Pyelography (pyelo-ureterography) a study of the normal and pathologic anatomy of the renal pelvis and ureter . Fig. 136.—Inflammatory dilatation in the ureter. 168 PYELOGRAPHY opaque fluid is seen outlining the bladder with the patientin the Trendelenburg position; the fluid has gravitated intothe left ureter to a short distance, and demonstrates thewell-marked inflammatory dilatation. A moderate degree of inflammatory dilatation may easilybe confused with a considerable degree of return flow in anelastic normal ureter. As a rule, however, the outline caused. Fig. 137.—Normal pelvis with retu
Pyelography (pyelo-ureterography) a study of the normal and pathologic anatomy of the renal pelvis and ureter . Fig. 136.—Inflammatory dilatation in the ureter. 168 PYELOGRAPHY opaque fluid is seen outlining the bladder with the patientin the Trendelenburg position; the fluid has gravitated intothe left ureter to a short distance, and demonstrates thewell-marked inflammatory dilatation. A moderate degree of inflammatory dilatation may easilybe confused with a considerable degree of return flow in anelastic normal ureter. As a rule, however, the outline caused. Fig. 137.—Normal pelvis with return flow. by return flow is irregularly distributed along the course ofthe ureter, whereas the dilatation caused by inflammation isuniform. With return flow the lower portion of the ureteris seldom outlined, while with an inflammatory process thedilatation in the lower portion is often outlined better thanin the upper. In Fig. 137 return flow from the pelvis isvisible to a short distance below the ureteropelvic no inflammatory process is present may be inferred INFLAMMATORY DILATATION 169 from the noimal outline of the major and minor Fig. 138 the outline of the well-filled ureter appears solarge that the existence of a moderate degree of inflam-matory dilatation must be inferred. Moreover, the out-lines of the calyces in the pelvis are slightly clubbed, hav-ing changes which occur with an early inflammatory proc-ess. The lack of uniformity in the ureteral outline is the
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectkidneys, bookyear1915
