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Nephroptosis: a Cause of Renal Pain and a Potential Cause of Inaccurate Split Renal Function Determination
Author(s) -
O'REILLY P. H.,
POLLARD A. J.
Publication year - 1988
Publication title -
british journal of urology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.773
H-Index - 148
eISSN - 1464-410X
pISSN - 0007-1331
DOI - 10.1111/j.1464-410x.1988.tb13958.x
Subject(s) - medicine , supine position , renal function , scintigraphy , kidney , presentation (obstetrics) , radiology , urology , nuclear medicine , surgery
Summary— We present 3 cases of nephroptosis encountered in young females over a 6‐month period which posed diagnostic difficulties and gave inaccurate split renal function determinations until the true situation was disclosed. A syndrome is described of clinical presentation with right upper quadrant pain, erect hippuran renography showing an apparently small right kidney and reduced function but with normal time to peak and elimination phase on the curve (the “miniaturised” renogram) and erect and supine DMSA scintigraphy which confirms the diagnosis of abnormal renal mobility. Guidelines are suggested by which nephroptosis can be recognised and assessed in urological and nuclear medicine practice.