Skip to main content
SpringerLink
Log in

A Nautilus kidney

  • Images in Nephrology
  • Published:
Clinical and Experimental Nephrology Aims and scope Submit manuscript

A Correction to this article was published on 11 August 2020

This article has been updated

Abstract

We report a 71-year-old woman who presented with unilateral flank pain and sepsis. A computed tomographic (CT) scan demonstrated left-sided hydronephrosis. Subsequent percutaneous nephrotomy drainage showed pus-like material, confirming the diagnosis of pyonephrosis. The ureteral stricture was caused by previous radiation injury for cervical cancer in this ESRD patient who was on chronic dialysis for years. In our case, the grade IVB hydronephrosis is a result of an extremely atrophic kidney, pyonephrosis, and ureteral stricture. The CT section of pyonephrosis in an extremely atrophic kidney resembles a sagittal section of a Nautilus shell, as the shell corresponds to the diffusely thinned renal cortex.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2

Copyright acquired from Shutterstock.com (Artist: James Mattil)

Similar content being viewed by others

Change history

  • 11 August 2020

    In the original publication of the article, the second sentence under the heading, Case presentation appears incorrectly as A computed tomographic (CT) scan demonstrated left-sided hydronephrosis (Fig. 1).

References

  1. Nguyen HT, Herndon CD, Cooper C, Gatti J, Kirsch A, Kokorowski P, et al. The Society for Fetal Urology consensus statement on the evaluation and management of antenatal hydronephrosis. J Pediatr Urol. 2010;6(3):212–31. https://doi.org/10.1016/j.jpurol.2010.02.205.

    Article  PubMed  Google Scholar 

  2. Sibai H, Salle JL, Houle AM, Lambert R. Hydronephrosis with diffuse or segmental cortical thinning: impact on renal function. J Urol. 2001;165(6 Pt 2):2293–5. https://doi.org/10.1097/00005392-200106001-00019.

    Article  CAS  PubMed  Google Scholar 

Download references

Acknowledgements

This work was in part supported financially for research purposes by the "Yin Yen-Liang Development and Construction Plan" of the School of Medicine, National Yang-Ming University, Taipei, Taiwan (107F-M01-0504), the Ministry of Science and Technology, Taipei, Taiwan (MOST 108-2633-B-009-001), Taipei Veterans General Hospital, Taipei, Taiwan (V106D25-003-MY3 and VGHUST109-V5-1-2), and the "Center for Intelligent Drug Systems and Smart Bio-devices (IDS2B)" from The Featured Areas Research Center Program, MOE in Taiwan.

Author information

Authors and Affiliations

  1. Faculty of Medicine, School of Medicine, National Yang-Ming University, Taipei, Taiwan

    Bo-Sheng Wu & Chih-Yu Yang

  2. Division of Nephrology, Department of Medicine, Taipei Veterans General Hospital, No. 201, Section 2, Shih-Pai Road, Taipei, 11217, Taiwan

    Yang Ho & Chih-Yu Yang

  3. Institute of Clinical Medicine, School of Medicine, National Yang-Ming University, Taipei, Taiwan

    Chih-Yu Yang

  4. Stem Cell Research Center, National Yang-Ming University, Taipei, Taiwan

    Chih-Yu Yang

  5. Center for Intelligent Drug Systems and Smart Bio-devices (IDS2B), Hsinchu, Taiwan

    Chih-Yu Yang

Authors
  1. Bo-Sheng Wu
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Yang Ho
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Chih-Yu Yang
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Chih-Yu Yang.

Ethics declarations

Conflict of interest

All authors declared that they have no conflicts of interest and results in this paper have not been published previously.

Ethical approval

This article does not contain any studies with human participants or animals.

Informed consent

Informed consent was obtained from individual subjects included in this study.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Wu, BS., Ho, Y. & Yang, CY. A Nautilus kidney. Clin Exp Nephrol 24, 971–972 (2020). https://doi.org/10.1007/s10157-020-01915-7

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10157-020-01915-7

Keywords

Search

Navigation