Simple provocative maneuvers in renal transplant scintigraphy for detecting urine leak

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...

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Bibliographic Details
Published in:Annals of nuclear medicine 2007-12, Vol.21 (10), p.603-606
Main Authors: Dede, Fuat, Ones, Tunc, Caliskan, Billur, Civen, Huseyin, Erdil, Tanju Y, Inanir, Sabahat, Tuglular, Zubeyde S, Yegen, Cumhur, Akoglu, Emel, Turoglu, Halil T
Format: Article
Language:English
Subjects:
Adult
Diuretics
Humans
Image Enhancement - methods
Kidney Transplantation - adverse effects
Kidney Transplantation - diagnostic imaging
Male
Postoperative period
Radionuclide Imaging
Transplants & implants
Urination Disorders - diagnostic imaging
Urination Disorders - etiology
Urine
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Summary: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.
ISSN:0914-7187
1864-6433
DOI:10.1007/s12149-007-0065-4