Case 48-1979

Presentation of CaseA 40-year-old woman, para 3, gravida 3, was admitted to the hospital because of left ureteral obstruction.She was well until six years earlier, when a urinary-tract infection developed. An intravenous pyelographic examination in Portugal was reported to be negative. She experienced dyspareunia, and repeated urinary-tract infections occurred during the next few years. Four years before admission another intravenous pyelographic examination was reported to show an abnormality of the left ureter. Twenty-six months before entry, shortly after immigration to this country, she was first seen at this hospital, where examination revealed that the blood pressure was 180/120 . . .