Ureteropelvic junction disruption continues to be diagnosed late in a large proportion of cases. Absence of gross contrast extravasation on nephrogram phase scanning using spiral CT may not exclude a major injury of the ureteropelvic junction. Addition of delayed CT of the kidney 5 to 8 minutes or longer after contrast material injection (during the excretory phase) may increase the probability of extravasation being demonstrated and, thus, reduce the possibility of missing a ureteropelvic junction disruption.
We report three patients in whom the performance of a rectal biopsy produced an ulcer that was found during a subsequent examination (two at double-contrast barium enema examinations and one at colonoscopy). In each case, the iatrogenic ulcers presented an unusual appearance and resulted in the performance of inappropriate follow-up studies.
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