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ARTICLE |

Nonvisualization or Nonfunctioning of One Kidney on Intravenous Pyelogram

Jack M. Korsower, MC; Maurice M. Reeder, MC
JAMA. 1975;232(7):746-747. doi:10.1001/jama.1975.03250070042026.
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Common 

  1. [Ectopic kidney]

  2. Fractured kidney

  3. Neoplasm

  4. Obstruction of ureter (eg, calculus, stricture, neoplasm)

  5. Renal artery obstruction (eg, stenosis, thromboembolism, trauma)

Uncommon 

  1. Absent kidney (congenital, postnephrectomy)

  2. Arteriovenous fistula of kidney

  3. Multicystic kidney

  4. Renal vein obstruction (eg, thrombosis, tumor)

  5. Tuberculosis and other severe infection (eg, xanthogranulomatous pyelonephritis)

    (Entity in brackets may be confused roentgenographically with nonvisualization or nonfunction of a kidney.)

Diagnosis  Unilateral multicystic kidney.

Comment  The right-flank calcifications in this patient were first noted on a plain film of the abdomen obtained when she was admitted with a "flu-like" syndrome. A subsequent intravenous pyelogram (IVP) (Fig 1) showed lack of excretion on the right side.In discussing the differential diagnosis of nonvisualization of nonfunction of one kidney, only a few members of this Gamut need be seriously considered. Ectopic kidney is usually evident on the IVP and certainly at angiography

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