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KMID : 0378019730160120065
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New Medical Journal
1973 Volume.16 No. 12 p.65 ~ p.70
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Angiography in Renal Tuberculosis
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崔斗石/Choi, D.S.
河海求/金載敞/金基延/Hah, H.K./Kim, J.C./Kim, K.J.
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Abstract
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Angiography of a total 40 patients, examined during the period 1960-1970, were reviewed. Abdominal angiography was performed via the femoral route or followed by selective nephroangiography under the circumstances.
All patients were subjected to urography prior to angiography.
The results of the X-ray findings in the forty cases with renal tuberculosis were as follows.
1. The age varied from 18 to 57 years, average 30.5 years. Twenty one patients were male, nineteen patients were female.
2. The involved kidneys were Rt. side 17 cases, Lt. side 15 cases, both sides 8 cases.
3. The urographic examination revealed pathologic changes in all patients.
4. Areas of destiuction in the collecting sytem were the most common findings in the urography 16
patients (40%).
5. A varying degree of hydronephrosis was present in 15 patients, of whom nine cases have complained palpable mass due to hydronephrosis.
6. In 7 patients with extensive destruction there was no obse-rvable excretion of contrast medium from the diseased kidney.
7. The angiographic examination was considered to be normal in 6 of the 40 patints.
8. A decreased vascularity in the affected cases was most frequent findings in the subsegmental or smaller arteries and occurred in 34 patients (85%).
9. Occlusions or abrupt terminations of the subsegmental Arteries were present in 4 patients.
10. Eighteen of patients had signs of an expansive process within the cavity, the vessels being displaced and stretched around the lesion.
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