대한신장학회

Skip Navigation: Skip to contents

KOR
ENG
전체메뉴보기

간행물 검색

현재 페이지 경로

HOME
간행물
간행물 검색

논문분류	춘계학술대회 초록집
제목	Extraperitoneal urine leak without oliguria after renal transplantation
저자	Jihye Kwak1, Yire Kim1, Ha nee Jang1, Se-Ho Chang1, Tae won Lee2, Eunjin Bae2, Dong Jun Park2, Hyun-Jung Kim1, Hyun seop Cho1
출판정보	2018; 2018(1):
키워드	Urinary leakage \| , donor kidney transplantation \| SPECT/CT imagingT/CT imaging
초록	Case Study: A 53-year-old male underwent deceased-donor kidney transplantation because of end-stage renal disease due to chronic glomerulonephritis. The early postoperative course was good. His creatinine level decreased to 1.72 mg /dL. However, on postoperative 10 days, he presented with sudden scrotal swelling. Urine output was maintained well over 5L. On ultrasound examination showed the normal looking kidney, no evidence of hydroneophrosis and right pelvic area scanty fluid collection. His creatinine level was 1.93 mg/dL. On the next day, the patient underwent Tc- 99m MAG3 renal scintigraphy and SPECT/CT imaging. Tc-99m MAG3 renal scintigraphy showed the 35-40 minute image irregular focal increased uptake on Bladder right side and after 120 minutes, heterogeneous mild uptake along the right pelvic cavity and right scrotum. SPECT/CT fusion image revealed radioactivity was observed along the transplanted kidney anterior aspect, right external iliac space, right inguinal space and right scrotum. A ureteral stent and a foley catheter were inserted after confirming that the urethral leakage site was a ureteral-cystic junction. Since then, scrotal swelling had improved, His creatinine level decreased to 1.26 mg/dL. Because urine leakage may occur without oliguria, if scrotal swelling is present, suspicion of urinary leakage and appropriate imaging test may help early renal function recovery.
원문(PDF)	PDF 원문보기

목록

위로가기