DailyDx: Our Patient Presents with Right Iliac Fossa Pain

December 19, 2011

These ultrasound images show right hydroureter with hydronephrosis. What else do you see and what is the cause?

This young woman has a history of right ureteric calculus.  She is currently presenting with a history of right iliac fossa pain.

These ultrasound images show right hydroureter with hydronephrosis.

What else do you see in the images and what is the cause of these findings?

(Click to enlarge images)

What is your diagnosis?  Add your thoughts below!
Check your answer.

 

The diagnosis of this young woman with a history of right ureteric calculus and right iliac fossa pain is: a urinoma due to leak from the right ureter.

Differential diagnosis are:

1) PID (pelvic inflammatory disease)

2) salpingitis

We challenge you to stump your colleagues! Send us your images.