Coexisting renal vein thrombosis and bilateral adrenal hemorrhage: renoscintigraphic demonstration.
A rare case of simultaneous renal vein thrombosis and bilateral adrenal hemorrhage is presented, showing the utility of Tc-99m DTPA and DMSA renal scans to identify the condition and to assess renal function. The characteristic appearances of suprarenal tracer-free areas encircled by peripheral radioactive rims over the inferiorly displaced kidneys on a Tc-99m DTPA renal scan, and that of the flattened upper poles of the kidneys on a Tc-99m DMSA scan, were pathognomonic and strongly indicative of bilateral adrenal hemorrhage. These two scans also showed markedly diminished tracer uptake in the poorly functioning right thrombosed kidney. Follow-up imaging using these two renal scans well demonstrated the functional and morphologic alterations and recovery of the kidneys.
Suga
K
K
Department of Radiology, Yamaguchi University School of Medicine, Ube, Japan.
Hara
A
A
Motoyama
K
K
Ishikawa
Y
Y
Kume
N
N
Matsunaga
N
N
D000307:Adrenal Gland Diseases / Q000150:complications / Q000000981:diagnostic imaging*; D006470:Hemorrhage / Q000150:complications / Q000000981:diagnostic imaging*; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D011866:Radioisotope Renography; D019275:Radiopharmaceuticals; D012082:Renal Veins / Q000000981:diagnostic imaging*; D019783:Technetium Tc 99m Dimercaptosuccinic Acid; D016284:Technetium Tc 99m Pentetate; D020246:Venous Thrombosis / Q000150:complications / Q000000981:diagnostic imaging*
D019275:Radiopharmaceuticals; D019783:Technetium Tc 99m Dimercaptosuccinic Acid; D016284:Technetium Tc 99m Pentetate