Man 51 yo with acute pain at right flank, type colicky pain. History of being treated renal stone of left kidney by operation and ESWL for 2 years.
Emergency ultrasound detected right and left kidney hydronephrosis (US 1, US 2).
CT scanning with CE: CT 1= kidneys no CE.
CT 2 with CE, arterial phase.
CT 3, venous phase.
CT 4, delay phase.
CT 5, frontal view.
CT 7, 3D view.
Blood test: EGFR= 23mL/s.
Discussion: Ultrasound scanning in acute renal colic crisis cannot make diagnosis of A K I ( acute kidney insufficiency); CT non CE with HU low and CE phase in delay secretion that suspected AKI.
Emergent operation was done for removing of the stuck stone in right ureter for this case.