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 ini...
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| Veröffentlicht in: | Urol. Radiol.; (United States) 1988-01, Vol.10 (2), p.103-106 |
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| creator | ZUCKIER, L. S PATEL, Y. D FINE, E. J KOENIGSBERG, M |
| description | 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. [131I]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. |
| doi_str_mv | 10.1007/BF02926548 |
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S ; PATEL, Y. D ; FINE, E. J ; KOENIGSBERG, M</creator><creatorcontrib>ZUCKIER, L. S ; PATEL, Y. D ; FINE, E. J ; KOENIGSBERG, M ; Albert Einstein College of Medicine, Bronx, NY (USA)</creatorcontrib><description>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. [131I]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.</description><identifier>ISSN: 0171-1091</identifier><identifier>DOI: 10.1007/BF02926548</identifier><identifier>PMID: 3055628</identifier><identifier>CODEN: URRADL</identifier><language>eng</language><publisher>Heidelberg: Springer-Verlag</publisher><subject>550600 -- Medicine ; 550602 -- Medicine-- External Radiation in Diagnostics-- (1980-) ; ACCURACY ; Adult ; Angiography ; BETA DECAY RADIOISOTOPES ; BETA-MINUS DECAY RADIOISOTOPES ; Biological and medical sciences ; BIOMEDICAL RADIOGRAPHY ; BODY ; CONTRAST MEDIA ; COUNTING TECHNIQUES ; DAYS LIVING RADIOISOTOPES ; DIAGNOSIS ; DIAGNOSTIC TECHNIQUES ; DISEASES ; Female ; HIPPURAN ; Humans ; Hydronephrosis - diagnosis ; Hydronephrosis - etiology ; INTERMEDIATE MASS NUCLEI ; IODINE 131 ; IODINE ISOTOPES ; Iodine Radioisotopes ; Iodohippuric Acid ; ISOTOPES ; Kidney - diagnostic imaging ; KIDNEYS ; Medical sciences ; MEDICINE ; Nephrology. 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S</creatorcontrib><creatorcontrib>PATEL, Y. D</creatorcontrib><creatorcontrib>FINE, E. J</creatorcontrib><creatorcontrib>KOENIGSBERG, M</creatorcontrib><creatorcontrib>Albert Einstein College of Medicine, Bronx, NY (USA)</creatorcontrib><title>Fraley's syndrome: case report and update on current diagnostic methods</title><title>Urol. Radiol.; (United States)</title><addtitle>Urol Radiol</addtitle><description>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. [131I]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.</description><subject>550600 -- Medicine</subject><subject>550602 -- Medicine-- External Radiation in Diagnostics-- (1980-)</subject><subject>ACCURACY</subject><subject>Adult</subject><subject>Angiography</subject><subject>BETA DECAY RADIOISOTOPES</subject><subject>BETA-MINUS DECAY RADIOISOTOPES</subject><subject>Biological and medical sciences</subject><subject>BIOMEDICAL RADIOGRAPHY</subject><subject>BODY</subject><subject>CONTRAST MEDIA</subject><subject>COUNTING TECHNIQUES</subject><subject>DAYS LIVING RADIOISOTOPES</subject><subject>DIAGNOSIS</subject><subject>DIAGNOSTIC TECHNIQUES</subject><subject>DISEASES</subject><subject>Female</subject><subject>HIPPURAN</subject><subject>Humans</subject><subject>Hydronephrosis - diagnosis</subject><subject>Hydronephrosis - etiology</subject><subject>INTERMEDIATE MASS NUCLEI</subject><subject>IODINE 131</subject><subject>IODINE ISOTOPES</subject><subject>Iodine Radioisotopes</subject><subject>Iodohippuric Acid</subject><subject>ISOTOPES</subject><subject>Kidney - diagnostic imaging</subject><subject>KIDNEYS</subject><subject>Medical sciences</subject><subject>MEDICINE</subject><subject>Nephrology. Urinary tract diseases</subject><subject>NUCLEAR MEDICINE</subject><subject>NUCLEI</subject><subject>ODD-EVEN NUCLEI</subject><subject>ORGANS</subject><subject>RADIOISOTOPE SCANNING</subject><subject>RADIOISOTOPES</subject><subject>RADIOLOGY 550601 -- Medicine-- Unsealed Radionuclides in Diagnostics</subject><subject>RADIOLOGY AND NUCLEAR MEDICINE</subject><subject>Radionuclide Imaging</subject><subject>Renal Artery - abnormalities</subject><subject>SCINTISCANNING</subject><subject>Syndrome</subject><subject>ULTRASONOGRAPHY</subject><subject>Urinary system involvement in other diseases. Miscellaneous</subject><subject>Urinary tract. Prostate gland</subject><subject>UROGENITAL SYSTEM DISEASES</subject><subject>Urography</subject><issn>0171-1091</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1988</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpF0E1LxDAQBuAcFD9WL96FIKIgVJOmSVNvurgqLHjRc5kmU620yZqkh_33dtlFT3OYh3eYl5Azzm45Y-Xd44LlVa5koffIEeMlzzir-CE5jvGbMZULzQ7IgWBSqlwfkedFgB7X15HGtbPBD3hPDUSkAVc-JArO0nFlISH1jpoxBHSJ2g4-nY-pM3TA9OVtPCH7LfQRT3dzRj4WT-_zl2z59vw6f1hmRgidMtOAzq1UBegi15IbKCyqBqARuWqmBwrBKqhEaVXVthINMGGrotCNKrHERszIxTZ3c72Opktovox3Dk2qldS8FGJCV1u0Cv5nxJjqoYsG-x4c-jHWpZZCcCUneLOFJvgYA7b1KnQDhHXNWb2ps_6vc8Lnu9SxGdD-0V2X0_5yt4dooG8DONPFP1YyVRWMi1-EVn0-</recordid><startdate>19880101</startdate><enddate>19880101</enddate><creator>ZUCKIER, L. S</creator><creator>PATEL, Y. D</creator><creator>FINE, E. 