Failure to visualize acutely injured kidneys with technetium-99m DMSA does not preclude recoverable function.
A 35-yr-old patient developed severe acute tubular necrosis requiring hemodialysis. A [99mTc]dimercaptosuccinic acid scan of the kidneys showed no renal uptake at 4 or 24 hr, but the patient subsequently recovered normal renal function as judged by a normal serum creatinine. Based on this case report and a review of the literature, one cannot assume irreversible loss of function in patients with acute renal failure, based on the absence of radiopharmaceutical uptake by the kidneys.
D058186:Acute Kidney Injury / Q000000981:diagnostic imaging*; D000328:Adult; D001806:Blood Urea Nitrogen; D003404:Creatinine / Q000097:blood; D005260:Female; D006470:Hemorrhage / Q000150:complications; D006801:Humans; D007044:Hysterectomy; D007668:Kidney / Q000000981:diagnostic imaging* / Q000503:physiopathology; D007683:Kidney Tubular Necrosis, Acute / Q000000981:diagnostic imaging* / Q000209:etiology / Q000503:physiopathology; D011183:Postoperative Complications / Q000000981:diagnostic imaging; D011247:Pregnancy; D011644:Puerperal Disorders / Q000000981:diagnostic imaging; D011877:Radionuclide Imaging; D013670:Sodium Pertechnetate Tc 99m; D013270:Stomach / Q000000981:diagnostic imaging; D004113:Succimer; D013438:Sulfhydryl Compounds; D013667:Technetium; D019783:Technetium Tc 99m Dimercaptosuccinic Acid
D013438:Sulfhydryl Compounds; D019783:Technetium Tc 99m Dimercaptosuccinic Acid; D013667:Technetium; D013670:Sodium Pertechnetate Tc 99m; D003404:Creatinine; D004113:Succimer