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23-02-2024 | Interesting image

Precise Localization of Urine Leak After Renal Transplantation on Radionuclide Renography: Added Value of the Unclamped Drainage Tube and SPECT-CT

Authors: Althaf K Majeed, Om Kumar Yadav, Sameer Taywade, Rajesh Kumar, Arjun Singh Sandhu

Published in: Nuclear Medicine and Molecular Imaging

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Abstract

Identifying and localizing the site of post-renal transplantation urine leaks is important for patient management and treatment planning. Renal scintigraphy is a proven modality for confirming urine leaks after complicated post-renal transplantation. Routinely, renogram studies are performed with a clamped extraperitoneal drain. This results in the spread of radioactivity in the abdominal region, which makes localization of the leak site difficult in the planar images. Here we are trying to give an insight into minimalizing the accumulated urine volume by an unclamped extraperitoneal drain in order to precisely localize the site of the leak.
Literature
1.
go back to reference Buttigieg J, Agius-Anastasi A, Sharma A, Halawa A. Early urological complications after kidney transplantation: an overview. World J Transpl. 2018;8:142–9.CrossRef Buttigieg J, Agius-Anastasi A, Sharma A, Halawa A. Early urological complications after kidney transplantation: an overview. World J Transpl. 2018;8:142–9.CrossRef
2.
go back to reference Chughtai SA, Sharma A, Halawa* A. Urine leak following kidney transplantation: an evidence-based Management Plan. J Clin Nephrol. 2018;2:044–52. Chughtai SA, Sharma A, Halawa* A. Urine leak following kidney transplantation: an evidence-based Management Plan. J Clin Nephrol. 2018;2:044–52.
3.
go back to reference Hamouda M, Sharma A, Halawa A. Urine leak after kidney transplant: a review of the literature. Exp Clin Transpl. 2018;16:90–5. Hamouda M, Sharma A, Halawa A. Urine leak after kidney transplant: a review of the literature. Exp Clin Transpl. 2018;16:90–5.
4.
go back to reference Yazici B, Oral A, Akgün A. Contribution of SPECT/CT to evaluate urinary leakage suspicion in renal transplant patients. Clin Nucl Med. 2018;43:e378.CrossRefPubMed Yazici B, Oral A, Akgün A. Contribution of SPECT/CT to evaluate urinary leakage suspicion in renal transplant patients. Clin Nucl Med. 2018;43:e378.CrossRefPubMed
5.
go back to reference Maaloul M, Krivochiev M, Evangelista E, Itti E, Hoznek A, Meignan M. Diagnosis of urinoma complicating a renal graft using 99mTc-DTPA scintigraphy and factor analysis. Eur J Nucl Med Mol Imaging. 2005;32:854–4.CrossRefPubMed Maaloul M, Krivochiev M, Evangelista E, Itti E, Hoznek A, Meignan M. Diagnosis of urinoma complicating a renal graft using 99mTc-DTPA scintigraphy and factor analysis. Eur J Nucl Med Mol Imaging. 2005;32:854–4.CrossRefPubMed
6.
go back to reference Rosenberg RJ, Schweizer RT, Spencer RP. Ureteral leak after renal transplantation. Clin Nucl Med. 1999;24:440–2.CrossRefPubMed Rosenberg RJ, Schweizer RT, Spencer RP. Ureteral leak after renal transplantation. Clin Nucl Med. 1999;24:440–2.CrossRefPubMed
7.
go back to reference Tulchinsky M, Malpani AR, Eggli DF. Diagnosis of urinoma by MAG3 scintigraphy in a renal transplant patient. Clin Nucl Med. 1995;20:80–1.CrossRefPubMed Tulchinsky M, Malpani AR, Eggli DF. Diagnosis of urinoma by MAG3 scintigraphy in a renal transplant patient. Clin Nucl Med. 1995;20:80–1.CrossRefPubMed
8.
9.
go back to reference Büyükdereli G, Hazar B, Sargin O, Tuncer R. Tc-99m DMSA and Tc-99m DTPA imaging in the diagnosis of crossed renal ectopia. Clin Nucl Med. 2001;26:257–8.CrossRefPubMed Büyükdereli G, Hazar B, Sargin O, Tuncer R. Tc-99m DMSA and Tc-99m DTPA imaging in the diagnosis of crossed renal ectopia. Clin Nucl Med. 2001;26:257–8.CrossRefPubMed
10.
go back to reference Alavi A, Grossman R, Siegel A. Intraperitoneal urine leak following renal transplant: the role of radionuclide imaging. J Nucl Med. 1990;31:1206–10.PubMed Alavi A, Grossman R, Siegel A. Intraperitoneal urine leak following renal transplant: the role of radionuclide imaging. J Nucl Med. 1990;31:1206–10.PubMed
11.
go back to reference Son H, Heiba S, Kostakoglu L, Machac J. Extraperitoneal urine leak after renal transplantation: the role of radionuclide imaging and the value of accompanying SPECT/CT - a case report. BMC Med Imaging. 2010;10:23.CrossRefPubMedPubMedCentral Son H, Heiba S, Kostakoglu L, Machac J. Extraperitoneal urine leak after renal transplantation: the role of radionuclide imaging and the value of accompanying SPECT/CT - a case report. BMC Med Imaging. 2010;10:23.CrossRefPubMedPubMedCentral
Metadata
Title
Precise Localization of Urine Leak After Renal Transplantation on Radionuclide Renography: Added Value of the Unclamped Drainage Tube and SPECT-CT
Authors
Althaf K Majeed
Om Kumar Yadav
Sameer Taywade
Rajesh Kumar
Arjun Singh Sandhu
Publication date
23-02-2024
Publisher
Springer Nature Singapore
Published in
Nuclear Medicine and Molecular Imaging
Print ISSN: 1869-3474
Electronic ISSN: 1869-3482
DOI
https://doi.org/10.1007/s13139-024-00855-4