Angiography in the diagnosis of nephrotuberculosis

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Abstract

We have undertaken work to find the most simplified method of angiographic studies in phthisiourological practice using conventional stationary X-ray machines.

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About the authors

V. I. Krylov

M3 TASSR; City hospital No. 9

Author for correspondence.
Email: info@eco-vector.com

Phthisiourological department of the Republican Tuberculosis dispensary; urological department

Russian Federation, Leningrad

A. G. Shapkin

M3 TASSR; City hospital No. 9

Email: info@eco-vector.com

Phthisiourological department of the Republican Tuberculosis dispensary; urological department

Russian Federation, Leningrad

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2. Fig. 1. Radiographs of the lumbar region S., 32 years old. Tuberculosis of the right kidney, stricture of the pelvic part of the right ureter. A - delayed (after 1 hour) intravenous urogram. Radiological changes were interpreted as a cavernous lesion of the upper segment of the kidney. B - arterionephrographic phase of transfemoral aortorenovasography in the same patient. Final diagnosis: cavernous tuberculosis of the lower segment of the right kidney, stricture of the pre-bubble part of the right ureter. Resection of the lower segment, ureteropyelostomy were performed. Recovery

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3. Fig. 2. Radiographs of the lumbar region V., 36 years old. A- according to the infusion urogram and bacteriological studies, the diagnosis was made: tuberculous papillitis of both kidneys with a predominant lesion of the right. Long-term antibacterial therapy proved ineffective, there was doubt about the form of the lesion. B - nephrographic phase of renal angiography in the same patient. Final diagnosis: cavernous tuberculosis of the upper segment of the right kidney. Resection of the upper segment of the right kidney was performed, which confirmed the preoperative diagnosis. Smooth postoperative course. Recovery.

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