title: Acute tubular necrosis complicating bilateral retrograde pyelography.
abstract: 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.
authors.affiliation: Royal North Shore Hospital, NSW.
authors.forename: D W
authors.initials: DW
authors.lastname: Whalley
authors.forename: L S
authors.initials: LS
authors.lastname: Ibels
authors.forename: R P
authors.initials: RP
authors.lastname: Eckstein
authors.forename: J H
authors.initials: JH
authors.lastname: Alexander
authors.forename: R D
authors.initials: RD
authors.lastname: Smith
mesh_terms: 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
chemical_list: D003287:Contrast Media