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Total Urogram

Arch Surg. 1965;91(6):906-910. doi:10.1001/archsurg.1965.01320180040010.
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"It has been wisely said, 'More is missed in medicine by not looking than by not seeing.' ''' Unfortunately, the author does not know who originally made this sage observation and so credit cannot be given.

Motivated to look carefully at the graphic representation of the genito-urinary tract, the authors elected to extend the routine angiographic studies being performed on the vascular services at Kings County Hospital and St. John's Episcopal Hospital to include a flat film of the abdomen taken a short time after injection of the contrast media. This became particularly intriguing when it became apparent that we could obtain simultaneous opacification of the calyces, ureters and bladder because of the large volume of contrast media being used. To date, the result of our efforts to extend the utilization of the contrast media to a multisystem study has yielded modest, but sometimes surprising, gains.

Report of Cases 

Case 1. 


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