Medullary sponge kidney on IVP

Case contributed by Dr MohammadTaghi Niknejad


40 years old male with haematuria

Patient Data

Age: 40 years old
Gender: Female

Ectatic distal collecting ducts and  also dilated contrast filled intrapapillary tubules within the renal medulla are seen on intravenous pyelogram.

A case of Prof. Saeed Rad. Tabriz, Iran.

Case Discussion

Intravenous pyelogram showed ectatic distal collecting ducts contain the microcalcification which is called bouquet of flowers appearance.  If you look closer there is also dilated contrast filled tubules within the renal medulla that known as paintbrush appearance . These findings are characteristic for medullary sponge kidney ( MSK ) on intravenous pyelogram.


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Case information

rID: 21065
Case created: 2nd Jan 2013
Last edited: 12th Feb 2016
System: Urogenital
Inclusion in quiz mode: Included

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