Computed tomography detected pyelovenous backflow associated with complete ureteral obstruction.

INTRODUCTION

Pyelovenous backflow is a rare condition resulting from an increase in pressure in the renal pelvis due to urinary obstruction.

CASE PRESENTATION: A 49-year-old woman developed high-grade fever and right-sided hydronephrosis after undergoing hysterectomy. Although the hydronephrosis was mild, retrograde pyelography revealed complete obstruction of the right ureter. Excretory phase scans of contrast-enhanced computed tomography showed pyelovenous backflow, which presumably decompressed the hydronephrosis. The pyelovenous backflow immediately disappeared after ureteroneocystostomy.

CONCLUSION

We were presented with a patient showing pyelovenous backflow detected by contrast-enhanced computed tomography, which completely disappeared after ureteral obstruction release.