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Occult Crossed Renal Ectopia Detected on a VQ Scan.
MedLine Citation:
PMID:  21467858     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
An association exists between congenital heart disease and urinary tract anomalies. We present the case of a 15-year-old female patient with a known VSD (ventricular septal defect) and Eisenmenger syndrome. Pulmonary embolism was clinically suspected and the patient underwent a ventilation/perfusion (VQ) scan. As expected in a right-to-left shunt, some of the injected Tc-99m macro-aggregated albumin particles bypassed the pulmonary vessels and lodged in highly perfused areas of the systemic circulation, specifically the brain and the kidneys. Unsuspected crossed renal ectopia was discovered on lung perfusion images, which was subsequently confirmed by a Tc-99m dimercaptosuccinic acid study.
Authors:
Aadil A Gutta; Trevor Mdaka; Ouma E Ramafi
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Clinical nuclear medicine     Volume:  36     ISSN:  1536-0229     ISO Abbreviation:  Clin Nucl Med     Publication Date:  2011 May 
Date Detail:
Created Date:  2011-04-06     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7611109     Medline TA:  Clin Nucl Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  373-5     Citation Subset:  IM    
Affiliation:
From the Department of Nuclear Medicine, University of Limpopo-Medunsa Campus, Pretoria, South Africa.
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