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Unknown Case
Authored By: Bennett Greenspan and Andrew Homb.
Patient: 63 year old male
History:

63 year old man who underwent a left partial nephrectomy for renal cell carcinoma approximately 8 days ago and now presents with abdominal pain, fever. and an elevated white blood cell count.

 

Figure 1

Figure 2

Figure 3

 

Findings and Impression?

 

CT Urogram (same day) 

 

Figure 4

Figure 5

 

Next step in Management?

 

Ureteral stent placed by urology, (same day)

 

Percutaneous Fluid Collection Drianage, (one day later) 

 

Figure 6

Image Size:[small][as-submitted]

Fig. 1
Renal Scintigraphy Flow (Initial Study)

Fig. 2
Renal Scintigraphy Function (Initial Study)

Fig. 3
Renal Scintigraphy Post Void (Initial Study)

Fig. 4
CT urogram (same day as the initial study)

Fig. 5
CT urogram (same day as the initial study)

Fig. 6
Percutaneous Fluid Collection Drainage (1 day after the initial study)

Fig. 7
Renal Scintigraphy Flow (2 months after the initial study)

Fig. 8
Renal Scintigraphy Function (2 months after the initial study)

Fig. 9
Renal Scintigraphy Post Void (2 months after the initial study)
Image Size:[small][as-submitted]

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Additional Details:

Case [View Case with Diagnosis]Owner(s): Bennett Greenspan and Andrew HombLast Updated: 02-07-2013
Anatomy: Genitourinary (GU)   Pathology: Iatrogenic
Modality: CT, Nuc MedAccess Level: Readable by all users, writable by NucMed Certifiers
Keywords: rsnm

Case has been viewed 31 times.
Certified by Bennett Greenspan on 08-26-2011

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