Pyelography (pyelo-ureterography) a study of the normal and pathologic anatomy of the renal pelvis and ureter . Fig. 264-.—Renal tumor—polycystic kidney. position and axis of the pelvis; (4) inflammatory changesconsequent to secondary infection. Obliteration of the calyces may be confined to but oneportion of the pelvis, leaving one or more calyces well out-lined. The partial or complete obliteration of the calycesis caused by the encroachment of the cortical cysts. As arule, the degree of deformity increases with the size andnumber of the cysts. Occasionally only the remnant of one 280 PYELOG


Pyelography (pyelo-ureterography) a study of the normal and pathologic anatomy of the renal pelvis and ureter . Fig. 264-.—Renal tumor—polycystic kidney. position and axis of the pelvis; (4) inflammatory changesconsequent to secondary infection. Obliteration of the calyces may be confined to but oneportion of the pelvis, leaving one or more calyces well out-lined. The partial or complete obliteration of the calycesis caused by the encroachment of the cortical cysts. As arule, the degree of deformity increases with the size andnumber of the cysts. Occasionally only the remnant of one 280 PYELOGKAPHY calyx will remain, giving the outline of the pelvis a peculiarrounded form; again, the encroachment of the cysts mayaffect all the calyces and so compress the pelvis as to give it acylindric outline. Complete obliteration of the pelvis it-self, such as occurs with neoplasm, would hardly be Fig. 264 the outline of the true pelvis is oval. The calyces. Fig. 265.—Renal tumor—polycystic kidney. are dimly outlined and almost obliterated. The pelvicoutline is typical of polycystic kidney. In Fig. 265 theright pelvis is displaced downward and median. The out-line of the true pelvis is irregularly oblong, and the calycesare largely obliterated. The course of the ureter may beobserved extending over the vertebral column as a curveddim streak. It is evidently displaced by the cystic enlarge- RENAL TUMOR 281 ment in the lower pole of the kidney. In Fig. 2(30 the leftpelvis is markedly compressed by the multiple cysts, sothat but a narrow streak remains. The calyces are com-pletely obliterated, and the true pelvis markedly flattenedand elongated. Upward and lateral displacement of thekidney is evident. The right pelvis shows abbreviation of


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Keywords: ., bookcentury1900, bookdecade1910, booksubjectkidneys, bookyear1915