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Urinary extravasation from the kidney of recurrent renal cell carcinoma
W J Shih1, C Pulmano, A L Hotze
1Nuclear Medicine Service, Department of Veterans Affairs Medical Center, Lexington, KY.
Bildgebung = Imaging
|December 1, 1992
Abstract:
A man presented with recurrent renal cell carcinoma, complicated with acute pyelonephritis, 3 months status post partial nephrectomy. He underwent cystourethroscopy and a bilateral retrograde pyelogram, then was referred for a Tc-99m DTPA renal study; the images showed an initial photon-deficient area of the right kidney being gradually filled-in by radiotracer with further extension laterally, indicating urinary extravasation. 16 days later this area was aspirated, yielding 5 ml of yellowish fluid with clots consistent with necrotic tumor and pus.