[Contrast extravasation from the pelvicalycine system during infusion pyelography (author's transl)]. 1978

E Walter, and K J Wolf

Rupture of the pelvicalycine systems is occasionally observed during infusion pyelograms. Twenty such cases are reported. The usual cause was the presence of stones in the ureter leading to urinary tract obstruction and acute pressure rise in the pelvicalycine system. The anatomical and physiological basis for the rupture is outlined. Subsequently our own cases are described. In 13 patients rupture occurred without previous renal abnormality; in these there was always spontaneous healing once the obstruction had been removed. In five patients rupture occurred in a previously damaged kidney; the changes at the point of rupture and the subsequent possible complications are described. Two cases should be mentioned in detail; in these, rupture persisted and lead to the development of a retroperitoneal pseudocyst. Only one similar case is reported in the literature since 1966.

UI MeSH Term Description Entries
D007674 Kidney Diseases Pathological processes of the KIDNEY or its component tissues. Disease, Kidney,Diseases, Kidney,Kidney Disease
D007682 Kidney Pelvis The flattened, funnel-shaped expansion connecting the URETER to the KIDNEY CALICES. Renal Pelvis,Pelvis, Kidney,Pelvis, Renal
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D002199 Capillary Permeability The property of blood capillary ENDOTHELIUM that allows for the selective exchange of substances between the blood and surrounding tissues and through membranous barriers such as the BLOOD-AIR BARRIER; BLOOD-AQUEOUS BARRIER; BLOOD-BRAIN BARRIER; BLOOD-NERVE BARRIER; BLOOD-RETINAL BARRIER; and BLOOD-TESTIS BARRIER. Small lipid-soluble molecules such as carbon dioxide and oxygen move freely by diffusion. Water and water-soluble molecules cannot pass through the endothelial walls and are dependent on microscopic pores. These pores show narrow areas (TIGHT JUNCTIONS) which may limit large molecule movement. Microvascular Permeability,Permeability, Capillary,Permeability, Microvascular,Vascular Permeability,Capillary Permeabilities,Microvascular Permeabilities,Permeabilities, Capillary,Permeabilities, Microvascular,Permeabilities, Vascular,Permeability, Vascular,Vascular Permeabilities
D003560 Cysts Any fluid-filled closed cavity or sac that is lined by an EPITHELIUM. Cysts can be of normal, abnormal, non-neoplastic, or neoplastic tissues. Cyst
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults
D000368 Aged A person 65 years of age or older. For a person older than 79 years, AGED, 80 AND OVER is available. Elderly

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