Witcombe J B
Br J Radiol. 1978 Aug;51(608):579-83. doi: 10.1259/0007-1285-51-608-579.
Linear densities which were thought to represent meglumine iodipamide were seen in the renal papillary tubules of three patients for respectively four, six and nine days following intravenous cholangiography (IVC). All three patients were children with hepato-biliary disease. Two patients had biliary roundworm infestation, and one patient had hepatic dysfunction and intestinal ascariasis with possible biliary involvement. Haematuria and renal enlargement were seen in one patient, but the cholangiogram was not conclusively implicated as a cause. This renal tubular "sludging" of biliary contrast medium is recorded because of its potential nephrotoxic significance. The possible causes are discussed.
在静脉胆管造影（IVC）后，三名患者的肾乳头小管中分别在第4天、第6天和第9天出现了被认为代表碘番酸葡甲胺的线性密度影。所有三名患者均为患有肝胆疾病的儿童。两名患者有胆道蛔虫感染，一名患者有肝功能障碍和肠道蛔虫病，可能累及胆道。一名患者出现血尿和肾脏肿大，但胆管造影结果未明确表明其为病因。记录这种胆管造影剂在肾小管内的“淤滞”情况是因为其潜在的肾毒性意义。文中对可能的原因进行了讨论。
