

the procedure.

Question

1) What is the type of radiology picture?

2) What is your finding in the picture?

3) What do you think is the procedure X?

4) What is the indication for procedure X?

5) How long is the finding in the radiological picture be kept in place?

Answer

1) KUB X-Ray

2) Double J tube at the left kidney to the bladder, no evidence of stone formation.

3) Double J Stent

It is a soft tube that is placed during surgery inside ureter that bypasses the passage from

kidney to the urinary bladder. This tube has a curl at both ends designed to prevent the stent

from moving down into the bladder or up into the kidney.

4) Indication for Procedure X

a) Relieve or bypass the blockage in ureter

b) Removal of tumors from either the ureter or the kidney

c) Repair of scars in the ureter

d) Removal of tumors from around the ureter

5) Duration for Double J Stent

Stents usually are not left in for longer than three (3) months.

Reference: "DOUBLE J STENT INSTRUCTIONS", MetroUrology, January 2008