title: Simple provocative maneuvers in renal transplant scintigraphy for detecting urine leak.
abstract: Urine leak in the early postoperative period following renal transplantation is a serious complication requiring early identification and aggressive intervention, which significantly reduces the morbidity and mortality. Renal transplant scintigraphy is a noninvasive method to evaluate the perfusion and function of a transplanted kidney and urinary drainage including urine leak. Here, we reported two cases in which the standard transplant renogram failed to demonstrate urine leak. The cases were referred for a diethylenetriaminepentaacetic acid renogram following the transplantation to evaluate the cause of symptoms or elevated serum creatinine level. In both the cases, urine leak was successfully detected following simple maneuvers such as diuretic administration or Foley catheter irrigation. Renal transplant scintigraphy is an effective and safe technique and the use of these simple maneuvers can enhance the diagnostic sensitivity of the transplant renogram in the detection of urine leak.
authors: Bulgurlu Mahallesi Hanimseti Cikmazi Sokak, No. 2, A Blok, Daire 2, Uskudar, Istanbul 34696, Turkey. fuatdede@yahoo.com
authors: Fuat
authors: F
authors: Dede
authors: Tunc
authors: T
authors: Ones
authors: Billur
authors: B
authors: Caliskan
authors: Huseyin
authors: H
authors: Civen
authors: Tanju Y
authors: TY
authors: Erdil
authors: Sabahat
authors: S
authors: Inanir
authors: Zubeyde S
authors: ZS
authors: Tuglular
authors: Cumhur
authors: C
authors: Yegen
authors: Emel
authors: E
authors: Akoglu
authors: Halil T
authors: HT
authors: Turoglu
mesh_terms: D000328:Adult; D004232:Diuretics; D006801:Humans; D007089:Image Enhancement / Q000379:methods*; D016030:Kidney Transplantation / Q000009:adverse effects* / Q000000981:diagnostic imaging*; D008297:Male; D011877:Radionuclide Imaging; D014555:Urination Disorders / Q000000981:diagnostic imaging* / Q000209:etiology*
chemical_list: D004232:Diuretics