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HILSON’S PERFUSION INDEX AND SCINTIGRAPHIC ASSESSMENT OF RENAL ECTOPIA AND FUSION ANOMALIES

Year 2020, Volume: 27 Issue: 1, 9 - 15, 01.03.2020
https://doi.org/10.17343/sdutfd.567979

Abstract

References

  • Referans 1 Kelly CR, Landman J. Anatomy of the Urinary Tract. In: Kelly CR, Landman J. The Netter Collection of Medical Illustrations-Urinary System e-Book (2nd Ed), Philadelphia, Elsevier Health Sciences, 2012; 1-28.
  • Referans 2 Bauer SB. Anomalies of the upper urinary tract. In: Wein A, editors. Campbell-Walsh Urology (11th Ed), Philadelphia, Saunders Elsevier, 2016; 2985-6.
  • Referans 3 Amis ES, Newhouse JH. Congenital anomalies. Essentials of Uroradiology. In: Dunnick NR, Sandler CM, Newhouse JH. Textbook Uroradiology (4th Ed), Philadelphia, Lippincott Williams & Wilkins, 2013; 57-61.
  • Referans 4 Donat SM, Donat PE. Intrathoracic kidney: a case report with a review of the world literature. J Urol. 1988;140(1):131-3.
  • Referans 5 Ten Broek MRJ, Te Beek ET, Stuurman-Wieringa RE. 99mTc-MAG3 Renography of Intrathoracic Renal Ectopia. Clin Nucl Med. 2019;44(1):78-80.
  • Referans 6 Abeshouse BS, Bhisitkul I. Crossed renal ectopia with and without fusion. Urol Int. 1959;9(2):63-91.
  • Referans 7 Shapiro E, Bauer SB, Chow JS. Anomalies of the upper urinary tract. In: Wein AJ, Kavoussi LR, Partin AW, Peters CA. Campbell-Walsh Urology (10th Ed), Philadelphia, 2016;2975-3005.
  • Referans 8 Cinman NM, Okeke Z, Smith AD. Pelvic kidney: associated diseases and treatment. J Endourol. 2007;21(8):836-42.
  • Referans 9 Benjamin JA, Schullian DM. Observations on fused kidneys with horseshoe configuration: the contribution of Leonardo Botallo (1564). J Hist Med Allied Sci. 1950;5(3):315-26.
  • Referans 10 Kalra D, Broomhall J, Williams J. Horseshoe kidney in one of identical twin girls. J Urol. 1985;134(1):113.
  • Referans 11 Khan MN, Walsh WF. Bladder agenesis, ectopic ureters and a multicystic dysplastic horseshoe kidney in one twin newborn with normal amniotic fluid index in utero. BMJ Case Rep. 2016;8:2016.
  • Referans 12 Birmole B, Borwankar S, Vaidya A, Kulkarni BK. Crossed renal ectopia. J Postgrad Med. 1993;39(3):149-51.
  • Referans 13 Modi P, Rizvi S, Gupta R, Patel S. Retroperitoneoscopic nephrectomy for crossed-fused ectopic kidney. Indian J Urol. 2009;25(3):401-3.
  • Referans 14 Gordon I, Ransley P, Hubbard CS. 99mTc DTPA Scintigraphy Compared with Intravenous Urography in the Follow-up of Posterior Urethral Valves. Br J Urol. 1987;60(5):447-9.
  • Referans 15 Hilson AJ, Maisey MN, Brown CB, Ogg CS, Bewick MS. Dynamic renal transplant imaging with Tc-99m DTPA (Sn) supplemented by a transplant perfusion index in the management of renal transplants. J Nucl Med. 1978;19(9):994-1000.
  • Referans 16 Goldfarb CR, Srivastava NC, Grotas AB, Ongseng F, Nagler HM. Radionuclide imaging in urology. Urol Clin North Am. 2006;33(3):319-28.
  • Referans 17 Brock JW 3rd, Braren V, Phillips K, Winfield AC. Caudal regression with cake kidney and a single ureter: a case report. J Urol. 1983;130(3):535-6.
  • Referans 18 Doménech-Mateu JM, Gonzalez-Compta X. Horseshoe kidney: a new theory on its embryogenesis based on the study of a 16-mm human embryo. Anat Rec. 1988;222(4):408-17.
  • Referans 19 Hill GS. Renal and ureteral anomalies. In: Hill GS, editors. Uropathology, vol I. New York: Churchill Livingstone,1989; 1-80.
  • Referans 20 Gleason PE, Kelalis PP, Husmann DA, Kramer SA. Hydronephrosis in renal ectopia: incidence, etiology, and significance. J Urol. 1994;151(6):1660-1.
  • Referans 21 Gray SE, Skandalakis JE. Embryology for surgeons-The embryological basis for the treatment of congenital defects. Philadelphia, London, Toronto, W. B. Saunders Co, 1972; 472-4.
  • Referans 22 Hollis HW Jr, Rutherford RB, Crawford GJ, Cleland BP, Marx WH, Clark JR. Abdominal aortic aneurysm repair in patients with pelvic kidney. Technical considerations and literature review. J Vasc Surg. 1989; 9(3): 404-9.
  • Referans 23 de Virgilio C, Gloviczki P, Cherry KJ, Stanson AW, Bower TC, Hallett JW Jr, et al. Renal artery anomalies in patients with horseshoe or ectopic kidneys: the challenge of aortic reconstruction. Cardiovasc Surg. 1995;3(4):413-20.
  • Referans 24 Guarino N, Tadini B, Camardi P, Silvestro L, Lace R, Bianchi M. The incidence of associated urological abnormalities in children with renal ectopia. J Urol. 2004;172(4):1757-9.
  • Referans 25 Khan SH, Rather TA, Khan MA. Tc-99m DTPA renal scintigraphy and renal ectopia: A retrospective analysis. Indian J Nucl Med. 2005;20(1):9-13.
  • Referans 26 Britton K, Nimmon C, Whitfield H, Hendry WF, Wickham JEA. Obstructive nephropathy: successful evaluation with radionuclides. Lancet 1979;1(8122):905-7.

