AJR AJR Integrative Imaging Dec 2008 articles
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American Journal of Roentgenology, Vol 100, 426-430, Copyright © 1967 by American Roentgen Ray Society

URETERAL VASCULAR IMPRESSIONS

LOUIS P. KIRSCHNER M.D.1 and HOMER L. TWIGG M.D.2

1 Assistant Professor of Radiology
2 Associate Professor of Radiology and Assistant Director, Department of Radiology

With the widespread interest in the diagnosis of renal vascular hypertension, arterial collateral imprints on the upper ureters are recognized. The differential diagnosis for this condition is discussed. In our case, hypoplasia of the left renal artery and a hypoplastic left kidney were present. This renal ischemia produced the patien's hypertension. A tortuous collateral artery arose from the left common iliac artery and, in an ascending patttern, followed the course of the ureter, producing characteristic indentations on the pyelogram. The roentgenographic and isotopic studies that contributed to the diagnosis are presented.


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Copyright © 1967 by the American Roentgen Ray Society.