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R. Brent Harrison, MD; Hubert A. Shaffer, Jr, MD

JAMA. 1979;241(16):1718-1720.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

ACUTE pyelonephritis is a common disease the clinical signs and symptoms of which have been well known for many years. The roentgenographic findings, however, have been emphasized only relatively recently.^1-5 In two large series of acute pyelonephritis, about one fourth of the patients had abnormalities on the excretory urogram.^2,3 We believe that the high incidence of urologic abnormalities justifies a review of the roentgenographic findings in light of the limited information now available on the subject.

Roentgenographic Findings

Ileus of the Ureter.—

Gram-negative bacilli have the ability to impede or stop ureteral peristalsis.⁶ Since most urinary tract infections are due to Escherichia coli,⁷ it is not surprising that ileus of the ureter may be seen with acute pyelonephritis. Although the entire collecting system may be dilated, mimicking obstruction,¹ it is our experience that involvement is usually of the proximal portion of the infected ureter. This . . . [Full Text PDF of this Article]

Author Affiliations
From the Department of Radiology, University of Virginia Medical Center, Charlottesville.

Footnotes
Reprint requests to Department of Radiology, University of Virginia Medical Center, Charlottesville, VA 22908 (Dr Harrison).

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