Abstract

CASE REPORT: RIGHT RENAL DYSFUNCTION WITH URETERIC CALCULI MANAGED BY NEPHRECTOMY

*Dr. Shivam Sunil Upadhyay and Dr. Nandkishor Vitthal Borse

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Abstract

Background: Ureteric calculi are a common cause of chronic obstructive uropathy.[1] If not diagnosed and treated in time, they can lead to irreversible renal damage, loss of nephron mass[2], and systemic complications.[3] When renal function is severely compromised, surgical nephrectomy may become the definitive option. Case Presentation: We report a case of a 59-year-old female who presented with a 15-day history of bilateral loin to groin pain, burning micturition, and increased urinary frequency. Imaging revealed a small, atrophic right kidney with two mid-ureteric calculi and mild fullness of the pelvicalyceal system. Renal functional scan demonstrated only 5.26% contribution from the right kidney (GFR: 2.35 mL/min). The left kidney showed compensatory hypertrophy with preserved function. The patient underwent a right nephrectomy with partial ureterectomy under general anaesthesia. The procedure was uneventful. Histopathology confirmed chronic pyelonephritis with severe interstitial fibrosis and tubular atrophy. Conclusion: This case highlights the importance of early detection and timely intervention in chronic obstructive uropathy. Nephrectomy is the definitive and safe treatment for non-functioning kidneys with irreversible damage, aimed at symptom relief and complication prevention.

Keywords: Obstructive uropathy, Ureteric calculi, Nephrectomy.