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British Journal of Radiology (2005) 78, 346-348
© 2005 British Institute of Radiology
doi: 10.1259/bjr/12933217
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Papillary necrosis causing hydronephrosis in renal allograft treated by percutaneous retrieval of sloughed papilla

S Kamath, MD, MRCP 1 M P Moody, FRCS 2 J C Hammonds, FRCS 2 and I P Wells, MRCS, LRCP, FRCR 1

Departments of 1 Radiology and 2 Urology, Derriford Hospital, Plymouth PL6 8DH, UK



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  		Figure 1. Nephrostogram of the transplant kidney demonstrates a large filling defect (arrow) in the renal pelvis extending into the proximal ureter causing partial obstruction.

 


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  		Figure 2. A large sloughed papilla in the renal pelvis extending into the proximal ureter has resulted in complete obstruction to the kidney. A large papillary ulcer (arrow), which is the donor site for the sloughed papilla is demonstrated.

 


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  		Figure 3. Following percutaneous retrieval of sloughed papilla, there is relief of obstruction.

 




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