Pedicle injury masquerading as renal contusion: A possible urographic pitfall


Renal vascular pedicle injuries are relatively rare, accounting for 1–5% of renal injuries [1]. Intravenous urography is generally the initial procedure used to assess the severity of renal damage and the need for further evaluation. Non-function of the injured kidney is a characteristic finding of renal pedicle injury on excretory urography [1, 2, 3, 4]. This finding generally necessitates further expeditious evaluation with renal arteriography. Opacification of the pelvi-ureteric system during excretory urography generally implies that the renal vascular pedicle is intact and a major renal injury does not exist. We report a case of a major renal vascular injury associated with excretion of contrast at urography—findings mimicking the radiographic features of renal contusion.

DOI: 10.1007/BF02551986

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@article{Rogers1980PedicleIM, title={Pedicle injury masquerading as renal contusion: A possible urographic pitfall}, author={Charles I. Rogers and Ivan Vujic and Gerald M. Rittenberg}, journal={CardioVascular and Interventional Radiology}, year={1980}, volume={3}, pages={184-186} }