Image Presentation
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Teknesyum-99m işaretli Dimerkaptosüksinik asit renal kortikal sintigrafi görüntülemede pelvik yerleşimli çapraz ektopik böbreği taklit eden deforme mesane aktivitesi

Year 2023, , 163 - 165, 15.03.2023
https://doi.org/10.19161/etd.1262632

Abstract

Karın ağrısı şikayeti olan 32 yaşındaki kadın hastaya Teknesyum-99m dimerkaptosüksinik asit
(DMSA) sintigrafik görüntüleme uygulandı. Planar görüntülerde sağ böbrek hafif pitotik yerleşimde ve
normal fonksiyona sahipti.Sol renal lojda aktivite izlenmedi ve sağ pelvik alanda fuziform şekilli bir
aktivite görüldü. Pelvik bilgisayarlı tomografi (BT) aksiyal görüntülerinde mesane anteriorunda
mesaneyi posteriora ve sağa doğru iten apse ile uyumlu koleksiyon saptandı. Perkütan drenaj sonrası
elde edilen BT görüntüleri ile birlikte yorumlandığında, Teknesyum-99m DMSA taramasında sağ pelvik
bölgede gözlenen aktivitenin mesanedeki fizyolojik aktivite ile uyumlu olduğu değerlendirildi.

References

  • Bilchik TR, Spencer RP. Bladder variants noted on bone and renal imaging. Clin Nucl Med 1993 18 (1): 60-7.
  • Villasboas-Rosciolesi D, Cárdenas-Perilla R, García-Burillo A, Castell-Conesa J. Giant urinary bladder stone: incidental finding in (99m) Tc-DTPA renography. Clin Nucl Med 2014 39 (7): 667-8.
  • De Geeter F, Goethals L. Utility of pelvic bone SPET in imaging urinary bladder filling defects in urinary bladder carcinoma. Hell J Nucl Med 2010 13 (1): 59-62.
  • de Lange MJ, Piers DA, Kosterink JG,et al. Renal handling of technetium-99m DMSA: evidence for glomerular filtration and peritubular uptake. J Nucl Med 1989 30 (7): 1219-23.
  • Yazici B, Oral A, Akgün A. Contribution of SPECT/CT to Evaluate Urinary Leakage Suspicion in Renal Transplant Patients. Clin Nucl Med 2018 43 (10): e378-e380.

Deformed bladder activity mimicking pelvic crossed ectopic kidney on Technetium-99m labelled dimercaptosuccinic acid renal cortical scintigraphy

Year 2023, , 163 - 165, 15.03.2023
https://doi.org/10.19161/etd.1262632

Abstract

Technetium-99m dimercaptosuccinic acid (DMSA) scan was performed on a 32-year-old woman with
abdominal pain. A normal functioning slightly ptotic right kidney was seen on planar images. There
was no activity in the left renal region and a small fusiform activity was seen in the right pelvic area.
Pelvic computed tomography (CT) axial images revealed pre-vesical pelvic abscess pushing the
bladder posteriorly to the right side. On computed tomography images obtained after percutaneous
drainage it was concluded that the activity in the right pelvic area on Technetium-99m DMSA scan was
compatible with physiological activity in the bladder.

References

  • Bilchik TR, Spencer RP. Bladder variants noted on bone and renal imaging. Clin Nucl Med 1993 18 (1): 60-7.
  • Villasboas-Rosciolesi D, Cárdenas-Perilla R, García-Burillo A, Castell-Conesa J. Giant urinary bladder stone: incidental finding in (99m) Tc-DTPA renography. Clin Nucl Med 2014 39 (7): 667-8.
  • De Geeter F, Goethals L. Utility of pelvic bone SPET in imaging urinary bladder filling defects in urinary bladder carcinoma. Hell J Nucl Med 2010 13 (1): 59-62.
  • de Lange MJ, Piers DA, Kosterink JG,et al. Renal handling of technetium-99m DMSA: evidence for glomerular filtration and peritubular uptake. J Nucl Med 1989 30 (7): 1219-23.
  • Yazici B, Oral A, Akgün A. Contribution of SPECT/CT to Evaluate Urinary Leakage Suspicion in Renal Transplant Patients. Clin Nucl Med 2018 43 (10): e378-e380.
There are 5 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Image Presentation
Authors

Fatih Tamer

Bulent Yazici

Aylin Oral

Aysegül Akgün

Publication Date March 15, 2023
Submission Date May 26, 2022
Published in Issue Year 2023

Cite

Vancouver Tamer F, Yazici B, Oral A, Akgün A. Deformed bladder activity mimicking pelvic crossed ectopic kidney on Technetium-99m labelled dimercaptosuccinic acid renal cortical scintigraphy. ETD. 2023;62(1):163-5.

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