By Mukesh G. Harisinghani, Arumugam Rajesh
Genitourinary Imaging - A Case dependent strategy is a person pleasant, transportable consultant that gives a complete insurance of the subspecialty with an emphasis on all modalities. As subspecialty perform has turn into the norm in radiology, it turns into more and more very important to maintain abreast of the newest details in the uniqueness that one is training. The case dependent nature of this ebook, with modality self reliant content material, permits the reader to assimilate perform particular info comfortably. complete colour photos with tabular salient issues, imaging algorithms and proof dependent criterion help the textual content. Key issues offer succinct factors of the sickness and a suitable differential prognosis, in addition to delivering a quick description of remedy and analysis. Genitourinary Imaging - A Case dependent process is aimed toward citizens and coaching and working towards genitourinary radiologists.
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Additional resources for Genitourinary Imaging: A Case Based Approach
In crossed fused ectopia, the kidneys are located on the same side of the body and typically the ureter crosses midline to insert into the bladder in the normal anatomic position. Teaching Point 1. Horseshoe kidney is the most common renal fusion anomaly where the kidneys remain in anatomic location with fusion of the lower poles across midline forming an isthmus, located anterior to the abdominal aorta and vertebral bodies. 2. Anomalous renal vasculature and complications including predisposition to traumatic injury, calculi formation, and recurrent infections are important associations of horseshoe kidneys.
3 US demonstrates the sonographic appearance of a horseshoe kidney in a different patient, with the fused segment lying anterior to the abdominal aorta (arrow) Fig. 4 Non-contrast CT scan of the abdomen in the same patient as Fig. 3 demonstrates the presence of a non-obstructing stone within the lower pole of the left kidney (arrow) asymptomatic, however, vague abdominal pain with possible radiation to the back is a possible symptom. On physical examination, a palpable abdominal mass in the midline may be noted.
Diagnosis and Discussion Acute pyelonephritis. Acute pyelonephritis (APN) is the result of infection of renal parenchyma and pelvis which usually spreads in a retrograde fashion from lower urinary tract. Rarely it may also be caused by hematogenous spread and in these cases it is usually due to S. Aureus. Vesicoureteric reflux and underlying renal conditions like calculus disease are predisposing factors. Not all patients suspected of APN warrant imaging. Indications of imaging include high risk patients prone for complications of acute pyelonephritis like diabetics, immunocompromised patients and in presence of obstructive calculus disease.
Genitourinary Imaging: A Case Based Approach by Mukesh G. Harisinghani, Arumugam Rajesh