Return of Function of a Kidney Not Visualized on Intravenous Pyelogram for 1½ Years

Abstract

RADICAL surgery for cancer often creates situations which permit physiological studies not related to the neoplasm itself. In the case herein reported, it was possible to study certain aspects of return of renal function after prolonged partial and then total ureteral occlusion. Report of a Case A 56-year-old Negro woman (11-61-84) had had a hysterectomy and node dissection for grade 1 and in situ epidermoid carcinoma of the cervix in July of 1951. Because the question of injury of the left ureter near the bladder arose during the operation, a ureteral catheter was introduced and brought out through a cystostomy wound. Her postoperative course was uneventful and she had been followed closely in the Out-Patient Clinics of Memorial Hospital showing intermittent mild hypertension, but otherwise well without evidence of recurrence. Intravenous pyelogram (IVP) periodically obtained after hysterectomy revealed progressive hydronephrosis of the left kidney with dilation of the ureter down