The role of an indium leukocyte scan in the diagnosis of a pyeloduodenal fistula associated with spontaneous disappearance of a staghorn calculus.
The use of a 111indium oxine-leukocyte scan (white cell scan) to establish the diagnosis of a pyeloduodenal fistula is described. The patient had a fistula that was associated with spontaneous disappearance of a large staghorn calculus in the involved kidney. The disappearance of the calculus and the presence of a pyeloduodenal fistula were confirmed at surgical exploration. Although neither an excretory urogram nor a retrograde pyelogram was useful to diagnose the fistula preoperatively a 111indium oxine-leukocyte scan revealed the renal abscess and pyeloduodenal fistula.
D000328:Adult; D004378:Duodenal Diseases / Q000150:complications / Q000000981:diagnostic imaging*; D006801:Humans; D006912:Hydroxyquinolines; D007204:Indium; D007412:Intestinal Fistula / Q000150:complications / Q000000981:diagnostic imaging*; D007669:Kidney Calculi / Q000150:complications / Q000000981:diagnostic imaging*; D007674:Kidney Diseases / Q000150:complications / Q000000981:diagnostic imaging*; D007962:Leukocytes; D008297:Male; D009942:Organometallic Compounds; D015125:Oxyquinoline / Q000031:analogs & derivatives; D011859:Radiography; D011877:Radionuclide Imaging; D014548:Urinary Fistula / Q000150:complications / Q000000981:diagnostic imaging*
D006912:Hydroxyquinolines; D009942:Organometallic Compounds; D007204:Indium; C032950:indium oxine; D015125:Oxyquinoline