Intravenous Urography in Children

Abstract

THE pediatrician not infrequently is called upon to determine the cause of an obscure fever, a persistant pyuria or to diagnose the nature of an abdominal mass. There mayor may not be outspoken accompanying urinary symptoms and signs, as in carbuncle of the kidney or in certain types of hydronephrosis. Furthermore, the symptoms and signs may be predominantly of a non-urinary nature. Because of inherent difficulties and inconveniences which may be associated with cystoscopy and retrograde pyelography in children, the physician has been inclined frequently to dispose of a case of pyuria with the diagnosis of pyelitis, or to perforce remain in the dark regarding the origin of an obscure fever. Under these circumstances excretion urography has been of considerable help both for diagnosis and as a survey study. This is particularly so when retrograde pyelography may be at times mechanically impossible, taxing, or dangerous. As a result, the status of the urinary tract in general, and congenital anomalies in pa...