Bia M J, Baggish D, Katz L, Gonzalez R, Kliger A S, Rosenfield A T
JAMA. 1981 Sep 25;246(13):1435-7.
Two renal transplant patients had fever and graft tenderness secondary to a gas-containing abscess around the transplanted kidney. Renal ultrasonography failed to identify the abscess in these cases because of the difficulty in differentiating bowel from gas-containing collections. Gallium citrate Ga 67 scanning, performed in one patient, did not delineate the abscess because interpretation was complicated by the presence of radioactivity in the bowel. In both cases, the pelvic abscess was identified correctly with the use of computed tomography (CT). The limitations of ultrasonography in identifying gas-containing collections should be recognized, and CT should be performed as one of the initial studies in evaluating a renal transplant patient with a suspected pelvic abscess.
两名肾移植患者因移植肾周围含气脓肿出现发热和移植肾压痛。在这些病例中，肾脏超声检查未能识别出脓肿，因为难以将肠管与含气积液区分开来。对一名患者进行的枸橼酸镓Ga 67扫描未能描绘出脓肿，因为肠道内的放射性使解读变得复杂。在这两个病例中，通过计算机断层扫描（CT）正确识别出了盆腔脓肿。应认识到超声检查在识别含气积液方面的局限性，在评估疑似盆腔脓肿的肾移植患者时，CT应作为初始检查之一进行。
