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.
Similar content being viewed by others
References
Amis ES, Cronan JJ, Pfister RC, Yoder IC (1982) Ultrasonic inaccuracies in diagnosing renal obstruction. Urology 19: 101
Bliesener JA, Ebel KD (1983) Ultraschalluntersuchung der albeitenden Harnwege im Kindesalter. Tagung der Gesellschaft für Pädiatrische Radiologie, Stuttgart
Dinkel E, Peters H, Dittrich M (1983) Sonographische Diagnostik der Harntransportstörungen im Kindesalter. Ultraschall 4: 166
Kass EJ, Majd M, Belman AB (1985) Comparison of diuretic renography and the pressure-perfusion study in children. J Urol 134: 92
Koff SA (1982) Clinical management. In: O'Reilly PH, Gosling JA (eds) Idiopathic hydronephrosis. Springer, Berlin Heidelberg New York, p 115
Koff SA, Shore RM (1983) Diuretic radionuclide urography. Urol Radiol 5: 189
Krueger RP, Ash JM, Silver MM, Kass EJ, Gilmour DJ, Gilday DL, Churchill BM (1980) Primary hydronephrosis. Assessment of diuretic renography, pelvis perfusion pressure, operative findings and renal and ureteral histology. Urol Clin North Am 7: 231
Lupton EW, Testa HJ, Lawson RS, Carroll RNP, Barnard RJ (1979) Diuresis renography and the results of pyeloplasty for idiopathic hydronephrosis. Br J Urol 51: 449
Metreweli C, Furness ME (1983) The echography of pelviureteric junction obstruction in children. Clin Radiol 34: 547
O'Reilly PH, Testa HJ, Lawson RS, Farrar DJ, Charlton-Edwards E (1978) Diuresis renography in equivocal urinary tract obstruction. Br J Urol 50: 76
Rado JP, Banos C, Tako J (1968) Radioisotope renography during frusemide diuresis. Nucl Med 7: 212
Rosenfield AT (1982) Ultrasound evaluation of renal parenchymal disease and hydronephrosis. Urol Radiol 4: 125
Senac MO, Miller JH, Stanley P (1984) Evaluation of obstructive uropathy in children: radionuclide renography vs the Whitaker-Test. AJR 143: 11
Whitfield HN, Britton KE, Hendry WF, Wickham JEA (1979) Frusemide intravenous urography in the diagnosis of pelviureteric junction obstruction. Br J Urol 51: 445
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Ebel, K.D., Bliesener, J.A. & Gharib, M. Imaging of uretero-pelvic junction obstruction with stimulated diuresis. Pediatr Radiol 18, 54–56 (1988). https://doi.org/10.1007/BF02395761
Received:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF02395761