Gallium-67 Scintigraphy for the Diagnosis and Localization of Perinephric Abscesses

Abstract

Four patients with suspected perinephric abscess were evaluated by gallium-67 scintigraphy. Gallium-67 scintigraphs proved instrumental in correctly diagnosing and localizing 4 left perinephric abscesses. Roentgenographic examinations were negative in 2 cases. Gallium-67 scintigraphy can be a useful non-invasive technique to evaluate patients with suspected perinephric abscess.

Perinephric Abscess in Patients with Polycystic Kidney Disease Undergoing Chronic Hemodialysis

“…The 2 patients reported herein demonstrate the difficulties in diagnosing a peri nephric abscess in patients with PKD and end-stage renal disease. Standard radiographic techniques including intra venous pyelography, nephrotomography, nephrosono graphy and renal arteriography are not useful in localizing perinephric abscesses in these patients [4], Recently, gal lium-67 scintigraphy has been shown to be useful in de tecting deep-seated or unsuspected infections [5,6]. In 2 of our patients, the presence of a perinephric abscess was sug gested by gallium scan.…”

Paranephric Abscess: a Changing Concept

“…Unspecific symptoms have been ob-the kidney and psoas shadows on the contrary are served: abdominal pain, feeling of prostration, obvious indications. Hopkins et al (7) in 1976 remittent subfebrile temperatures as well as acute referred to Gallium 67-scintigraphy as a helpful pain in the flank. A flank tumour in cases of method.…”

Renal Cystic Disease

“…Radioisotope scans (gallium and indium) are relatively insensitive. CT scans are nonspecific (53,54), with the exception that perinephric abscess can be detected. Retrograde evaluation has limited value in diagnosis and carries with it an appreciable risk of sepsis.…”