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Part of the book series: Syllabus ((SYLLABUS))

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Abstract

The diagnosis of urinary tract obstruction depends on showing increased resistance to flow along the urinary tract. Such increased resistance causes proximal dilatation (obstructive uropathy) and secondary functional effects on the kidney (obstructive nephropathy) with associated nephron damage and parenchymal atrophy (obstructive atrophy) [1]. Ultrasonography (US), intravenous urography (IVU), computed tomography (CT) and magnetic resonance imaging (MR) diagnose obstruction largely by showing the anatomical consequences of obstruction, namely the dilatation of the pelvicalyceal system and ureter proximal to the obstructing lesion. Some limited functional information may be obtained from the pattern of contrast medium excretion with IVU, CT and MR and from Doppler US examination. Scintigraphy, however, provides direct functional evidence of obstruction.

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References

  1. Talner LB (1992) Urinary obstruction. In: Grainger RG, Allison DJ (eds) Diagnostic radiology, 2nd edn. Churchill Livingstone, Edinburgh

    Google Scholar 

  2. Svedstrom E et al (1990) Radiologic diagnosis of renal colic: the role of plain films, excretory urography and sonography. Eur J Radiol 11:180–183

    Article  PubMed  CAS  Google Scholar 

  3. Laing FC et al (1985) Ultrasound versus excretory urography in evaluating acute flank pain. Radiology 134: 613–616

    Google Scholar 

  4. Dalla Palma L et al (1993) Ultrasonography and plain film versus intravenous urography in ureteric colic. Clin Radiol 47: 333–336

    Article  PubMed  Google Scholar 

  5. Scola FH et al (1989) Grade hydronephrosis: pulsed doppler US evaluation. Radiology 171: 519–520

    PubMed  CAS  Google Scholar 

  6. Burge HJ et al (1991) Ureteral jets in healthy subjects and in patients with unilateral ureteral calculi: comparison with colour Doppler US. Radiology 180: 437–442

    PubMed  CAS  Google Scholar 

  7. Rodgers PM et al (1992) Intrarenal Doppler ultrasound studies in normal and acutely obstructed kidneys. Br J Radiol 65: 207–212

    Article  PubMed  CAS  Google Scholar 

  8. Naidich JB et al (1986) Non-dilated obstructive uropathy: percutaneous nephrostomy performed to reverse renal failure. Radiology 160: 653–659

    PubMed  CAS  Google Scholar 

  9. Maillet PJ et al (1986) Non-dilated obstructive acute renal failure: diagnostic procedures and therapeutic management. Radiology 160: 659–662

    PubMed  CAS  Google Scholar 

  10. Whitfield HN et al (1979) Frusemide intravenous urography in the diagnosis of the pelviureteric junction obstruction. Br J Urol 51: 445–448

    Article  PubMed  CAS  Google Scholar 

  11. Talner LB et al (1981) How accurate is ultrasonography in detecting hydronephrosis in azotaemic patients? Urol Radiol 3:1–6

    Article  PubMed  CAS  Google Scholar 

  12. Webb JAW et al (1984) Can ultrasound and computed tomography replace high dose urography in patients with impaired renal function? Quart J Med 53: 411–425

    PubMed  CAS  Google Scholar 

  13. Webb JAW et al (1990) Review: ultrasonography in the diagnosis of renal obstruction. Br Med J 301: 944–946

    Article  CAS  Google Scholar 

  14. Bosniak MA et al (1982) Computed tomography of ureteral obstruction. Am J Roentgenol 138:1107–1113

    CAS  Google Scholar 

  15. Pollack HM et al (1981) Computed tomography of renal pelvic filling defects. Radiology 138: 645–651

    PubMed  CAS  Google Scholar 

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© 1996 Springer-Verlag Italia, Milano

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Webb, J.A.W. (1996). Imaging of Urinary Tract Obstruction. In: Dalla Palma, L. (eds) Chest, Musculoskeleton, G.I. and Abdomen, Urinary Tract. Syllabus. Springer, Milano. https://doi.org/10.1007/978-88-470-2225-6_29

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  • DOI: https://doi.org/10.1007/978-88-470-2225-6_29

  • Publisher Name: Springer, Milano

  • Print ISBN: 978-3-540-75019-2

  • Online ISBN: 978-88-470-2225-6

  • eBook Packages: Springer Book Archive

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