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"PAPILLARY NECROSIS"

“ Inflammation or ischaemic necrosis at the tip of the papilla that may then slough off and obstruct the collecting system. Causes include p...

Inflammation or ischaemic necrosis at the tip of the papilla that may then slough off and obstruct the collecting system. Causes include pyelonephritis, obstruction, sickle-cell, TB, cirrhosis, analgesic, renal vein thrombosis, diabetes.
CT

•  Sloughed papilla appears as a filling defect in the collecting system
•  The calyx appears clubbed due to loss of the papilla