J Korean Radiol Soc.  1983 Mar;19(1):201-216. 10.3348/jkrs.1983.19.1.201.

Radiological evaluation of nonvisualizing kidney on IVP

• Moon JH
• Sung KB
• Cho OK
• Hahm CK

• KMID: 2463222
• DOI: http://doi.org/10.3348/jkrs.1983.19.1.201

Abstract

IVP is simple, noninvasive screening examination of the kidneys and is helpful for evaluation of thefunctional and structural changes if the pyelogram was obtained. Unilateral nonvisualizing kidney may be resultedfrom various diseases that can produce vascular obstruction, functional deterioration of the glomerular filtrationand obstruction of the lower urinary tract. In cases of nonvisualizing kidney further study including RGP, renalangiography, CT, ultrasonography and RI imaging is needed. During the period of 10 years form 1972 to 1981, 100cases of nonvisualizing kidney which could be diagnsoed by other imaging studies. The authors reviews medicalrecords and findings of RGP, renal angiography, CT and ultrasonography of the nonvisualizing kidneys. The resulswere as follows; 1. The material included 53 male and 47 female patients. The age distribution was broad, butmostly in the twenties and fourties of ages. 2. There was no remarkable differences between sides of involvementin both sexes. 3. The underlying diseases of nonvisualizing kidney on IVP were renal tuberculosis(33 patients),ureteral stricture (16 patients), ureteral stone(12 patients), renal tumor(10 patients), pelvic mass(10 patients),chronic pyelonephritis(8 patients), renal agenesis( 5 patients), renal trauma (4 patients), and renal disease ofvascular origin(2 patients ) respectively. 4. RGP was performed in 79 out of 100 cases. RGP was the mostconfirmative diagnostic procedure in cases of inflammatory diseases of the kidney and renal pelvic tumors. 5.Renal angiography as performed in 19 cases. Renal angiography was very helpful in the diagnosis and evaluation ofthe extent of the diseases in 6 cass of renal tumors, 3 cases renal truma, 2 cases of renal vascular diseases and3 cases of renal agenesis. 6. Body CT was performed in one case of renal cell carcioma and other 6 cases ofhydronephrosis mainly from tumors of the pelvic cavity including 4 cervical carcinomas and a bladder carcinoma. CTwas very useful for evaluation of extent of the diseases and regional or intraabdominal distant metastasis in oneexamination. 7. Ultasonography was performed in 18 cases of various diseases.. The size and gross contour of thekidney, hydronephrosis and focal masses were easily detectable with ultrasonography. In these cases, theconfirmative diagnosis could be made by other studies including RGP or Renal Angiographies.

MeSH Terms

Age Distribution
Angiography
Constriction, Pathologic
Diagnosis
Female
Humans
Hydronephrosis
Kidney*
Male
Mass Screening
Neoplasm Metastasis
Ultrasonography
Ureter
Urinary Bladder
Urinary Tract
Vascular Diseases