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J ; KOENIGSBERG, M</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c338t-cba82d564a842851ca4de6baab326b1004309a937d69ff5eca03d9448b67e7eb3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1988</creationdate><topic>550600 -- Medicine</topic><topic>550602 -- Medicine-- External Radiation in Diagnostics-- (1980-)</topic><topic>ACCURACY</topic><topic>Adult</topic><topic>Angiography</topic><topic>BETA DECAY RADIOISOTOPES</topic><topic>BETA-MINUS DECAY RADIOISOTOPES</topic><topic>Biological and medical sciences</topic><topic>BIOMEDICAL RADIOGRAPHY</topic><topic>BODY</topic><topic>CONTRAST MEDIA</topic><topic>COUNTING TECHNIQUES</topic><topic>DAYS LIVING RADIOISOTOPES</topic><topic>DIAGNOSIS</topic><topic>DIAGNOSTIC TECHNIQUES</topic><topic>DISEASES</topic><topic>Female</topic><topic>HIPPURAN</topic><topic>Humans</topic><topic>Hydronephrosis - diagnosis</topic><topic>Hydronephrosis - etiology</topic><topic>INTERMEDIATE MASS NUCLEI</topic><topic>IODINE 131</topic><topic>IODINE ISOTOPES</topic><topic>Iodine Radioisotopes</topic><topic>Iodohippuric Acid</topic><topic>ISOTOPES</topic><topic>Kidney - diagnostic imaging</topic><topic>KIDNEYS</topic><topic>Medical sciences</topic><topic>MEDICINE</topic><topic>Nephrology. Urinary tract diseases</topic><topic>NUCLEAR MEDICINE</topic><topic>NUCLEI</topic><topic>ODD-EVEN NUCLEI</topic><topic>ORGANS</topic><topic>RADIOISOTOPE SCANNING</topic><topic>RADIOISOTOPES</topic><topic>RADIOLOGY 550601 -- Medicine-- Unsealed Radionuclides in Diagnostics</topic><topic>RADIOLOGY AND NUCLEAR MEDICINE</topic><topic>Radionuclide Imaging</topic><topic>Renal Artery - abnormalities</topic><topic>SCINTISCANNING</topic><topic>Syndrome</topic><topic>ULTRASONOGRAPHY</topic><topic>Urinary system involvement in other diseases. Miscellaneous</topic><topic>Urinary tract. Prostate gland</topic><topic>UROGENITAL SYSTEM DISEASES</topic><topic>Urography</topic><toplevel>online_resources</toplevel><creatorcontrib>ZUCKIER, L. S</creatorcontrib><creatorcontrib>PATEL, Y. D</creatorcontrib><creatorcontrib>FINE, E. 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Radiol.; (United States)</jtitle><addtitle>Urol Radiol</addtitle><date>1988-01-01</date><risdate>1988</risdate><volume>10</volume><issue>2</issue><spage>103</spage><epage>106</epage><pages>103-106</pages><issn>0171-1091</issn><coden>URRADL</coden><abstract>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. [131I]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.</abstract><cop>Heidelberg</cop><cop>Berlin</cop><cop>New York, NY</cop><pub>Springer-Verlag</pub><pmid>3055628</pmid><doi>10.1007/BF02926548</doi><tpages>4</tpages></addata></record> |
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| subjects | 550600 -- Medicine 550602 -- Medicine-- External Radiation in Diagnostics-- (1980-) ACCURACY Adult Angiography BETA DECAY RADIOISOTOPES BETA-MINUS DECAY RADIOISOTOPES Biological and medical sciences BIOMEDICAL RADIOGRAPHY BODY CONTRAST MEDIA COUNTING TECHNIQUES DAYS LIVING RADIOISOTOPES DIAGNOSIS DIAGNOSTIC TECHNIQUES DISEASES Female HIPPURAN Humans Hydronephrosis - diagnosis Hydronephrosis - etiology INTERMEDIATE MASS NUCLEI IODINE 131 IODINE ISOTOPES Iodine Radioisotopes Iodohippuric Acid ISOTOPES Kidney - diagnostic imaging KIDNEYS Medical sciences MEDICINE Nephrology. Urinary tract diseases NUCLEAR MEDICINE NUCLEI ODD-EVEN NUCLEI ORGANS RADIOISOTOPE SCANNING RADIOISOTOPES RADIOLOGY 550601 -- Medicine-- Unsealed Radionuclides in Diagnostics RADIOLOGY AND NUCLEAR MEDICINE Radionuclide Imaging Renal Artery - abnormalities SCINTISCANNING Syndrome ULTRASONOGRAPHY Urinary system involvement in other diseases. Miscellaneous Urinary tract. Prostate gland UROGENITAL SYSTEM DISEASES Urography |
| title | Fraley's syndrome: case report and update on current diagnostic methods |
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