Indian Journal of Nuclear Medicine

INTERESTING IMAGES
Year
: 2016  |  Volume : 31  |  Issue : 3  |  Page : 240--241

Objective improvement in renal function post-Dietl's crisis: Documented on renal dynamic scintigraphy


Girish Kumar Parida, Madhavi Tripathi, Kunal Kumar, Nishikant Damle 
 Department of Nuclear Medicine and PET/CT, All India Institute of Medical Sciences, New Delhi, India

Correspondence Address:
Madhavi Tripathi
Department of Nuclear Medicine and PET/CT, All India Institute of Medical Sciences, New Delhi - 110 029
India

Dietl's crisis is one of the treatable causes of intermittent abdominal pain. The pain is due to acute hydronephrosis that leads to stretching of the pelvis. The most common cause of this intermittent hydronephrosis is aberrant renal vessel at lower pole that causes pelvi-ureteric junction obstruction.(PUJO). High insertion of the ureter is one of the other rare causes. We present a case of 5-year-old boy with intermittent abdominal pain and distension with ultrasonography features of gross left hydronephrosis. Renal dynamic scan.(RDS) with ethylene dicysteine showed negligible functioning left kidney. On third follow-up day, the patient passed a lot of urine with decrease in abdominal pain and distension. Then, again the patient was sent to us 8.days after the first study for repeat RDS, which showed significant improvement in function and decreased in the size of left kidney though with persistent PUJO. On exploration high insertion of the ureter at pelvis was found to be the cause and was treated.


How to cite this article:
Parida GK, Tripathi M, Kumar K, Damle N. Objective improvement in renal function post-Dietl's crisis: Documented on renal dynamic scintigraphy.Indian J Nucl Med 2016;31:240-241


How to cite this URL:
Parida GK, Tripathi M, Kumar K, Damle N. Objective improvement in renal function post-Dietl's crisis: Documented on renal dynamic scintigraphy. Indian J Nucl Med [serial online] 2016 [cited 2020 Aug 12 ];31:240-241
Available from: http://www.ijnm.in/article.asp?issn=0972-3919;year=2016;volume=31;issue=3;spage=240;epage=241;aulast=Parida;type=0