Bone Scan Visualization of Ectopic Urine Retention in an Incidental Case of Renal Dysplasia

骨骼掃描骨盆放射性核種聚積，起因於腎臟先天性發育不良

蘇豐裕(Feng-Yu Su) ； 滕文豹(Wen-Bao Teng) ； 黃柏凱(Bo-Kai Huang)

《核子醫學暨分子影像雜誌》 30卷4期 (2017/12) Pp. 166-170

https://doi.org/10.6332/ANMMI.3004.005

摘要

A 67-year-old woman visited our department under the suspicion of bone metastasis. Anterior, posterior, and bilateral bone scans revealed strong radioactivity just above the bladder at the middle portion of the pelvic cavity. The findings of computed tomography conducted in 2004 indicated that this patient had an apparently unaffected right kidney; a well-defined soft tissue nodule measuring approximately 7 cm with clear enhancement and small cysts in the left pelvic region; and nonvisualization of the left kidney in the left renal fossa. Retrograde pyelography conducted in 2004 showed rotation with deformity of the left kidney and congenital dysplasia of the left pelvic kidney. The flow of contrast from the left ureter to the bladder was observed. In the results of diethylene triamine penta-acetic acid (DTPA) scintigraphy, her glomerular filtration rate (GFR) was 61.8 ml/min on the right side, and no function was observed on the left side.

關鍵字

bone scan ； ectopic urine retention ； renal dysplasia

並列摘要

一個病患作骨骼掃描在貼在膀胱上方有一亮區，強度跟膀胱很像。我們對照了之前作的電腦斷層，原來是發育不良之左腎位於骨盆中央且沒有功能。但因輸尿管及腎盂的擴大，成為放射性核種滯留的地方。

並列關鍵字

腎臟發育不良 ； 骨骼掃描 ； 尿液滯留