urinary tract infections are common in children. the available gold standard method for diagnosis, tc-99m dimercaptosuccinic acid scan is expensive and exposes patients to considerable amount of radiation. this study was performed to compare and assess the efficacy of power doppler ultrasound versus tc-99m dmsa scan for diagnosis of acute pyelonephritis. a quasi experimental study was conducted...

Hydronephrosis is a common finding in urinary tract outflow obstruction. Chronically obstructed hydronephrotic system may be associated with parenchymal changes. Ultrasound, intravenous urography, micturating cysto-urethrogram and scintigraphy are commonly performed to evaluate the cause of obstruction. In childhood, pelviureteric junction obstruction is a common cause of the hydronephrosis. Hy...

A 42 year old man, was admitted to emergency service who suffered from nausea and vomitting for two days. In his physical examination the right side abdomen was severe distended, that had been lasting for a month. Distension was tender and cystic tough mass lesion was palbable. Plain abdominal radiography showed a 3 cm radiopaque shadow in the pelvic area. Ct scan revealed massive gastric dilat...

 Abstract Background: Screening for patients at risk of renal scarring is a challenge in children with acute pyelonephritis (APN). Diuretic Tc-99m mercaptoacetyltriglycine (MAG3) scintigraphy with zero time injection of furosemide (MAG3-F0) was observed to display focal parenchymal disorders. The advantages of MAG3 include: lower radiation dose and short duration of the test. The aim of this st...

OBJECTIVE To evaluate the yield, economic, and radiation costs of 5 diagnostic algorithms compared with a protocol where all tests are performed (ultrasonography scan, cystography, and late technetium(99)dimercaptosuccinic acid scan) in children after the first febrile urinary tract infections. METHODS A total of 304 children, 2 to 36 months of age, who completed the diagnostic follow-up (ult...

BACKGROUND 99mTc-dimercaptosuccinic acid (DMSA) scan is the golden standard for the diagnosis of acute pyelonephritis and renal scaring. We investigated the use of acute phase DMSA scan in infants presented promptly to the hospital because of the first episode of their febrile urinary tract infection (UTI). METHODS Ninety-eight infants with microbiologically confirmed first episode of febrile...