ABSTRACT
The use of radionuclide testicular imaging to assess testicular perfusion has been shown to be a valuable diagnostic procedure in the evaluation of the acute scrotum. However, if images are not evaluated in conjunction with physical findings falsely negative examinations can occur. A case of torsion of a retractile testicle (redux testis) is presented to demonstrate this potential limitation. To our knowledge this has not been reported previously.
Subject(s)
Spermatic Cord Torsion/diagnostic imaging , Child, Preschool , Humans , Male , Radionuclide ImagingABSTRACT
An abnormal accumulation of radionuclide was identified within the right juxtadiaphragmatic and juxtahepatic spaces during gallium-67 citrate scintigraphy in a post-pyeloplasty patient. Its mode of presentation, the recent pyeloplasty and the known biologic distribution of gallium suggested that it represented gallium-67 concentration within a postoperatively created urinoma. Diagnosis was confirmed by excretory urography and laparotomy.
Subject(s)
Cysts/diagnostic imaging , Gallium Radioisotopes , Kidney Pelvis/surgery , Postoperative Complications , Urine , Adolescent , Humans , Male , Radionuclide ImagingABSTRACT
Among the many complications of total pelvic exenteration is a fistulous communication between the iliac artery and ureter. We reported 1 such case complicated by near exsanguination and shock. Repair of the fistula was accomplished by closure of the iliac rent and cutaneous ureterostomy.
