Obstructive Hydronephrosis with Secondary Urosepsis
Shao-Lun Hsu1,2, Hsin-Yi Liu3,
Chia-Kwung Fan2
1 Medical Education Department, Taipei Tzuchi
University Hospital, New Taipei City, Taiwan
2 Department of Molecular Parasitology and Tropical
Diseases, School of Medicine, College of Medicine, Taipei Medical
University, Taipei, Taiwan
3 Division of Infectious Diseases, Department of
Internal Medicine, Taipei Medical University Hospital, Taipei, Taiwan
A 63-year-old male patient presented to the emergency department due to
fever, dyspnea, and a one-month history of dyspepsia and body weight
loss of 10kg. On examination, decreased blood pressure, costovertebral
angle tenderness with left abdominal palpable mass was notable.
Laboratory studies revealed leukocytosis and renal dysfunction. Urine
analysis showed pyuria, hematuria and proteinuria. There were no reports
of dysuria or a decrease in urine output. CT revealed a gross-dilated
mass lesion with homogeneous contents.