Hydronephrosis

Hydronephrosis, in abdominal ultrasound, refers to the swelling of a kidney due to a buildup of urine. This occurs when there’s an obstruction in the urinary tract, preventing proper drainage. Common causes include kidney stones, tumors, or strictures, leading to dilation of the renal pelvis and calyces. Early detection via abdominal ultrasound is crucial to prevent irreversible kidney damage, as it provides non-invasive visualization of the urinary system and identifies the level of obstruction.

Medical ultrasound is essential for diagnosing hydronephrosis, offering real-time imaging that helps differentiate between various etiologies. Sonographers can assess the severity of kidney swelling, monitor progression, and guide interventions like stent placement. For accurate abdominal imaging, identifying hydronephrosis is key for timely management and preserving renal function, making it a critical aspect of diagnostic sonography.

Clinical Author

Bruno Vargas is originally from Mexico City. He first trained as an Emergency Medical Technician at la Universidad Panamericana (UP) before starting medical school at la Universidad Nacional Autónoma de México (UNAM) in Mexico City. Later he did his social service year in the Sierra Madre of Chiapas with Partners in Health Mexico/Compañeros en Salud (CES) in 2019, where he was trained in Global Health, social medicine, and introduced to Point of Care Ultrasound (POCUS). At that moment while working in a resource-limited setting he became passionate about POCUS. He graduated as a general practitioner, and afterward stayed with CES during the pandemic as part of the COVID-19 task force, training community healthcare workers and “pasantes” (first-year doctors doing their year of social service). He finished the Ultrasound Leadership Academy (ULA) fellowship and has started a POCUS training program at his site with midwives, nurses, doctors, and trainees from these areas. He is currently doing a Global Health Fellowship with HEAL as a site fellow in Chiapas with CES. He has committed to a lifelong career in global health providing healthcare access to the most marginalized communities. He has a profound respect and admiration for nature and loves any kind of outdoor activities, especially bicycling, high mountain, and scuba-diving.

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