篇名 | Urinary Extravasation from the Right Ureter Findings of [fee6]Tc-DTPA Renography after Ureteroscopic Examination--A Case Rport |
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卷期 | 13:2 |
並列篇名 | 鎝-99m-DTPA腎臟造影檢查發現輸尿管鏡檢後造成之右側輸尿管漏尿--病例報告 |
作者 | 門朝陽 、 施維貞 、 鄭哲雄 、 李明憲 |
頁次 | 135-137 |
關鍵字 | 漏尿 、 輸尿管狹窄 、 鎝-99m-DTPA 、 泌尿道滲尿 、 Urinoma 、 Ureteral stricture 、 [fee6]Tc-DTPA 、 Urinary extravasation |
出刊日期 | 200006 |
經掃描造影發現泌尿生殖系統漏尿的情形常可在外傷、腎臟手術以及腎臟移植後發現並經許多文獻報告過了。我們報告一個案例是經輸尿管鏡後經由鉛-99m-DTPA腎臟造影檢查發現漏尿情形,病案本身有右側輸尿管狹窄合併瓣膜形成並且有右側水腎。第一次檢查是在輸尿管鏡檢之前,而第二次檢查是在輸尿管鏡檢之後,發現它們二者最大的差異即在漏尿,因此我們證明了鎝-99m-DTPA腎臟造影檢查加上利尿劑,可以很快很簡單並且很容易地的查出是否有漏尿的情形
Scintigraphic detection of urinary extravasation or urinoma formation following a trauma or surgery of renal transplantation has been well documented. We report a patient with a right ureteral stricture and valve with hydroonephrosis who underwent ureteroscopic examination after a baseline 99m Tc-DTPA renography. Ten days after the procedure the patient was referred for a second 99m Tc-DTPA renal study which showed radiotracer had gradually increased accumulationf rom the upper 1/3 of the right ureter indicating leakage of the urine. This case illustrates that 99m Tc-DTPA renoscintigraphy with lasix injection is an easy, rapid, and simple diagnositic modality for demonstrating active urinary extravasation.