Reflux into redundant duodenal stump of pancreatic allograft imitates duodenal stump leak on Tc-99m MAG3 imaging

S. Freyaldenhoven, Glenn A Halff, Robert M Esterl

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Tc-99m MAG3 scintigraphy is useful in the diagnosis of renal-pancreatic allograft dysfunction. A 35-year-old man who had a cadaveric kidney-pancreas transplant 6 weeks earlier was admitted for acute allograft rejection. A pelvic sonogram showed a large peripancreatic fluid collection. A Tc-99m MAG3 scan showed reflux in to the large, redundant duodenal stump of pancreatic allograft, which was initially mistaken to be a leak from the duodenal stump. The peripancreatic fluid collection was later identified to be a lymphocele (not a urinoma or duodenal stump leak). The authors present this case to emphasize that knowledge of the transplant anatomy, as well as clinical symptomatology, is essential before the diagnosis of a duodenal stump leak can be made.

Original languageEnglish (US)
Pages (from-to)338-339
Number of pages2
JournalClinical Nuclear Medicine
Volume22
Issue number5
DOIs
StatePublished - 1997

Fingerprint

Allografts
Urinoma
Lymphocele
Transplants
Kidney
Radionuclide Imaging
Pancreas
Anatomy

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Radiological and Ultrasound Technology

Cite this

@article{92b160c5bbe548539eabf304f7100561,
title = "Reflux into redundant duodenal stump of pancreatic allograft imitates duodenal stump leak on Tc-99m MAG3 imaging",
abstract = "Tc-99m MAG3 scintigraphy is useful in the diagnosis of renal-pancreatic allograft dysfunction. A 35-year-old man who had a cadaveric kidney-pancreas transplant 6 weeks earlier was admitted for acute allograft rejection. A pelvic sonogram showed a large peripancreatic fluid collection. A Tc-99m MAG3 scan showed reflux in to the large, redundant duodenal stump of pancreatic allograft, which was initially mistaken to be a leak from the duodenal stump. The peripancreatic fluid collection was later identified to be a lymphocele (not a urinoma or duodenal stump leak). The authors present this case to emphasize that knowledge of the transplant anatomy, as well as clinical symptomatology, is essential before the diagnosis of a duodenal stump leak can be made.",
author = "S. Freyaldenhoven and Halff, {Glenn A} and Esterl, {Robert M}",
year = "1997",
doi = "10.1097/00003072-199705000-00020",
language = "English (US)",
volume = "22",
pages = "338--339",
journal = "Clinical Nuclear Medicine",
issn = "0363-9762",
publisher = "Lippincott Williams and Wilkins",
number = "5",

}

TY - JOUR

T1 - Reflux into redundant duodenal stump of pancreatic allograft imitates duodenal stump leak on Tc-99m MAG3 imaging

AU - Freyaldenhoven, S.

AU - Halff, Glenn A

AU - Esterl, Robert M

PY - 1997

Y1 - 1997

N2 - Tc-99m MAG3 scintigraphy is useful in the diagnosis of renal-pancreatic allograft dysfunction. A 35-year-old man who had a cadaveric kidney-pancreas transplant 6 weeks earlier was admitted for acute allograft rejection. A pelvic sonogram showed a large peripancreatic fluid collection. A Tc-99m MAG3 scan showed reflux in to the large, redundant duodenal stump of pancreatic allograft, which was initially mistaken to be a leak from the duodenal stump. The peripancreatic fluid collection was later identified to be a lymphocele (not a urinoma or duodenal stump leak). The authors present this case to emphasize that knowledge of the transplant anatomy, as well as clinical symptomatology, is essential before the diagnosis of a duodenal stump leak can be made.

AB - Tc-99m MAG3 scintigraphy is useful in the diagnosis of renal-pancreatic allograft dysfunction. A 35-year-old man who had a cadaveric kidney-pancreas transplant 6 weeks earlier was admitted for acute allograft rejection. A pelvic sonogram showed a large peripancreatic fluid collection. A Tc-99m MAG3 scan showed reflux in to the large, redundant duodenal stump of pancreatic allograft, which was initially mistaken to be a leak from the duodenal stump. The peripancreatic fluid collection was later identified to be a lymphocele (not a urinoma or duodenal stump leak). The authors present this case to emphasize that knowledge of the transplant anatomy, as well as clinical symptomatology, is essential before the diagnosis of a duodenal stump leak can be made.

UR - http://www.scopus.com/inward/record.url?scp=0030923121&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0030923121&partnerID=8YFLogxK

U2 - 10.1097/00003072-199705000-00020

DO - 10.1097/00003072-199705000-00020

M3 - Article

C2 - 9152544

AN - SCOPUS:0030923121

VL - 22

SP - 338

EP - 339

JO - Clinical Nuclear Medicine

JF - Clinical Nuclear Medicine

SN - 0363-9762

IS - 5

ER -