The value of 99mTc-DTPA renal scintigraphy in the evaluation of post-traumatic abdominal fluid collection.
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.
Karayalcin
B
B
Department of Nuclear Medicine, Medical School of Akdeniz University, Antalya, Turkey.
Karayalcin
U
U
Gungor
F
F
Aslan
S
S
Yildiz
A
A
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
D016284:Technetium Tc 99m Pentetate