Fraley's syndrome: case report and update on current diagnostic methods
A 38-year-old woman presented with fever, right flank pain, and a clinical diagnosis of pyelonephritis. Work-up revealed the presence of a crossing arterial branch causing obstruction of the superior infundibulum of the right kidney, which is an uncommon cause of nephralgia and urinary infection initially described by Fraley in 1966. Intravenous urography, retrograde pyelography, and angiography remain the mainstay of diagnosis, much as in the initial descriptions of this entity. (/sup 131/I)Hippuran imaging, with analysis of the upper and lower pole regions of interest, provides a simple yet powerful method of evaluating functional and excretory changes in the superior infundibulum, and has proved more efficacious than previously reported whole-kidney renograms. Renal scintigraphy represents a relatively noninvasive method of serial functional examination in this disorder. Ultrasound imaging, by monitoring upper-pole dilatation, may provide complementary morphologic information important for long-term follow-up.
- Research Organization:
- Albert Einstein College of Medicine, Bronx, NY (USA)
- OSTI ID:
- 6581733
- Journal Information:
- Urol. Radiol.; (United States), Vol. 10:2
- Country of Publication:
- United States
- Language:
- English
Similar Records
Upper urinary tract urothelial carcinoma on multidetector CT: spectrum of disease
Single visit captopril renography for the diagnosis of curable renovascular hypertension (RVH)
Related Subjects
BIOMEDICAL RADIOGRAPHY
ACCURACY
SCINTISCANNING
ULTRASONOGRAPHY
UROGENITAL SYSTEM DISEASES
DIAGNOSIS
HIPPURAN
IODINE 131
KIDNEYS
BETA DECAY RADIOISOTOPES
BETA-MINUS DECAY RADIOISOTOPES
BODY
CONTRAST MEDIA
COUNTING TECHNIQUES
DAYS LIVING RADIOISOTOPES
DIAGNOSTIC TECHNIQUES
DISEASES
INTERMEDIATE MASS NUCLEI
IODINE ISOTOPES
ISOTOPES
MEDICINE
NUCLEAR MEDICINE
NUCLEI
ODD-EVEN NUCLEI
ORGANS
RADIOISOTOPE SCANNING
RADIOISOTOPES
RADIOLOGY
550601* - Medicine- Unsealed Radionuclides in Diagnostics
550600 - Medicine
550602 - Medicine- External Radiation in Diagnostics- (1980-)