Abstract
The incidence and significance of intrarenal reflux (pyelotubular backflow) occurring during micturating cystourethrography has been studied in 386 examinations on patients with vesicoureteric reflux. This phenomenon has not been observed in patients over the age of 4 years.
Renal damage having the radiographic appearance of `atrophic pyelonephritic scarring' has been shown in 13 out of 20 kidneys showing intrarenal reflux. In 12 out of these 13 kidneys the damage corresponded exactly to those parts of the kidney in which intrarenal reflux had been evident. We suggest that severe degrees of vesicoureteric reflux and intrarenal reflux form the basis of renal scarring peculiar to `chronic atrophic pyelonephritis'.
Full text
PDF
Images in this article
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Amar A. D. Calicotubular backflow with vesicoureteral reflux. Relation to pyelonephritis. JAMA. 1970 Jul 13;213(2):293–294. [PubMed] [Google Scholar]
- Brodeur A. E., Goyer R. A., Melick W. A potential hazard of barium cystography. Radiology. 1965 Dec;85(6):1080–1084. doi: 10.1148/85.6.1080. [DOI] [PubMed] [Google Scholar]
- Hodson C. J., Craven J. D. The radiology of obstructive atrophy of the kidney. Clin Radiol. 1966 Oct;17(4):305–320. doi: 10.1016/s0009-9260(66)80045-4. [DOI] [PubMed] [Google Scholar]
- Hodson C. J. The effects of disturbance of flow on the kidney. J Infect Dis. 1969 Jul;120(1):54–60. doi: 10.1093/infdis/120.1.54. [DOI] [PubMed] [Google Scholar]
- Maling T. M., Rolleston G. L. Intra-renal reflux in children demonstrated by micturating cystography. Clin Radiol. 1974 Jan;25(1):81–85. doi: 10.1016/s0009-9260(74)80101-7. [DOI] [PubMed] [Google Scholar]
- Mellins H. Z. Chronic pyelonephritis and renal medullary necrosis. Semin Roentgenol. 1971 Jul;6(3):292–309. doi: 10.1016/0037-198x(71)90040-x. [DOI] [PubMed] [Google Scholar]
- Rolleston G. L., Shannon F. T., Utley W. L. Relationship of infantile vesicoureteric reflux to renal damage. Br Med J. 1970 Feb 21;1(5694):460–463. doi: 10.1136/bmj.1.5694.460. [DOI] [PMC free article] [PubMed] [Google Scholar]