Additional value of SPECT/CT to Tc-99m MAG3 renal scintigraphy in the diagnosis of a patient with ureteroileal fistula

Jinekolojik cerrahi komplikasyonu olarak alt üriner sistemde fistül oluşan 38 yaşındaki bayan hastaya tanısal görüntüleme amacıyla dinamik renal sintigrafi sonrasında SPECT/BT incelemesi yapıldı. Sintigrafi, BT ve füzyon görüntüler incelendiğinde aktivitenin ileum lümeninde olduğu gözlendi. Erken ve geç SPECT/BT görüntüleri karşılaştırıldığında aktivitenin barsak peristaltizmi ile distale ilerlediği tespit edildi. Fistüllerin tanısal görüntülemesinde amaç fistül varlığını tespit etmek yanında cerrahi öncesi anatomik lokalizasyonun belirlenmesidir. Entegre SPECT/BT sistemleri aynı seansta fonksiyonel ve anatomik görüntüleme imkanı sağlar. Dinamik renal sintigrafi ve abdominal SPECT/BT görüntüleme alt üriner sistem fistüllerini görüntülemede düşük maliyet, düşük radyasyon dozu ve kolay tolere edilebilir olması nedeniyle güvenle kullanılabilecek bir tanısal metottur. (MIRT 2012;21:84-87)

Üreteroileal fistüllü hastanın tanısında SPECT/BT'nin MAG3 renal sintigrafiye katkısı

We performed Tc-99m MAG3 dynamic renal scintigraphy followed by a SPECT/CT imaging to a 38-yr-old woman who had a fistula in the lower urinary tract after a gynecological operation for diagnostic purposes. After scintigraphy, CT and fusion images were evaluated, it was observed that the activity in the right lower quadrant was actually in the ileal lumen. When early and late SPECT/CT images were compared, it was seen that the activity was moving distally with intestinal peristaltism. The reason for diagnostic imaging of the fistulas is not only to show the existence of the fistula but also locate it anatomically before the surgery. SPECT systems integrated with CT scanning provide functional and anatomical imaging at the same session. Dynamic renal scintigraphy and abdominal SPECT/CT, is a safe diagnostic procedure in visualization of urinary tract fistulas with advantages of the low cost, low radiation exposure and easier tolerability compared to double contrast imaging. (MIRT 2012;21:84-87)

Kaynakça

1. Cornella JL, Lee RA. Diagnosis and management of genitourinary fistula. J Gynecologic Oncology 2002;7:78-90.

2. Burivong W, Leelasithor V, Varavithya V. Common lower urinary tract fistulas: A review of clinical presentations, causes and radiographic imaging. International Journal of Case Reports and Images 2011;2:1-7.

3. Titton RL, Gervais DA, Hahn PF, Harisinghani MG, Arellano RS, Mueller PR. Urine leaks and urinomas: diagnosis and imagingguided intervention. Radiographics 2003;23:1133-1147.

4. Narayanan P, Nobbenhuis M, Reynolds KM, Sahdev A, Reznek RH, Rockall AG. Fistulas in malignant gynecologic disease: etiology, imaging, and management. Radiographics 2009;29:1073-1083.

5. Moon SG, Kim SH, Lee HJ, Moon MH, Myung JS. Pelvic fistulas complicating pelvic surgery or diseases: spectrum of imaging findings. Korean J Radiol 2001;2:97-104.

Kaynak Göster

Molecular Imaging and Radionuclide Therapy
  • ISSN: 2146-1414
  • Yayın Aralığı: Yılda 3 Sayı
  • Başlangıç: 1992

1.2b407

Sayıdaki Diğer Makaleler

Demonstration of adaptive functional differences seen in kidneys accompanying a nonfunctioning/hypofunctioning partner, using camera based Tc 99m MAG3 clearance measurement technique

Burcu Esen AKKAŞ, Gülin Uçmak VURAL, ÜMİT ÖZGÜR AKDEMİR, Neşe Ilgın KARABACAK

The role of myocardial perfusion gated SPECT study in women with coronary artery disease: A correlative study

Erdal Nihat AKALIN, OLGA YAYLALI, Fatma Suna KIRAÇ, Doğan Gül YÜKSEL, Mustafa KILIÇ

Octreotide uptake in parathyroid adenoma

SEYHAN KARAÇAVUŞ, Mustafa KULA, Züleyha Cihan KARACA, Kürşad ÜNLÜHIZARCI, AHMET TUTUŞ, Fahri BAYRAM, Ganime ÇOBAN

Relation between metabolic activity of the broca region and F-18 FDG uptake in vocal cords

Mine Şencan EREN, Hatice DURAK

Baker's cyst on F-18 FDG PET/CT in a patient with ocular melanoma

Hakan CAYVARLI, Erkan DEREBEK

Unexpected significantly reduced FDG uptake in the cerebrum compared against normal liver uptake in a dying patient

Luke I. SONODA, Bal SANKHERA, Gill VIVIAN, Wai Lup WONG

Isolated left pulmonary artery agenesis: A case report

TANSEL ANSAL BALCI, ZEHRA PINAR KOÇ, Gamze KIRKIL, AHMET KÜRŞAD POYRAZ

Detection of sentinel lymph nodes in gynecologic tumours by planar scintigraphy and SPECT/CT

Otakar KRAFT, Czech Republic Poruba Ostrava Clinic of Nuclear Medicine Martin1University Hospital HAVEL

Impact of FDG-PET/CT for the detection of unknown primary tumours in patients with cervical lymph node metastases

İnanç KARAPOLAT, Kamil KUMANLIOĞLU

Additional value of SPECT/CT to Tc-99m MAG3 renal scintigraphy in the diagnosis of a patient with ureteroileal fistula

Nilüfer Yıldırım POYRAZ, ELİF ÖZDEMİR, Mutlay KESKİN, ŞEYDA TÜRKÖLMEZ