Suprarenal abscess in the neonate. Technetium-99m glucoheptonate imaging.

Although suprarenal abscess in a newborn is rare, a prompt diagnosis is essential for proper patient management. The findings obtained with Tc-99m glucoheptonate renal imaging in a newborn with a right adrenal abscess are reported. A radionuclide renal imaging sequence over a 15-hour period demonstrated a "rim sign" which can be used to suggest the diagnosis. Radionuclide and ultrasound imaging of neonatal adrenal masses is discussed.

Another look at torsion of testis.

A retrospective review was done of all patients who had been discharged with a diagnosis of testicular torsion from 1967 to 1977. Multiple staff physicians were involved at the Milwaukee Children's Hospital. Incidence, age, presenting symptoms, and testicular survival were compared with previous reports in the literature. A 69 per cent testicular survival from torsion of the testis is a marked improvement over other series. Some suggestions for other diagnostic and therapeutic acids are mentioned.

Therapeutic ureteral obstruction and renal artery embolization.

Two relatively unique techniques have been used in 4 cases to treat gross hematuria that might otherwise have resulted in nephrectomies. The techniques include ureteral obstruction with a Fogarty catheter and renal artery embolization.

Technique of reductive ureteroplasty in the management of megaureter.

Management of megaureter may be conservative or surgical. Most operative procedures are multistaged and directed toward segmental ureteral repair. We have treated succesfully a number of patients with the total linear ureteral reduction technique.