Pelviureteric junction obstruction. The value of a post-micturition view in 99mTc DTPA diuretic renography.
Eighty-one 99mTc DTPA renograms were performed in 31 children who had previously undergone pyeloplasty for pelviureteric junction obstruction (PUJ). A post-micturition image following a diuretic stimulus excluded obstruction in 50% of the patients in whom the frusemide T75 was abnormally prolonged beyond 10 min. Evaluating the 99mTc DTPA renogram and the response to a diuretic without both changing the patient's position and ensuring an empty bladder may lead to incorrect diagnosis of PUJ obstruction.
Gordon
I
I
Department of Paediatric Radiology, Hospital for Sick Children, London.
Mialdea-Fernandez
R M
RM
Peters
A M
AM
D005500:Follow-Up Studies; D006801:Humans; D007668:Kidney / Q000000981:diagnostic imaging* / Q000601:surgery; D009942:Organometallic Compounds; D004369:Pentetic Acid; D011866:Radioisotope Renography / Q000379:methods; D013667:Technetium; D016284:Technetium Tc 99m Pentetate; D014517:Ureteral Obstruction / Q000601:surgery*; D001743:Urinary Bladder / Q000000981:diagnostic imaging*
D009942:Organometallic Compounds; D013667:Technetium; D004369:Pentetic Acid; D016284:Technetium Tc 99m Pentetate