Intracystic hemorrhage in a patient of polycystic kidney with renocolic fistula diagnosed by contrast-enhanced ultrasonography.
A 60-year-old woman with polycystic kidney presented with intracystic hemorrhage; renocolic fistula was diagnosed by contrast-enhanced. The patient was admitted due to hematuria, pyuria and pneumaturia. Abdominal B-mode ultrasonography showed that this renal cyst had thickened walls and debris-like internal echo. Truagent Detection, a power Doppler imaging mode, could depict intracystic color signals after Levovist injection by real-time scan. Enhanced spots had increased in the cyst, and were shown as minimal intracystic hemorrhage in real-time. The case of polycystic kidney with renocolic fistula is rare, however contrast-enhanced ultrasonography could successfully identify the site of minute bleeding.
Ishikawa
Emi
E
Department of Gastroenterology and Hepatology, Kinki University School of Medicine, Osaka-Sayama.
Kudo
Masatoshi
M
Minami
Yasunori
Y
Ueshima
Kazuomi
K
Chung
Hobyung
H
Hayaishi
Sosuke
S
Maekawa
Kiyoshi
K
D044683:Colon, Descending / Q000098:blood supply / Q000000981:diagnostic imaging*; D005260:Female; D006470:Hemorrhage / Q000150:complications / Q000000981:diagnostic imaging*; D006801:Humans; D007412:Intestinal Fistula / Q000150:complications / Q000000981:diagnostic imaging*; D008875:Middle Aged; D007690:Polycystic Kidney Diseases / Q000150:complications / Q000000981:diagnostic imaging*; D018615:Ultrasonography, Doppler, Color / Q000379:methods