A Case Report of Contrast Nephropathy Induced by DIP

Abstract

In recent years the frequency of an acute transient or permanent deterioration in renal function associated with drip infusion pyelography (DIP) or other radiologic procedures using contrast materials has increased and is called "contrast nephropathy". A case of contrast nephropathy was described. DIP was performed in a patients, 38 years old female, with compensated chronic renal failure. On the next day of this procedure the urine volume decreased and BUN and serum creatinine level markedly elevated. The deterioration in renal function recovered completely after 20 days by substitution of electrolyte fluids and diet therapy. Risk factors causing contrast nephropathy were discussed in this paper. Since it becomes increasingly important to use contrast materials, such as CT enhancement or arteriography, the indication of the use of contrast materials should be cautiously decided by weighing the benefit of such procedures against the risk of renal injury.