JOSE A. DIAZ-BUXO, M.D.; RICHARD D. WAGONER, M.D., F.A.C.P.; ROBERT R. HATTERY, M.D.; P. J. PALUMBO, M.D., F.A.C.P.
Currently used contrast media for excretory urography are generally considered safe even in the presence of renal insufficiency. Isolated reports of acute oliguric renal failure in diabetic patients after excretory urography have been documented. We describe eight such patients who developed this complication. The approximate incidence of recognized acute oliguric renal failure in diabetics undergoing excretory urography was 2 in 1000 as compared with none in more than 100 000 procedures done in nondiabetic patients. Six of the diabetic patients with acute renal failure recovered; two required hemodialysis, never regaining self-sustaining renal function. If detected early, acute renal failure in this setting can often be managed conservatively. Attempts to induce diuresis have been discouraging.
Learn more about subscription options.
Register Now for a free account.
DIAZ-BUXO JA, WAGONER RD, HATTERY RR, PALUMBO PJ. Acute Renal Failure After Excretory Urography in Diabetic Patients. Ann Intern Med. 1975;83:155-158. doi: 10.7326/0003-4819-83-2-155
Download citation file:
Published: Ann Intern Med. 1975;83(2):155-158.
Acute Kidney Injury, Cardiology, Coronary Risk Factors, Diabetes, Diabetic Nephropathy.
Results provided by:
Copyright © 2017 American College of Physicians. All Rights Reserved.
Print ISSN: 0003-4819 | Online ISSN: 1539-3704
Conditions of Use
This PDF is available to Subscribers Only