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CC BY 4.0 · World J Nucl Med 2023; 22(01): 043-047
DOI: 10.1055/s-0042-1757282
Case Report

Use of 99mTc-DTPA Scintigraphy in Evaluation of Ureteral Laceration Due to Transurethral Lithotripsy in a Patient with Nephrolithiasis

Autoren

  • Esmaeil Gharepapagh

    1   Medical Radiation Sciences Research Team, Tabriz University of Medical Sciences, Tabriz, Iran

  • Ashraf Fakhari

    1   Medical Radiation Sciences Research Team, Tabriz University of Medical Sciences, Tabriz, Iran

  • Afshar Zomorrodi

    2   Department of Urology, Tabriz University of Medical Sciences, Tabriz, Iran

  • Shahram Dabiri Oskuei

    1   Medical Radiation Sciences Research Team, Tabriz University of Medical Sciences, Tabriz, Iran
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Abstract

Transurethral lithotripsy (TUL) procedure via ureteroscopy as an invasive method for nephrolithiasis treatment would lead to urinary tract injuries. In this reported case, the procedure caused severe damage to the left ureter that was detected by 99mTc-diethylenetriaminepentaacetic acid (99mTc-DTPA) scan. Generally, the TUL procedure through the ureter scope is used to manage urinary tract stones. In this case, the TUL was performed on a patient with a history of nephrolithiasis. Following that, she was accompanied with abdominal pain and discomfort, so 99mTc-DTPA scintigraphy was performed to evaluate the urinary tract system. The scintigraphy showed a severe damage to the left ureter that finally resulted in autotransplantation. The control 99mTc-DTPA scintigraphy performed 3 weeks after revealed no visible urinary leakage. In this case, the 99mTc-DTPA scan prevented the patient from dangerous complications. So, 99mTc-DTPA scan could be performed after TUL and ureteroscopy to detect probable risks.

Keywords

radiopharmaceutical scan - 99mTc-DTPA renal scintigraphy - nephrolithiasis - transurethral lithotripsy - ureteroscopy

Authors' Contributions

Fakhari organized the investigation and was a major contributor to writing the manuscript. Gharepapagh interpreted scintigraphy regarding the 99mTc-DTPA renal scan. Afshar Zomorrodi performed auto-transplantation surgery. Shahram Dabiri Oskuei reviewed the manuscript.




Publikationsverlauf

Artikel online veröffentlicht:
28. Oktober 2022

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