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Stomach ache. Ultrasound results showed Minimal hydronephrosis, Extra-Reneal pelvis is seen. Meaning?

Hello Sir, My brother is 18 years old. He had a bad stomach-ache yesterday and we consulted a doctor today. The Doc asked us to conduct an Ultrasound test and the report was fine except one line:-Minimal hydronephrosis/ Extra-Reneal pelvis is seen on Lt. side. Can you please tell me what is this? Can it be dangerous for him? What should we now (except the medicines precautioned by the doctor)? What are the cares to take? Please....Thanks, Sandeep
Asked On : Sun, 10 Mar 2013
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General Surgeon 's  Response

Thank you for the query.

Minimal hydronephrosis - is simply dilatation of the renal pelvis. Such situation appears when the urine flow is obstructed or impeded due to urinary tract stones or narrow ureter, or compression of the ureter. As your brother has only minimal hydronephrosis, most likely it wont be necessary to do anything with it, however urologist consultation and observation is recomended.

Extrarenal pelvis - means that some part of your brother pelvis lies outside the kidney. If no obstruction is present, no correction is necessary.

Depending of where the pain is located, your brother may suffer from urinary tract stones (lower abdominal pain, radiating to the one side back, frequent urinating, burning while urinating), peptic ulcer (upper middle abdominal pain - upper GI endoscopy is necessary to rule it out), appendicitis (upper middle abdominal pain which after few hours migrates to the lower right abdomen).

I suggest you to consult urologist, have urine analysis and blood work performed.

Hope this will help.
Answered: Wed, 13 Mar 2013
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