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Acute urinary obstruction during99mTc-ethylenedicysteine diuretic renal scintigraphy acquisition: Is furosemide the culprit?


 Departments of Nuclear Medicine, Postgraduate Institute of Medical Education and Research, Chandigarh, India

Correspondence Address:
Ashwani Sood,
Department of Nuclear Medicine, Postgraduate Institute of Medical Education and Research, Chandigarh - 160 012
India
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/wjnm.WJNM_30_19

99mTc-ethylenedicysteine (99mTc-EC) diuretic renal scintigraphy is an established, safe, and noninvasive study to evaluate relative renal function and drainage. We present a known case of bilateral renal stone disease who presented with acute urinary obstruction detected intraprocedurally on99mTc-EC diuretic renography. He was managed subsequently with emergency double J stenting. The development of acute obstruction intraprocedurally in this patient may be resultant of forced diuresis caused by furosemide, dislodging the renal stones in the distal ureters. In the setting of renal calculi, cautious use of furosemide with watchful monitoring may be needed to see for the development of obstruction and manage accordingly.


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    -  Vadi SK
    -  Bhattacharya A
    -  Sood A
    -  Mittal BR
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