Dede Fuat, Ones Tunc, Caliskan Billur, Civen Huseyin, Erdil Tanju Y, Inanir Sabahat, Tuglular Zubeyde S, Yegen Cumhur, Akoglu Emel, Turoglu Halil T
Bulgurlu Mahallesi Hanimseti Cikmazi Sokak, No. 2, A Blok, Daire 2, Uskudar, Istanbul 34696, Turkey.
Ann Nucl Med. 2007 Dec;21(10):603-6. doi: 10.1007/s12149-007-0065-4. Epub 2007 Dec 25.
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.
肾移植术后早期尿漏是一种严重并发症，需要早期识别并积极干预，这可显著降低发病率和死亡率。肾移植闪烁扫描术是一种评估移植肾灌注、功能及包括尿漏在内的尿路引流情况的非侵入性方法。在此，我们报告两例标准移植肾图未能显示尿漏的病例。这两例患者在移植后因出现症状或血清肌酐水平升高而接受二乙三胺五乙酸肾图检查以评估病因。在这两例中，通过诸如给予利尿剂或冲洗 Foley 导管等简单操作成功检测到尿漏。肾移植闪烁扫描术是一种有效且安全的技术，使用这些简单操作可提高移植肾图检测尿漏的诊断敏感性。
