Point of care kidney ultrasonography and its role in the diagnosis of urinary obstruction: a case report

J Bras Nefrol. 2017 Apr-Jun;39(2):220-223. doi: 10.5935/0101-2800.20170038.
[Article in English, Portuguese]

Abstract

Introduction: Ultrasonography (US) is a rapid, non-invasive and safe procedure that allows the nephrologist to obtain vital information to the bedside, as well as allows to guide the procedures for nephrology practice.

Case report: Male patient, elderly with hypertension, diabetes mellitus and chronic kidney disease presents with infraumbilical protrusion that the Point of Care US (POCUS), performed by the nephrologist, proved to be a large bladder with a diverticulum. In addition, the US enabled the nephrologist to diagnose bilateral hydronephrosis, preservation of the cortico-medullary differentiation and echotexture of the right kidney, post-voiding urinary retention, urinary catheter placement and functional and morphological monitoring of the urinary tract after surgical correction of the infravesical obstruction.

Conclusion: POCUS assessment of the renal tract may become the new standard of care among nephrologists by enabling the expansion of clinical information in a timely fashion, allowing faster resolution of cases and permitting the monitoring of the treatment done.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Humans
  • Hydronephrosis / diagnostic imaging*
  • Male
  • Point-of-Care Systems*
  • Ultrasonography*