123I-Metaiodobenzylguanidine accumulation in a urinoma and cortex of an obstructed kidney after surgical resection of an abdominal neuroblastoma.

Abstract:

:Surgical ureteric injury is rare and often unsuspected for a long time. We present a child in whom an abdominal neuroblastoma was completely excised, but during surgery the left ureter was transected and anastomosed. One month later, during postoperative disease staging, abnormal (123)I-MIBG accumulation was observed in the left renal cortex and the left side of the abdomen. These findings were consistent with acute total obstruction and urinoma formation and were subsequently confirmed by renography and MRI. Despite treatment efforts, a significant amount of left renal mass and function were lost over the following months. These unusual findings are new additions to the literature regarding potential false-positive interpretations of (123)I-MIBG scans.

journal_name

Pediatr Radiol

journal_title

Pediatric radiology

authors

Moralidis E,Arsos G,Papakonstantinou E,Badouraki M,Koliouskas D,Karakatsanis C

doi

10.1007/s00247-007-0628-5

subject

Has Abstract

pub_date

2008-01-01 00:00:00

pages

118-21

issue

1

eissn

0301-0449

issn

1432-1998

journal_volume

38

pub_type

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