Unsuspected Urinoma of an Obstructed Kidney Detected in a Bone Scan in a Patient With Lung Cancer

ABSTRACTA 60-year-old woman with an adenocarcinoma of the lung was referred to our department for a bone scan to assess the extension of the metastatic bone disease. The images showed several foci of radiotracer uptake in the bone consistent with malignant involvement. Besides, a considerable accumu...

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Bibliographic Details
Published in:Clinical nuclear medicine 2014-10, Vol.39 (10), p.922-925
Main Authors: Sainz-Esteban, Aurora, Jiménez, María Isabel, Villanueva, Juan Gabriel, Cobo, Amparo, Olmos, Roberto
Format: Article
Language:English
Subjects:
Adenocarcinoma - diagnostic imaging
Adenocarcinoma - pathology
Bone Neoplasms - diagnostic imaging
Bone Neoplasms - secondary
Female
Humans
Kidney - diagnostic imaging
Lung Neoplasms - diagnostic imaging
Lung Neoplasms - pathology
Middle Aged
Multimodal Imaging
Tomography, Emission-Computed, Single-Photon
Tomography, X-Ray Computed
Urinoma - diagnostic imaging
Urinoma - therapy
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Summary:ABSTRACTA 60-year-old woman with an adenocarcinoma of the lung was referred to our department for a bone scan to assess the extension of the metastatic bone disease. The images showed several foci of radiotracer uptake in the bone consistent with malignant involvement. Besides, a considerable accumulation of tracer was shown in the right perinephric region as well as in the renal pelvis. SPECT/CT images demonstrated a superior perirenal urine leak due to rupture of the collecting system. The leakage was treated by urinary catheter decompression with complete recovery after 4 weeks.
ISSN:0363-9762
1536-0229
DOI:10.1097/RLU.0000000000000526