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Pediatric Radiology

, Volume 18, Issue 1, pp 54–56 | Cite as

Imaging of uretero-pelvic junction obstruction with stimulated diuresis

With consideration of the reliability of ultrasonography
  • K. -D. Ebel
  • J. A. Bliesener
  • M. Gharib
Originals

Abstract

Eighty-nine kidneys of 81 infants and children with uretero-pelvic junction obstruction were investigated using ultrasonography (US), diuretic urography (DUR) and diuretic renography (DREN). Results of the US were false-negative in 14%. This can be avoided by ensuring that the patients get an amount of fluid appropriate to their age before the examination or by performing diuretic ultrasonography with frusemide. False-positive results were found with US in 15%, but obstruction was excluded by using the DUR and/or the DREN. During post-operative follow up the DUS is useful and after 6 months the clearance with 123-iodine hippurate combined with the DREN should be performed. The performance of the Whitaker-test is unnecessary.

Keywords

Public Health Hippurate Frusemide Diuretic Renography 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer-Verlag 1988

Authors and Affiliations

  • K. -D. Ebel
    • 1
    • 3
  • J. A. Bliesener
    • 1
  • M. Gharib
    • 2
  1. 1.Department of RadiologyChildren's Hospital of CologneCologneFRG
  2. 2.Division of Pediatric Urology, Department of Pediatric SurgeryChildren's Hospital of CologneCologneFRG
  3. 3.Röntgenabteilung Kinderkrankenhaus der Stadt KölnKöln 60FRG

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