PDF herunterladen
CC BY-NC-ND 4.0 · World J Nucl Med 2020; 19(01): 82-84
DOI: 10.4103/wjnm.WJNM_30_19
Case Report

Acute urinary obstruction during 99mTc-ethylenedicysteine diuretic renal scintigraphy acquisition: Is furosemide the culprit?

Shelvin Kumar Vadi
Department of Nuclear Medicine, Postgraduate Institute of Medical Education and Research, Chandigarh, India
,
Anish Bhattacharya
Department of Nuclear Medicine, Postgraduate Institute of Medical Education and Research, Chandigarh, India
,
Ashwani Sood
Department of Nuclear Medicine, Postgraduate Institute of Medical Education and Research, Chandigarh, India
,
Bhagwant Rai Mittal
Department of Nuclear Medicine, Postgraduate Institute of Medical Education and Research, Chandigarh, India
› Institutsangaben
› Weitere Informationen
Auch verfügbar auf
   Lizenzen und Reprints

Abstract

99mTc-ethylenedicysteine (99mTc-EC) diuretic renal scintigraphy is an established, safe, and noninvasive study to evaluate relative renal function and drainage. We present a known case of bilateral renal stone disease who presented with acute urinary obstruction detected intraprocedurally on 99mTc-EC diuretic renography. He was managed subsequently with emergency double J stenting. The development of acute obstruction intraprocedurally in this patient may be resultant of forced diuresis caused by furosemide, dislodging the renal stones in the distal ureters. In the setting of renal calculi, cautious use of furosemide with watchful monitoring may be needed to see for the development of obstruction and manage accordingly.

Keywords

99mTc-Ethylenedicysteine - acute urinary obstruction - diuretic - furosemide - renal scintigraphy - renal stone disease

Financial support and sponsorship

Nil.




Publikationsverlauf

Eingereicht: 14. April 2019

Angenommen: 21. Mai 2019

Artikel online veröffentlicht:
19. April 2022

© 2020. Sociedade Brasileira de Neurocirurgia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

Thieme Medical and Scientific Publishers Pvt. Ltd.
A-12, 2nd Floor, Sector 2, Noida-201301 UP, India

 

  • References

  • 1 Taylor AT, Brandon DC, de Palma D, Blaufox MD, Durand E, Erbas B, et al. SNMMI procedure standard/EANM practice guideline for diuretic renal scintigraphy in adults with suspected upper urinary tract obstruction 1.0. Semin Nucl Med 2018;48:377-90.
  • 2 Tseng TY, Stoller ML. Obstructive uropathy. Clin Geriatr Med 2009;25:437-43.
  • 3 Taylor A Jr., Lallone R. Differential renal function in unilateral renal injury: Possible effects of radiopharmaceutical choice. J Nucl Med 1985;26:77-80.
  • 4 Sfakianakis GN, Cohen DJ, Braunstein RH, Leveillee RJ, Lerner I, Bird VG, et al. MAG3-F0 scintigraphy in decision making for emergency intervention in renal colic after helical CT positive for a urolith. J Nucl Med 2000;41:1813-22.
  • 5 Sfakianaki E, Sfakianakis GN, Georgiou M, Hsiao B. Renal scintigraphy in the acute care setting. Semin Nucl Med 2013;43:114-28.
  • 6 Lorberboym M, Kapustin Z, Elias S, Nikolov G, Katz R. The role of renal scintigraphy and unenhanced helical computerized tomography in patients with ureterolithiasis. Eur J Nucl Med 2000;27:441-6.
  • 7 Phipatanakul W, Adkinson NF Jr. Cross-reactivity between sulfonamides and loop or thiazide diuretics: Is it a theoretical or actual risk? Allergy Clin Immunol Int 2000;12:26-8.
  • 8 Wang Y, Chow DZ, Connolly LP, Scott JA, Palmer EL. Safety of administering furosemide during nuclear diuretic renography in patients with sulfonamide allergies. AJR Am J Roentgenol 2018;210:866-8.