Definition
Intermittent hydronephrosis with diuretic spells - d.t.
excessively mobile kidney which causes intermittent kinking of the
ureter - with intermittent release of the obstruction.
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Pathology
Transplantation for the loin pain-hematuria syndrome calls to mind
nephropexy for Dietl's crisis, a procedure that was fairly common in
the 1960s. It was presumed that a redundant ureter could kink,
obstruct the flow of urine and cause pain like that of renal colic.
Surgical fixation of the kidney to the psoas muscle was carried out
to eliminate the kink and cure the pain. The diagnosis is no longer
made and the procedure no longer performed.
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