Annals of African Surgery

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“Non-functioning” Kidneys in Excretory Urography: Caution is the word!

AA Ajape, M Kura, AG Ibrahim


Significant loss of renal function is objectively diagnosed with radioisotope renal scintigraphy. In many developing countries radioisotope study is not
readily available and the diagnosis of non-functioning kidney is often based on intravenous urography. We retrospectively reviewed the case notes of three patients that were diagnosed with ‘non-functioning’ kidneys based on intravenous contrast renal imaging but had salvage procedure for the renal
moiety. In the absence of radioisotope study, some restrain is advocated for nephrectomy, for ‘non-functioning kidney’, based solely on the result of
intravenous urography.

AJOL African Journals Online