Abstract
A 62-year-old male patient, with bladder carcinoma, was referred to our institution for Technetium-99m methylene diphosphonate bone scintigraphy to assess for bone metastasis. While the bone scan showed no abnormal uptake, extraosseous uptake was detected in the left perirenal and pelvic regions on the whole body scan. Computed tomography showed fornix rupture and demonstrated tracer pooling in the perirenal collection. Our diagnosis was very consistent, and oriented the therapeutic attitude towards a percutaneous drainage for the perinephric urinary leak.
Keywords:
Urinoma, bone scintigraphy, bladder carcinoma
Ethics
Informed Consent: The institutional review board of our institute “Med V Military Teaching Hospital” approved this publication, and the requirement to obtain informed consent was waived.
Authorship Contributions
Concept: S.N.O., A.D., A.D., Design: S.N.O., A.D., A.D., Data Collection or Processing: S.N.O., A.D., A.D., Analysis or Interpretation: S.N.O., Y.B., A.D., Literature Search: S.N.O., O.A.S., Writing: S.N.O.
Conflict of Interest: No conflicts of interest were declared by the authors.
Financial Disclosure: The authors declare that this study has received no financial support.
References
1
Doehn C, Fiola L, Peter M, Jocham D. Ursachen und verlauf bei fornixruptur [causes and course of fornix rupture]. Aktuelle Urol. 2010;41:119-121.
2
Wimpissinger F, Türk C, Kheyfets O, Stackl W. The silence of the stones: asymptomatic ureteral calculi. J Urol. 2007;178:1341-1344.
3
Grosse A, Grosse C. Bildgebungsmodalitäten und therapieoptionen bei patienten mit akutem flankenschmerz [imaging modalities and therapy options in patients with acute flank pain]. Radiologe. 2014;54:700-714.
4
Vadi SK, Dasagrandhi V, Bhattacharya A, Singh SK, Mittal BR. Incidental detection of perinephric urinary leak on bone scintigraphy in a patient with urinary bladder carcinoma. Indian J Nucl Med. 2018;33:68-70.
5
Banzo I, Martinez-Rodriguez I, Quirce R, Jimenez-Bonilla J, Sainz-Esteban A, Barragán J, Portilla-Quattocciochi H, Medina-Quiroz P, Carril JM. Incidental detection of renal transplantation urinary leakage on FDG-PET/CT imaging for evaluation of lung metastases. Clin Nucl Med. 2009;34:924-926.