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Perinephric urinoma due to locally advanced recto-sigmoid tumor: incidental finding on bone scan.

Al Tamimi AS, Magsombol B, Ng A, Ng D - World J Nucl Med (2014)

Bottom Line: We are presenting a 59 years old man with locally advanced recto-sigmoid colon cancer; complaining of left flank pain and bone scan was done to rule out bone metastases.Findings in bone scan were suggesting left renal obstruction, but further SPECT/CT imaging to localize the uptake revealed a perinephric collection likely due to leak from the left ureter close to tumor site.

View Article: PubMed Central - PubMed

Affiliation: Department of Nuclear Medicine and PET, Singapore General Hospital, Singapore 169608, Singapore.

ABSTRACT
We are presenting a 59 years old man with locally advanced recto-sigmoid colon cancer; complaining of left flank pain and bone scan was done to rule out bone metastases. Findings in bone scan were suggesting left renal obstruction, but further SPECT/CT imaging to localize the uptake revealed a perinephric collection likely due to leak from the left ureter close to tumor site.

No MeSH data available.


Related in: MedlinePlus

Single photon emission tomography/computed tomography (axial plain) showing tracer activity in the perinephric collection compatible with urinoma. Left kidney is not enlarged
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Figure 2: Single photon emission tomography/computed tomography (axial plain) showing tracer activity in the perinephric collection compatible with urinoma. Left kidney is not enlarged

Mentions: A 59-year-old man with a history of inoperable locally advanced recto-sigmoid tumor presented with left loin pain and tenderness. A bone scan was performed to rule out bone metastases. Planar images revealed an abnormal oval-shaped radiotracer uptake in the left abdomen resembling an obstructed left kidney [Figure 1]. Single photon emission tomography/computed tomography (SPECT/CT) was performed to further evaluate the location of the abnormal radiotracer accumulation. Fused images showed a left perinephric collection likely due to leak from the ureter close to the primary tumor [Figures 2 and 3]. The patient underwent percutaneous nephrostomy, drainage, and retrograde ureteric stenting. Patient made an uneventful recovery.


Perinephric urinoma due to locally advanced recto-sigmoid tumor: incidental finding on bone scan.

Al Tamimi AS, Magsombol B, Ng A, Ng D - World J Nucl Med (2014)

Single photon emission tomography/computed tomography (axial plain) showing tracer activity in the perinephric collection compatible with urinoma. Left kidney is not enlarged
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4150156&req=5

Figure 2: Single photon emission tomography/computed tomography (axial plain) showing tracer activity in the perinephric collection compatible with urinoma. Left kidney is not enlarged
Mentions: A 59-year-old man with a history of inoperable locally advanced recto-sigmoid tumor presented with left loin pain and tenderness. A bone scan was performed to rule out bone metastases. Planar images revealed an abnormal oval-shaped radiotracer uptake in the left abdomen resembling an obstructed left kidney [Figure 1]. Single photon emission tomography/computed tomography (SPECT/CT) was performed to further evaluate the location of the abnormal radiotracer accumulation. Fused images showed a left perinephric collection likely due to leak from the ureter close to the primary tumor [Figures 2 and 3]. The patient underwent percutaneous nephrostomy, drainage, and retrograde ureteric stenting. Patient made an uneventful recovery.

Bottom Line: We are presenting a 59 years old man with locally advanced recto-sigmoid colon cancer; complaining of left flank pain and bone scan was done to rule out bone metastases.Findings in bone scan were suggesting left renal obstruction, but further SPECT/CT imaging to localize the uptake revealed a perinephric collection likely due to leak from the left ureter close to tumor site.

View Article: PubMed Central - PubMed

Affiliation: Department of Nuclear Medicine and PET, Singapore General Hospital, Singapore 169608, Singapore.

ABSTRACT
We are presenting a 59 years old man with locally advanced recto-sigmoid colon cancer; complaining of left flank pain and bone scan was done to rule out bone metastases. Findings in bone scan were suggesting left renal obstruction, but further SPECT/CT imaging to localize the uptake revealed a perinephric collection likely due to leak from the left ureter close to tumor site.

No MeSH data available.


Related in: MedlinePlus