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Incidental detection of obstructive uropathy during scrotal imaging
A H Elgazzar1, M Fernandex-Ulloa, R R Black
1Eugene L. Saenger Radioisotope Laboratory, Department of Radiology, University of Cincinnati Medical Center, Ohio 45267.
Clinical Nuclear Medicine
|November 1, 1988
Summary
Technetium-99m DTPA (Tc-99m DTPA) scans can identify obstructive uropathy as a cause of testicular pain in adults. This method is recommended for testicular imaging, including the kidneys and ureters.
Area of Science:
- Nuclear medicine
- Urology
- Radiology
Background:
- Radionuclide imaging of the scrotum typically uses Tc-99m pertechnetate.
- The diagnosis of testicular pain can be challenging, requiring precise imaging techniques.
Observation:
- Three adult patients presented with testicular pain and normal testicular perfusion on Tc-99m pertechnetate scans.
- Subsequent imaging with Tc-99m DTPA revealed acute obstructive uropathy as the underlying cause.
Findings:
- Tc-99m DTPA demonstrated acute obstructive uropathy in patients with testicular pain and normal perfusion on Tc-99m pertechnetate imaging.
- This highlights the utility of Tc-99m DTPA in diagnosing specific causes of testicular pain.
Implications:
- Tc-99m DTPA is recommended for testicular imaging in adult patients, especially when evaluating for obstructive uropathy.
- Concomitant imaging of the kidneys and ureters with Tc-99m DTPA provides a comprehensive assessment.
- This approach enhances diagnostic accuracy for testicular pain of obstructive uropathy origin.