Acta
Medica Medianae
Vol. 42
Number 4, Oktobar, 2003
UDK 61
YU ISSN 0365-4478
Kontakt:
Rade R.
Babić
Institut za radiologiju Kliničkog centra
Brace Taskovica 48
18000 Niš, Srbija i Crna Gora
Tel.: 018/325-366 |
RENAL PAPYLAR NECROSIS - RADIOLOGICAL
PRESENTATION
Rade R. Babic
Institut
za radiologiju Kliničkog centra u Nišu
Renal papylar necrosis is rare desease. It is diagnosed by intravenous
urography. Radiological presentation is patognomonical: necrotis focus
of the papila, on the urogram is visualised as a punctiformne, blot spot
of the iodine contrast, or the depots of the iodine contrast are spread
from the edge of fornix to the renal medulla as a ribbon-like or
needle-shaped formations, apearing
in a late phase of illness like a crebs legs or feeler, sometimes
convergning in the oreol or in ring-shaped formation, while necrotic
sequestar is resorbed formating the cavity filled by iodine contrast,
which has trigonal shape with the lateral basis, or necrotican sequestar
can be removed
with the chanal system obstruction, presenting with the picture of
ureterohydronephrosis, caused by the organic concrement. In the late
stadium of the desease necrotic cavity can present with calcified wall
and it can be diagnoses also at the native radiogram of the urotract.
Acta Medico Medianae 2003; 42(4):65-68.
Key words: papylar necrosis, urogram, iodine contrast,
intravenous urography |