Intrarenal reflux: diagnosis with contrast-enhanced harmonic US

被引:25
作者
Darge, K
Trusen, A
Gordjani, N
Riedmiller, H
机构
[1] Wuerzburg Univ Hosp, Dept Pediat Radiol, D-97080 Wurzburg, Germany
[2] Wuerzburg Univ Hosp, Dept Pediat Nephrol, D-97080 Wurzburg, Germany
[3] Wuerzburg Univ Hosp, Dept Urol, D-97080 Wurzburg, Germany
关键词
urinary; kidney; bladder; vesicoureteric reflux; intrarenal reflux; ultrasound;
D O I
10.1007/s00247-003-1050-2
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
The objective of this case report is to demonstrate the possibility of visualizing intrarenal reflux (IRR) In children using contrast-enhanced harmonic voiding urosonography (VUS). A 10-month-old girl underwent VUS as part of the work-up of acute pyelonephritis of the right kidney. Before and after intravesical administration of US contrast medium (Levovist) the urinary tract was scanned in harmonic imaging mode. Bilateral vesicoureteric reflux was detected (right grade IV, left grade 111). Moreover, at the height of the reflux the right kidney parenchyma turned markedly echogenic, corresponding to massive IRR. The voiding cystourethrography that followed confirmed the results of the VUS.
引用
收藏
页码:729 / 731
页数:3
相关论文
共 8 条
[1]   OBSERVATIONS ON VESICO-URETERIC REFLUX AND INTRA-RENAL REFLUX - REVIEW AND SURVEY OF MATERIAL [J].
CREMIN, BJ .
CLINICAL RADIOLOGY, 1979, 30 (06) :607-621
[2]   Reflux in young patients: Comparison of voiding US of the bladder and retrovesical space with echo enhancement versus voiding cystourethrography for diagnosis [J].
Darge, K ;
Troeger, J ;
Duetting, T ;
Zieger, B ;
Rohrschneider, W ;
Moehring, K ;
Weber, C ;
Toenshoff, B .
RADIOLOGY, 1999, 210 (01) :201-207
[3]   Contrast-enhanced harmonic imaging for the diagnosis of vesicoureteral reflux in pediatric patients [J].
Darge, K ;
Zieger, B ;
Rohrschneider, W ;
Ghods, S ;
Wunsch, R ;
Troeger, J .
AMERICAN JOURNAL OF ROENTGENOLOGY, 2001, 177 (06) :1411-1415
[4]   Reduction in voiding cystoruethrographies after the introduction of contrast enhanced sonographic reflux diagnosis [J].
Darge, K ;
Ghods, S ;
Zieger, B ;
Rohrschneider, W ;
Troeger, J .
PEDIATRIC RADIOLOGY, 2001, 31 (11) :790-795
[5]  
Gotoh T, 1991, Nihon Hinyokika Gakkai Zasshi, V82, P1480
[6]  
Ransley PG, 1978, BRIT J RADIOL S, V14, P1
[7]  
RIZZONI G, 1986, ANN RADIOL, V29, P415
[8]  
von Rohden L., 1995, PAEDIAT PRAX, V49, P49