Transureteroureterostomy obstruction mimicking acute tubular necrosis.

Abstract:

:A patient receiving nephrotoxic chemotherapy for metastatic cervical cancer was examined for acute renal failure. A Tc-99m MAG3 scan showed symmetric function, bilateral increasing parenchymal activity, and no tracer excretion in either collecting system. The differential diagnosis included cisplatin-induced nephrotoxicity, dose infiltration, and obstruction of the common ureter. Analysis of the scan, an image over the injection site, and a delayed image of the urinary tract indicated obstruction of the common ureter at the anastomotic site of the transureteroureterostomy. In patients with a transureteroureterostomy, symmetric renal dysfunction, and no bladder activity, a delayed image of the urinary tract should be obtained to distinguish obstruction from acute tubular necrosis.

journal_name

Clin Nucl Med

authors

Esteves FP,Halkar RK,Taylor A Jr

doi

10.1097/00003072-200202000-00007

keywords:

subject

Has Abstract

pub_date

2002-02-01 00:00:00

pages

109-12

issue

2

eissn

0363-9762

issn

1536-0229

journal_volume

27

pub_type

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