Renal Ektopi ve Füzyon Anomalilerinin Sintigrafik Değerlendirilmesi ve Hilson Perfüzyon İndeksi

Year 2020, Volume: 27 Issue: 1, 9 - 15, 01.03.2020
https://doi.org/10.17343/sdutfd.567979

Abstract

Amaç: Renal ektopi ve füzyon anomalili
hastalarda (1) Hilson perfüzyon indeksi ile böbreklerin perfüzyon fonksiyonunu belirlemek
ve (2) dinamik böbrek sintigrafisi ile böbrek fonksiyonlarını değerlendirmek.



Gereç ve Yöntemler: Tc-99m DTPA dinamik böbrek
sintigrafisi için başvuran toplam 959 hasta retrospektif olarak incelendi.
Böbreklerin fonksiyonlarını ve diüretik yanıtlarını zaman-aktivite eğrileri ile
değerlendirdik ve kantitatif analiz yaptık. Böbreklerin perfüzyonunun değerlendirilmesinde
Hilson indeksi kullanıldı.



Bulgular: 29 hastada (%3) renal ektopi ve füzyon anomalisi olduğu belirlendi. Pelvik ektopik böbreklerin ortalama uzunluğu ortotopik böbreklerden anlamlı derecede kısaydı (sırasıyla 91,0 mm ± 18,9 ve 111,0 mm ± 10,3, p = 0,001). Hilson perfüzyon indeksinin ortalama değeri, ortoptopik böbreklere kıyasla ektopik böbreklerde anlamlı olarak daha yüksekti (sırasıyla, 86,4 ± 67,1'e karşılık 36,8 ± 18,0, p = 0,001). Çapraz renal ektopik, pelvik ektopik ve at nalı böbrekler arasında perfüzyon/ekstraksiyon fonksiyonları ile ekskresyon fonksiyonları arasında istatistiksel olarak anlamlı fark yoktu (sırasıyla p = 0,079 ve p = 0,879). Pelvik ektopik böbreklerde ekstraksiyon fonksiyonları, ortotopik böbreklere kıyasla anlamlı derecede bozulmuştu (p = 0,001). Pelvik ektopik böbreklerin ekskresyon fonksiyonları ile ortotopik böbreklerin ekskresyon fonksiyonları arasında anlamlı fark yoktu (p = 0,116).

Sonuç: Hilson perfüzyon indeksi, renal ektopi ve füzyon anomalisi olan böbreklerin perfüzyon fonksiyonlarının sintigrafik değerlendirmesinde yararlı olabilir.

