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Related Experiment Videos

Urography during pregnancy

M R Rigby, D W MacEwan

    Journal of the Canadian Association of Radiologists
    |December 1, 1976
    PubMed
    Summary
    This summary is machine-generated.

    Excretory urography in pregnancy is rarely decisive for diagnosis. Clinical correlation is recommended to reduce its use during pregnancy for conditions like renal colic and pyelonephritis.

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    Area of Science:

    • Radiology
    • Obstetrics
    • Urology

    Background:

    • Excretory urography is an imaging technique used to evaluate the urinary tract.
    • Its use during pregnancy requires careful consideration due to potential risks and diagnostic yield.

    Observation:

    • A review of 22,971 pregnancies (1969-1974) analyzed indications for excretory urography.
    • Common indications included renal colic of pregnancy, pyelonephritis, and threatened abortion.

    Findings:

    • Final diagnoses often matched initial clinical suspicion.
    • In most cases, excretory urography provided limited diagnostic value.
    • Only one case of ureteric calculus was definitively diagnosed via intravenous pyelography.

    Implications:

    • The diagnostic utility of excretory urography in pregnancy is often low.
    • Emphasizes the importance of clinical correlation to guide imaging decisions.
    • Suggests a need to minimize unnecessary radiation exposure in pregnant patients.