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RENAL TRANSPANTLI OLGULARDA İDRAR KAÇAĞI TANISI: ULTRASONOGRAFİ, KLİNİK VE SİNTİGRAFİ BULGULARI

DIAGNOSIS OF URINARY LEAKAGE IN RENAL TRANSPLANT PATIENTS: ULTRASONOGRAPHIC, CLINICAL AND SCINTIGRAPHIC FINDINGS

Journal Name:

  • Türk Nefroloji, Diyaliz ve Transplantasyon Dergisi

Publication Year:

  • 2001

Key Words:

Keywords (Original Language):

Author NameUniversity of AuthorFaculty of Author
Abstract (2. Language): 
Urinary leakage is a well-recognized complication of renal transplant surgery, which may lead to increased morbidity. In order to define clinical efficacy of renal scintigraphy in urinary leakages, we retrospectively reviewed 82 renal transplant patients with early scintigraphic exams in the current study. The clinical, scintigraphic and ultrasonographic findings were comparatively evaluated. Seven sequential radionuclide studies in five patients showed urinary leakage, however; ultrasonography could be detected this pathology in only one patient. Scintigraphic evaluation was found to he false positive due to abdominal ascites in one patient. Our results show that, Tc99m DTPA dynamic renal scintigraphy seems to be an easy and safe method to detect urinary leakage in renal transplantation patients.
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Abstract (Original Language): 
İdrar kaçağı, renal transplant cerrahisinde artan morbiditiye yol açan, bilinen bir komplikasyondur. İdrar kaçağında renal sintigrafmin klinik etkinliğini belirlemek amacıyla, bu çalışmada 82 renal transplant olgunun erken dönem sintigrafilerini retrospektif olarak değerlendirdik. Sadece bir hastada ultrasonografı kullanılarak patoloji tespit edildi. Beş hastanın yedi sintigrafisinde idrar kaçağı saptandı. Abdominal asiti olan bir hastada sintigrafi ile yanlış pozitif olarak idrar kaçağı tanısı konuldu. Bulgularımız, renal transplantlı olgularda Tc99m DTPA dinamik renal sintigrafısinin idrar kaçağı tanısında kolay ve güvenilir yöntem olduğunu gösterdi.
FULL TEXT (PDF): 
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  • 4
239-243
  • Turkish

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