通过锝-99m二巯基丁二酸（99mTc-DMSA）闪烁扫描术鉴定出的发育不全性发育异常肾合并阴道异位输尿管。
Hypoplastic dysplastic kidney with a vaginal ectopic ureter identified by technetium-99m-DMSA scintigraphy.
作者信息
Bozorgi F, Connolly L P, Bauer S B, Neish A S, Tan P E, Schofield D, Treves S T
机构信息
Department of Radiology, Children's Hospital, Harvard Medical School, Boston, Massachusetts 02115, USA.
出版信息
J Nucl Med. 1998 Jan;39(1):113-5.
Ectopic insertion of a ureter draining a hypoplastic dysplastic kidney is a significant cause of urinary incontinence in girls. In this case, such a kidney was detected with 99mTc-DMSA scintigraphy but not by intravenous pyelography. Scintigraphy facilitated further delineation of the anatomy with CT prior to nephrectomy. Based on this case and a literature review, we suggest that 99mTc-DMSA scintigraphy be performed early when evaluating girls with urinary incontinence.
引流发育不全或发育异常肾脏的输尿管异位插入是女童尿失禁的一个重要原因。在本病例中，通过99mTc-DMSA闪烁扫描术检测到了这样一个肾脏，但静脉肾盂造影未检测到。在肾切除术之前，闪烁扫描术有助于通过CT进一步明确解剖结构。基于本病例及文献综述，我们建议在评估女童尿失禁时尽早进行99mTc-DMSA闪烁扫描术。
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