IJAR.2019.113

Type of Article:  Original

Volume 7; Issue 1.3 (March 2019)

Page No.: 6319-6325

DOI: https://dx.doi.org/10.16965/ijar.2019.113

ANATOMICAL CHANGES IN RENAL IMPAIRMENT AND ITS IMPLICATION: A SONOGRAPHIC STUDY

Panchali Datta 1, Rajarshi Roy *2, Sumit Datta 3, Shankhadeep Sarkar 4.

1 Demonstrator, Department of Anatomy, Diamond Harbour Medical College, Kolkata, West Bengal, India.

*2 Demonstrator, Department of Anatomy, Medical College, Kolkata, West Bengal, India.

3 Consultant Radiologist, AMRI Hospital, Kolkata, West Bengal, India.

4 RMO, Department of Chest Medicine, Purulia Medical college, West Bengal, India.

Address for the Correspondence: Dr. Rajarshi Roy, Demonstrator, Department of Anatomy, Affiliated institutions: Medical College, Kolkata- 700073, West Bengal, India. Mobile number: 09433110980 E-Mail: rajarshi.bubai@gmail.com

ABSTRACT:

Background: Renal failure (Azotemia) reflects inability of kidneys to maintain normal homeostatic function, simultaneously accompanied with rise in Blood Urea and Serum Creatinine levels. The manifestations may develop over days- Acute; or span over weeks to months – Chronic. Gray Scale Ultrasonography is employed, in our Study, to assess kidneys in Acute and Chronic Renal Failure.

This study aims to determine the size and location of the kidneys; cortical echogenicity; severity of cortical loss; detection and aetiology of renal obstruction; and finally in the follow-up during and after the management. 200 persons were taken as Control, whereas 100 patients – 50 each suffering from Acute and Chronic Renal Failure, were interrogated.

Results:  Renal dimension, cortical echogenicity with cortico-medullary differentiation of Control (Normal) individuals were observed. The above mentioned renal parameters were assessed both in Acute and Chronic renal failure.

No significant correlation was found between renal length and Serum Creatinine or Blood Urea levels in Acute Renal Failure. Whereas, a statistically significant correlation between kidney length and Serum Creatinine/Blood Urea levels in Chronic Renal Failure is established. A statistically significant relationship was also observed between renal cortical echogenicity and Serum Creatinine level; but not with Blood Urea level.

Conclusion: Non-involvement of ionising radiation, wide spread availability with low-cost imaging modality, makes Gray Scale Ultrasonography, the cornerstone of imaging in Renal Parenchymal Disease.

Key words: Ultrasonography, Serum creatinine, Acute and chronic renal failure.

REFERENCES

  1. Ellenbogan PH, Schieble FLO, Talner LB, Leopold GR. Sensitivity of gray scale ultrasound in detecting urinary tract obstruction. AJR 1978;130:731.
  2. Hricak H, Cruz C, Romanski R. Renal parenchymal disease: Sonographic-Histologic correlation. Radiology 1982;144:141-7.
  3. Amis, Jr. E.S, Hartman D.S. Renal Ultrasonography 1984: A Practical Overview. Radiologic clinic of North America, 1984;22(2):315-29.
  4. Siddappa KJ, Singla S, Ameen MA, Rakshith SC, Kumar N. Correlation of ultrasonographic parameters with serum creatinine in chronic kidney disease. J Clin Imaging Sci 2013;3:28.doi: 10.4103/2156-7514.114809.
  5. Zhang WX, Zhang ZM, Cao BS, Zhou W. Sonographic measurement of renal size in patients undergoing chronic hemodialysis: Correlation with residual renal function. Experimental and Therapeutic Medicine 2014;7:1259-64.
  6. Yamashita SR, Atzingen ACV, Lared W, Bezerra ASDA, Ammirati AL, Canziani MEF. Value of renal cortical thickness as a predictor of renal function impairment in chronic renal disease patients. Radiol Bras 2015;48(1):12–6.
  7. Nass K, O’Neill W.C. Bedside renal biopsy: Ultrasound guidance by the nephrologist. American Journal of Kidney Diseases 1999;34:955-9.
  8. Davison AM, Cumming AD, Swainson CP. Diseases of the kidney and genitor-urinary system. In: Edwards C.R.W, Bouchier I.A.D, Haslett C. editors. Davidson’s principles and practice of medicine. 17th Edinburgh: Churchill Livingstone; 1995. p. 611-68.
  9. Rao BK, Bryan PJ. Sonography of acute and chronic renal failure. In: Resnick MI, Rifkin MD, editors. Ultrasonography of the urinary tract. 3rd Baltimore: Williams and Wilkins; 1991. P. 204-35.
  10. Emamian SA, Nielson MB, Pederson JF, Ytte L. Kidney dimensions at sonography: correlation with age, sex and habitus in 665 adult volunteers. AJR 1993;160:83-6.

Cite this article: Panchali Datta, Rajarshi Roy, Sumit Datta, Shankhadeep Sarkar. ANATOMICAL CHANGES IN RENAL IMPAIRMENT AND ITS IMPLICATION: A SONOGRAPHIC STUDY. Int J Anat Res 2019;7(1.3):6319-6325. DOI: 10.16965/ijar.2019.113