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The plain abdominal radiographs and intravenous urograms of 72 patients with primary hyperparathyroidism were reviewed. Renal tract calcification was detected on plain abdominal radiographs in 27 patients (38%), and intravenous urography revealed no calculi not detected on the plain radiographs. Intravenous urography did, however, show abnormalities not detected on plain abdominal radiographs in 22 patients (37%), but these findings influenced clinical management in only five patients (7%). In these five patients there were indications other than primary hyperparathyroidism for performing an intravenous urogram. Intravenous urography incurs a small risk and should not be performed as a routine investigation in primary hyperparathyroidism.

Type

Journal article

Journal

Clin Radiol

Publication Date

07/1987

Volume

38

Pages

411 - 413

Keywords

Adult, Aged, Contrast Media, Female, Humans, Hyperparathyroidism, Infusions, Intravenous, Kidney, Kidney Calculi, Male, Middle Aged, Nephrocalcinosis, Ureter, Urography