title: The value of 99mTc-DTPA renal scintigraphy in the evaluation of post-traumatic abdominal fluid collection.
abstract: A patient with a post-traumatic retroperitoneal urinoma is presented. On admission, there was a clinical suspicion of retroperitoneal hematoma and ultrasonography (US) was performed which showed a hypoechoic fluid collection suggesting retroperitoneal hematoma. In order to determine the nature of the fluid, radionuclide angiography and renal scan were performed successively with 99mTc-DTPA. Demonstration of urinary leakage into the mass in the delayed renal scintigraphic images suggested a urinoma. At laparotomy, total transection of the left ureter in the uretero-pelvic region was found and the diagnosis of urinoma was confirmed.
authors.affiliation: Department of Nuclear Medicine, Medical School of Akdeniz University, Antalya, Turkey.
authors.forename: B
authors.initials: B
authors.lastname: Karayalcin
authors.forename: U
authors.initials: U
authors.lastname: Karayalcin
authors.forename: F
authors.initials: F
authors.lastname: Gungor
authors.forename: S
authors.initials: S
authors.lastname: Aslan
authors.forename: A
authors.initials: A
authors.lastname: Yildiz
mesh_terms: D000063:Accidents, Traffic; D000328:Adult; D005260:Female; D006801:Humans; D007668:Kidney / Q000000981:diagnostic imaging*; D008297:Male; D011877:Radionuclide Imaging; D012187:Retroperitoneal Space; D016284:Technetium Tc 99m Pentetate; D014556:Urine
chemical_list: D016284:Technetium Tc 99m Pentetate