False diagnosis of renal transplant urinary leakage on scintigraphy with mercaptoacetyltriglycine.
99mTechnetium-mercaptoacetyltriglycine (99mTc-MAG-3) has rapidly become the best isotope for transplant renal scintigraphy because of the excellent anatomical resolution. Because 99mTc-MAG-3 is also sequestered by the liver and excreted into the biliary system, images of the gallbladder and intestinal tract will appear in normal 99mTc-MAG-3 scans, especially on delayed scintigraphs. We describe the clinical interpretation of normal bowel images as urinary extravasation in a renal transplant recipient with a sudden decrease in renal function.
Ackerman
D A
DA
Division of Urology and Renal Transplantation, Oregon Health Sciences University, Portland.
Barry
J M
JM
D000293:Adolescent; D003951:Diagnostic Errors; D005119:Extravasation of Diagnostic and Therapeutic Materials / Q000000981:diagnostic imaging*; D006801:Humans; D016030:Kidney Transplantation; D008297:Male; D011183:Postoperative Complications / Q000000981:diagnostic imaging*; D011866:Radioisotope Renography; D017263:Technetium Tc 99m Mertiatide; D014556:Urine
D017263:Technetium Tc 99m Mertiatide