Pyelography (pyelo-ureterography) a study of the normal and pathologic anatomy of the renal pelvis and ureter . Fig. 53.—Abnormal p()>i(ion of the kidney. outline of the ureter made by an injected fluid, as a rule, ismore exact than the one made by a shadow-casting or less angulation of the ureter is to be expected withthe patient in the erect position. It is of more importanceif the angulation is present in a dorsal or slightly Trendel-enburg position. In other words, permanent angulation,when marked in spite of the position, would be indicativeof possible obstruction, partic
Pyelography (pyelo-ureterography) a study of the normal and pathologic anatomy of the renal pelvis and ureter . Fig. 53.—Abnormal p()>i(ion of the kidney. outline of the ureter made by an injected fluid, as a rule, ismore exact than the one made by a shadow-casting or less angulation of the ureter is to be expected withthe patient in the erect position. It is of more importanceif the angulation is present in a dorsal or slightly Trendel-enburg position. In other words, permanent angulation,when marked in spite of the position, would be indicativeof possible obstruction, particularly if evidence of dilata- ABNORMAL POSITION 87 tion in the pelvis is present. In Fig. 53 the right pelvis issituated opposite the fifth lumbar vertebra. The calycesare normal, and thus demonstrate that no marked ureteralobstruction is present. The course of the ureter is outlinedby the opaque catheter. If silver solution had outlinedits course, it would have been more tortuous and wouldnot have been displaced so far to the left. In Fig. 54 marked. Fig. 54.—Abnormal position of kidney. angulation of the ureter is visible a short distance belowthe ureteropelvic juncture. The dilatation of the ureterabove this point, as well as the evidence of dilatation in thecalyces, demonstrates the existence of actual Fig. 55 the right pelvis lies distinctly lower than the acute angulation of the right ureter may be seen a shortdistance below the ureteropelvic juncture, in contrast tothe normal course of the left ureter. The absence, however. 88 PYELOGRAPHY
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectkidneys, bookyear1915
