Acute tubular necrosis complicating bilateral retrograde pyelography.
Acute renal failure following retrograde pyelography is a rare occurrence. The mechanisms reported have focused upon urinary tract obstruction either at an intrarenal or ureteric level. This report describes the first biopsy-proven case of acute tubular necrosis complicating retrograde pyelography. We propose the etiology to be direct tubular toxicity resulting from pyelolymphatic reflux of contrast.
Whalley
D W
DW
Royal North Shore Hospital, NSW.
Ibels
L S
LS
Eckstein
R P
RP
Alexander
J H
JH
Smith
R D
RD
D058186:Acute Kidney Injury / Q000209:etiology*; D001002:Anuria / Q000209:etiology*; D003287:Contrast Media / Q000009:adverse effects; D006801:Humans; D007668:Kidney / Q000000981:diagnostic imaging*; D007683:Kidney Tubular Necrosis, Acute / Q000209:etiology*; D008297:Male; D008875:Middle Aged; D011859:Radiography
D003287:Contrast Media