Incidental Detection of Perinephric Urinary Leak on Bone Scintigraphy in a Patient with Urinary Bladder Carcinoma

A 71-year-old male patient with urothelial carcinoma of the bladder was referred for (99m)Tc-methylene diphosphonate bone scintigraphy to assess for skeletal metastasis. While the bone scan showed no abnormal skeletal uptake, tracer activity was detected in the extrarenal region of the left renal fo...

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Autores principales: Vadi, Shelvin Kumar, Dasagrandhi, Vaishnavi, Bhattacharya, Anish, Singh, Shrawan Kumar, Mittal, Bhagwant Rai
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2018
Materias:
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Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5798106/
https://www.ncbi.nlm.nih.gov/pubmed/29430122
http://dx.doi.org/10.4103/ijnm.IJNM_116_17
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author Vadi, Shelvin Kumar
Dasagrandhi, Vaishnavi
Bhattacharya, Anish
Singh, Shrawan Kumar
Mittal, Bhagwant Rai
author_facet Vadi, Shelvin Kumar
Dasagrandhi, Vaishnavi
Bhattacharya, Anish
Singh, Shrawan Kumar
Mittal, Bhagwant Rai
author_sort Vadi, Shelvin Kumar
collection PubMed
description A 71-year-old male patient with urothelial carcinoma of the bladder was referred for (99m)Tc-methylene diphosphonate bone scintigraphy to assess for skeletal metastasis. While the bone scan showed no abnormal skeletal uptake, tracer activity was detected in the extrarenal region of the left renal fossa on the planar image; single photon emission computed tomography-computed tomography (CT) demonstrated tracer pooling in the perirenal collection. In addition, the CT detected nontracer-avid parenchymal lung nodules and hypodense liver lesions consistent with metastatic disease. The perinephric urinary leak was drained by percutaneous drainage, confirmed by diuretic renography the following day.
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spelling pubmed-57981062018-02-09 Incidental Detection of Perinephric Urinary Leak on Bone Scintigraphy in a Patient with Urinary Bladder Carcinoma Vadi, Shelvin Kumar Dasagrandhi, Vaishnavi Bhattacharya, Anish Singh, Shrawan Kumar Mittal, Bhagwant Rai Indian J Nucl Med Interesting Image A 71-year-old male patient with urothelial carcinoma of the bladder was referred for (99m)Tc-methylene diphosphonate bone scintigraphy to assess for skeletal metastasis. While the bone scan showed no abnormal skeletal uptake, tracer activity was detected in the extrarenal region of the left renal fossa on the planar image; single photon emission computed tomography-computed tomography (CT) demonstrated tracer pooling in the perirenal collection. In addition, the CT detected nontracer-avid parenchymal lung nodules and hypodense liver lesions consistent with metastatic disease. The perinephric urinary leak was drained by percutaneous drainage, confirmed by diuretic renography the following day. Medknow Publications & Media Pvt Ltd 2018 /pmc/articles/PMC5798106/ /pubmed/29430122 http://dx.doi.org/10.4103/ijnm.IJNM_116_17 Text en Copyright: © 2018 Indian Journal of Nuclear Medicine http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.
spellingShingle Interesting Image
Vadi, Shelvin Kumar
Dasagrandhi, Vaishnavi
Bhattacharya, Anish
Singh, Shrawan Kumar
Mittal, Bhagwant Rai
Incidental Detection of Perinephric Urinary Leak on Bone Scintigraphy in a Patient with Urinary Bladder Carcinoma
title Incidental Detection of Perinephric Urinary Leak on Bone Scintigraphy in a Patient with Urinary Bladder Carcinoma
title_full Incidental Detection of Perinephric Urinary Leak on Bone Scintigraphy in a Patient with Urinary Bladder Carcinoma
title_fullStr Incidental Detection of Perinephric Urinary Leak on Bone Scintigraphy in a Patient with Urinary Bladder Carcinoma
title_full_unstemmed Incidental Detection of Perinephric Urinary Leak on Bone Scintigraphy in a Patient with Urinary Bladder Carcinoma
title_short Incidental Detection of Perinephric Urinary Leak on Bone Scintigraphy in a Patient with Urinary Bladder Carcinoma
title_sort incidental detection of perinephric urinary leak on bone scintigraphy in a patient with urinary bladder carcinoma
topic Interesting Image
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5798106/
https://www.ncbi.nlm.nih.gov/pubmed/29430122
http://dx.doi.org/10.4103/ijnm.IJNM_116_17
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