Tzu Chi Medical Journal
Volume 20, Issue 4 , Pages 314-317, December 2008

The Cephalad Malposition of a Kidney as a Thoracic Abnormality on Tc-99m MDP Bone Scintigraphy

  • Hung-Jen Hsieh

      Affiliations

    • Department of Nuclear Medicine, Taipei Veterans General Hospital, Taipei, Taiwan
    • Department of Nuclear Medicine, Buddhist Tzu Chi General Hospital, Hualien, Taiwan
    • Corresponding Author InformationCorresponding author. Department of Nuclear Medicine, Buddhist Tzu Chi General Hospital, 707, Section 3, Chung-Yang Road, Hualien, Taiwan
  • ,
  • Kun-Han Lue

      Affiliations

    • Department of Nuclear Medicine, Buddhist Tzu Chi General Hospital, Hualien, Taiwan

Received 29 February 2008; received in revised form 20 March 2008; accepted 26 March 2008.

Article Outline

Abstract 

Thoracic location of an aberrant kidney is the least encountered renal malposition. We present a 62-year-old female patient with ovarian malignant mixed epithelial tumor complicated with massive ascites and right hemidiaphragmatic eventration. The cephalad malpositioned right kidney was found incidentally as an intrathoracic mass on Tc-99m MDP bone scintigraphy.

Keywords:  Diaphragmatic eventration , Ovarian tumors , Renal malposition , Tc-99m MDP bone scintigraphy

No full text is available. To read the body of this article, please view the PDF online.

 

Back to Article Outline

References 

  1. Lai CF , Chiang WC , Yang JY , et al.   Thoracic kidney and contralateral ureteral duplication–a case report and review of the literature . Nephrol Dial Transplant . 2006;21:799–801
  2. Yalcinbas YK , Sasmaz H , Canbaz S . Thoracic left kidney: a differential diagnostic dilemma for thoracic surgeons . Ann Thorac Surg . 2001;72:281–283
  3. Bauer SB . Anomalies of the kidney and ureteropelvic junction . In:  Walsh PC ,  Retik AB ,  Vaughan ED editor. Campbell's Urology . 7th edition. Philadelphia: WB Saunders; 1998;p. 1709–1755
  4. N'Guessan G , Stephens FD . Congenital superior ectopic (thoracic) kidney . Urology . 1984;24:219–221
  5. Lenz DL , Clair DL , Fetzer AE , Wong C . Percutaneous nephrolithotomy of an intrathoracic kidney. Urology 2003; 61:462. 6. Hampton LJ, Borden TA. Ureteropelvic junction obstruction in a thoracic kidney treated by dismembered pyeloplasty. Urology 2002;60:164. 7. Al Attia HM. Cephalad renal ectopia, duplication of pelvicalyceal system and patent ductus arteriosus in an adult female . Scand J Urol Nephrol . 1999;33:257–259
  6. Sözübir S , Demir H , Ekingen G , Güvens BH . Ectopic thoracic kidney in a child with congenital diaphragmatic hernia . Eur J Pediatr Surg . 2005;15:206–209
  7. Hawass ND , Kolawole TM , El Badawi MG , Patel PJ , Malabarey T . Intrathoracic kidneys: report of 6 cases and a review of the literature . Eur Urol . 1988;14:83–87
  8. Kubricht WS , Henderson RJ , Bundrick WS , Venable DD , Eastham JA . Renal cell carcinoma in an intrathoracic kidney: radiographic findings and surgical considerations . South Med J . 1999;92:628–629
  9. Pickney LE , Moskowitz PS , Lebowitz RL , Prilzsche P . Renal malposition associated with omphalocele . Radiology . 1978;129:677–682
  10. Levy HA , Park CH . Unilateral thoracic soft-tissue accumulation of bone agent in lung cancer . J Nucl Med . 1987;28:1275–1278
  11. Peterson M . Radionuclide detection of primary pulmonary osteogenic sarcoma . J Nucl Med . 1990;31:1110–1114
  12. Schechter LS . Tc-99m methylene diphosphonate accumulation by a pulmonary hamartoma . Clin Nucl Med . 1998;23:695–696
  13. Zwas ST , Shpilberg O , Huszar M , Rozenman J . Isolated ectopic lung uptake of technetium-99m methylene diphosphonate on bone scintigraphy in primary amyloidosis . Eur J Nucl Med . 1990;17:282–285
  14. Kuyvenhoven JD , Ommeslag DJ , Ackerman CM , Hilderson JM , Troch ME . Lung uptake on Technetium-99m-MDP bone scan in Wegener's vasculitis . J Nucl Med . 1996;37:857–858
  15. Ortapamuk H , Alp A . Lung uptake on a bone scan: a case of pulmonary Waldenstrom's macroglobulinemia . Ann Nucl Med . 2002;16:487–489
  16. Datz FL . Bone imaging, pulmonary uptake . In:  Datz FL editors. Gamuts in Nuclear Medicine . 2nd edition. East Norwalk: Appleton & Lange; 1987;p. 122–123
  17. Wang YF , Lin TK , Chuang MH . Myocardial infarction: an incidental finding on bone scintigraphy . Tzu Chi Med J . 2002;14:49–53
  18. Felson B , Schwarz J , Lukin RR , Hawkins HH . Idiopathic pulmonary ossification . Radiology . 1984;153:303–310
  19. Bhattacharya A , Prasad V , Thomas EJ , Singh B , Mittal BR . Ectopic kidneys as a source of misinterpretation on bone scintigraphy . Clin Nucl Med . 2005;30:503–505
  20. Donat SM , Donat PE . Intrathoracic kidney: a case report with a review of the world literature . J Urol . 1988;140:131–133
  21. Srakosch CR , Cooper RA , Wiseman JC , Hales IB . High ectopic kidney presenting as an abnormal liver-lung scan: case report . J Nucl Med . 1977;18:274–275
  22. Nowland T , Malcolm A , Roach P . Eventration as a cause of thoracic uptake on In-111 octreotide scintigraphy . Clin Nucl Med . 2003;28:799–801

PII: S1016-3190(08)60057-9

doi:10.1016/S1016-3190(08)60057-9

Tzu Chi Medical Journal
Volume 20, Issue 4 , Pages 314-317, December 2008