References

  • Referans 1 Kelly CR, Landman J. Anatomy of the Urinary Tract. In: Kelly CR, Landman J. The Netter Collection of Medical Illustrations-Urinary System e-Book (2nd Ed), Philadelphia, Elsevier Health Sciences, 2012; 1-28.
  • Referans 2 Bauer SB. Anomalies of the upper urinary tract. In: Wein A, editors. Campbell-Walsh Urology (11th Ed), Philadelphia, Saunders Elsevier, 2016; 2985-6.
  • Referans 3 Amis ES, Newhouse JH. Congenital anomalies. Essentials of Uroradiology. In: Dunnick NR, Sandler CM, Newhouse JH. Textbook Uroradiology (4th Ed), Philadelphia, Lippincott Williams & Wilkins, 2013; 57-61.
  • Referans 4 Donat SM, Donat PE. Intrathoracic kidney: a case report with a review of the world literature. J Urol. 1988;140(1):131-3.
  • Referans 5 Ten Broek MRJ, Te Beek ET, Stuurman-Wieringa RE. 99mTc-MAG3 Renography of Intrathoracic Renal Ectopia. Clin Nucl Med. 2019;44(1):78-80.
  • Referans 6 Abeshouse BS, Bhisitkul I. Crossed renal ectopia with and without fusion. Urol Int. 1959;9(2):63-91.
  • Referans 7 Shapiro E, Bauer SB, Chow JS. Anomalies of the upper urinary tract. In: Wein AJ, Kavoussi LR, Partin AW, Peters CA. Campbell-Walsh Urology (10th Ed), Philadelphia, 2016;2975-3005.
  • Referans 8 Cinman NM, Okeke Z, Smith AD. Pelvic kidney: associated diseases and treatment. J Endourol. 2007;21(8):836-42.
  • Referans 9 Benjamin JA, Schullian DM. Observations on fused kidneys with horseshoe configuration: the contribution of Leonardo Botallo (1564). J Hist Med Allied Sci. 1950;5(3):315-26.
  • Referans 10 Kalra D, Broomhall J, Williams J. Horseshoe kidney in one of identical twin girls. J Urol. 1985;134(1):113.
  • Referans 11 Khan MN, Walsh WF. Bladder agenesis, ectopic ureters and a multicystic dysplastic horseshoe kidney in one twin newborn with normal amniotic fluid index in utero. BMJ Case Rep. 2016;8:2016.
  • Referans 12 Birmole B, Borwankar S, Vaidya A, Kulkarni BK. Crossed renal ectopia. J Postgrad Med. 1993;39(3):149-51.
  • Referans 13 Modi P, Rizvi S, Gupta R, Patel S. Retroperitoneoscopic nephrectomy for crossed-fused ectopic kidney. Indian J Urol. 2009;25(3):401-3.
  • Referans 14 Gordon I, Ransley P, Hubbard CS. 99mTc DTPA Scintigraphy Compared with Intravenous Urography in the Follow-up of Posterior Urethral Valves. Br J Urol. 1987;60(5):447-9.
  • Referans 15 Hilson AJ, Maisey MN, Brown CB, Ogg CS, Bewick MS. Dynamic renal transplant imaging with Tc-99m DTPA (Sn) supplemented by a transplant perfusion index in the management of renal transplants. J Nucl Med. 1978;19(9):994-1000.
  • Referans 16 Goldfarb CR, Srivastava NC, Grotas AB, Ongseng F, Nagler HM. Radionuclide imaging in urology. Urol Clin North Am. 2006;33(3):319-28.
  • Referans 17 Brock JW 3rd, Braren V, Phillips K, Winfield AC. Caudal regression with cake kidney and a single ureter: a case report. J Urol. 1983;130(3):535-6.
  • Referans 18 Doménech-Mateu JM, Gonzalez-Compta X. Horseshoe kidney: a new theory on its embryogenesis based on the study of a 16-mm human embryo. Anat Rec. 1988;222(4):408-17.
  • Referans 19 Hill GS. Renal and ureteral anomalies. In: Hill GS, editors. Uropathology, vol I. New York: Churchill Livingstone,1989; 1-80.
  • Referans 20 Gleason PE, Kelalis PP, Husmann DA, Kramer SA. Hydronephrosis in renal ectopia: incidence, etiology, and significance. J Urol. 1994;151(6):1660-1.
  • Referans 21 Gray SE, Skandalakis JE. Embryology for surgeons-The embryological basis for the treatment of congenital defects. Philadelphia, London, Toronto, W. B. Saunders Co, 1972; 472-4.
  • Referans 22 Hollis HW Jr, Rutherford RB, Crawford GJ, Cleland BP, Marx WH, Clark JR. Abdominal aortic aneurysm repair in patients with pelvic kidney. Technical considerations and literature review. J Vasc Surg. 1989; 9(3): 404-9.
  • Referans 23 de Virgilio C, Gloviczki P, Cherry KJ, Stanson AW, Bower TC, Hallett JW Jr, et al. Renal artery anomalies in patients with horseshoe or ectopic kidneys: the challenge of aortic reconstruction. Cardiovasc Surg. 1995;3(4):413-20.
  • Referans 24 Guarino N, Tadini B, Camardi P, Silvestro L, Lace R, Bianchi M. The incidence of associated urological abnormalities in children with renal ectopia. J Urol. 2004;172(4):1757-9.
  • Referans 25 Khan SH, Rather TA, Khan MA. Tc-99m DTPA renal scintigraphy and renal ectopia: A retrospective analysis. Indian J Nucl Med. 2005;20(1):9-13.
  • Referans 26 Britton K, Nimmon C, Whitfield H, Hendry WF, Wickham JEA. Obstructive nephropathy: successful evaluation with radionuclides. Lancet 1979;1(8122):905-7.
There are 26 citations in total.

Details

Primary Language Turkish
Subjects Surgery
Journal Section Research Articles
Authors

Derya Çayır 0000-0002-7756-3210

Mehmet Bozkurt 0000-0002-8325-5249

Salih Sinan Gültekin This is me 0000-0003-2458-3530

Alper Özgür Karaçalıoğlu 0000-0003-2683-804X

Publication Date March 1, 2020
Submission Date May 20, 2019
Acceptance Date May 22, 2019
Published in Issue Year 2020 Volume: 27 Issue: 1

Cite

Vancouver Çayır D, Bozkurt M, Gültekin SS, Karaçalıoğlu AÖ. Renal Ektopi ve Füzyon Anomalilerinin Sintigrafik Değerlendirilmesi ve Hilson Perfüzyon İndeksi. Med J SDU. 2020;27(1):9-15.

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