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American Journal of Roentgenology, Vol 128, Issue 5, 729-732
Copyright © 1977 by American Roentgen Ray Society

Articles

Angiographic patterns of posttraumatic renal scarring

JB Naidich, TP Naidich, RM Publowski, RS Waldbaum, RA Hyman, and HL Stein

Evaluation of 19 patients with a history of renal trauma revealed three angiographic features helper in the diagnosis of posttraumatic renal scarring: (1) a cup-shaped renal contour defect characterized by smooth margins, infolding of the renal cortex, and extension of the calyces to the edge of the defect; (2) occlusion of an extra- or intrarenal artery associated with a distal avascular zone of infarction; and (3) a grossly heterogeneous nephrogram characterized by scattered islands of renal tissue separated by broad or narrow avascular scars. Limited pathologic correlation suggests that the cup-shaped contour defect reflects subcapsular hemorrhage and that the mottled, heterogeneous nephrogram reflects a shattered kidney.
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Copyright © 1977 by the American Roentgen Ray Society.