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ACUTE TUBULAR NECROSIS COMPLICATING BILATERAL RETROGRADE PYELOGRAPHY
Author(s) -
WHALLEY D. W.,
IBELS L. S.,
ECKSTEIN R. P.,
ALEXANDER J. H.,
SMITH R. D.
Publication year - 1987
Publication title -
australian and new zealand journal of medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.596
H-Index - 70
eISSN - 1445-5994
pISSN - 0004-8291
DOI - 10.1111/j.1445-5994.1987.tb00116.x
Subject(s) - medicine , intravenous pyelography , etiology , pyelogram , urinary system , acute tubular necrosis , necrosis , complication , radiology , surgery , kidney , pathology
Acute renal failure following retrograde pyelography is a rare occurrence. The mechanisms reported have focused upon urinary tract obstruction either at an intrarenal or ureteric kevel. This report describes the first biopsy‐proven case of acute tubular necrosis complicating retrograde pyelography. We propose the etiology to be direct tubular toxicity resulting from pyelolymphatic reflux of contrast. (Aust NZ J Med 1987; 17: 536–538).