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Urachal bladder in kidney transplanted patient with Prune Belly syndrome and patent urachus
Vejiga uracal postrasplante renal en paciente con síndrome de Prune Belly y uraco persistente
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In our case, the PET-CT scan had a multi-faceted role: in fact, the exam revealed an increased uptake of the thymus gland (SUV of 2.8) due to the true thymic hyperplasia. On the contrary, a slightly reduced uptake at the cardiac muscle was disclosed (due to a Tako Tsubo syndrome subsequently confirmed by cardiac examination).</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "G. Leuzzi, M. Marino, G. Alessandrini, R. Sciuto, E. Pescarmona, F. Facciolo" "autores" => array:6 [ 0 => array:2 [ "nombre" => "G." "apellidos" => "Leuzzi" ] 1 => array:2 [ "nombre" => "M." "apellidos" => "Marino" ] 2 => array:2 [ "nombre" => "G." "apellidos" => "Alessandrini" ] 3 => array:2 [ "nombre" => "R." "apellidos" => "Sciuto" ] 4 => array:2 [ "nombre" => "E." "apellidos" => "Pescarmona" ] 5 => array:2 [ "nombre" => "F." "apellidos" => "Facciolo" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2253654X15000098?idApp=UINPBA00004N" "url" => "/2253654X/0000003400000004/v1_201506220006/S2253654X15000098/v1_201506220006/en/main.assets" ] "itemAnterior" => array:18 [ "pii" => "S2253654X14002170" "issn" => "2253654X" "doi" => "10.1016/j.remn.2014.12.002" "estado" => "S300" "fechaPublicacion" => "2015-07-01" "aid" => "665" "copyright" => "Elsevier España, S.L.U. and SEMNIM" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Rev Esp Med Nucl Imagen Mol. 2015;34:268-9" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 689 "formatos" => array:3 [ "EPUB" => 14 "HTML" => 418 "PDF" => 257 ] ] "en" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Interesting image</span>" "titulo" => "Disseminated nocardia infection mimicking malignancy on FDG PET/CT" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "268" "paginaFinal" => "269" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Infección diseminada por nocardia imitando malignidad en FDG PET/TC" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 985 "Ancho" => 1950 "Tamanyo" => 215159 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">FDG PET/CT images showed intense hypermetabolic mass lesion in the right upper lobe (3.5<span class="elsevierStyleHsp" style=""></span>×<span class="elsevierStyleHsp" style=""></span>2<span class="elsevierStyleHsp" style=""></span>cm) (SUVmax: 12.0) (A: Maximum intensity projection (MIP) image, B: axial PET, CT and fusion PET/CT images), multiple moderate-intense hypermetabolic parenchymal nodules in both lungs (SUVmax: 6.5) (A, C) and moderate-intense hypermetabolic multiple soft-tissue lesions (SUVmax: 10.7) in the right teres minor, bilateral gluteus medius, right erector spinae, left trapezius, right quadriceps femoris, right adductor magnus, left adductor longus muscles and subcutaneous tissue (A, D).</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "R.U. Erdemir, T. Elri, H. Sahin, Y. Sami Salihoglu, M. Aras, M. Cabuk" "autores" => array:6 [ 0 => array:2 [ "nombre" => "R.U." "apellidos" => "Erdemir" ] 1 => array:2 [ "nombre" => "T." "apellidos" => "Elri" ] 2 => array:2 [ "nombre" => "H." "apellidos" => "Sahin" ] 3 => array:2 [ "nombre" => "Y." "apellidos" => "Sami Salihoglu" ] 4 => array:2 [ "nombre" => "M." "apellidos" => "Aras" ] 5 => array:2 [ "nombre" => "M." "apellidos" => "Cabuk" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2253654X14002170?idApp=UINPBA00004N" "url" => "/2253654X/0000003400000004/v1_201506220006/S2253654X14002170/v1_201506220006/en/main.assets" ] "en" => array:14 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Interesting image</span>" "titulo" => "Urachal bladder in kidney transplanted patient with Prune Belly syndrome and patent urachus" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "270" "paginaFinal" => "271" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "M. Sánchez Aguilar, F.J. García Gómez, J.I. Cuenca Cuenca, J.L. Tirado Hospital, F. de la Cerda Ojeda, A. Sánchez Moreno" "autores" => array:6 [ 0 => array:4 [ "nombre" => "M." "apellidos" => "Sánchez Aguilar" "email" => array:1 [ 0 => "marta231087@hotmail.com" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "F.J." "apellidos" => "García Gómez" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 2 => array:3 [ "nombre" => "J.I." "apellidos" => "Cuenca Cuenca" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 3 => array:3 [ "nombre" => "J.L." "apellidos" => "Tirado Hospital" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 4 => array:3 [ "nombre" => "F." "apellidos" => "de la Cerda Ojeda" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 5 => array:3 [ "nombre" => "A." "apellidos" => "Sánchez Moreno" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Nuclear Medicine Department, Virgen del Rocío Universitary Hospital, Seville, Spain" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Pediatric Nephrology Department, Virgen del Rocío Universitary Hospital, Seville, Spain" "etiqueta" => "b" "identificador" => "aff0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Vejiga uracal postrasplante renal en paciente con síndrome de Prune Belly y uraco persistente" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1694 "Ancho" => 3250 "Tamanyo" => 434758 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleSup">99m</span>Tc-mercapto-acetyl-triglycine post-kidney transplant renogram. (A) Vascular phase, showing good perfusion without morphological changes. (B) Elimination phase, revealing a patent urachus with a functional “urachal bladder” (red arrow), without significant activity being observed in the urinary bladder (white arrow).</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">We report a 16-year-old-male patient with Prune-Belly-syndrome (PBS) and patent urachus, bilateral renal dysplasia and end-stage renal disease (ESRD). The first kidney transplantation was performed at the age of 3 years, leaving an urachal catheter. Transplant failure underwent in a new cadaveric transplant at the present.</p><p id="par0010" class="elsevierStylePara elsevierViewall">Post-kidney transplant renogram was performed to evaluate the renal function after the administration of 150<span class="elsevierStyleHsp" style=""></span>MBq of <span class="elsevierStyleSup">99m</span>Tc-mercapto-acetyl-triglycine and revealed adequate perfusion with a homogeneous radiotracer uptake in the renal transplant (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>A). Elimination phase (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>B) showed a progressively increasing tracer accumulation in “urachal bladder” (red-arrow), without activity in the urinary bladder (white-arrow).</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0015" class="elsevierStylePara elsevierViewall">PBS is a congenital abnormality of unknown aetiology with characteristic features: deficient development of abdominal muscles that causes the skin of the abdomen to wrinkle like a prune, cryptorchidism, abnormalities of the urinary tract, chronic renal failure and ESRD.<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">1</span></a> The incidence is estimated between 1/35,000 and 1/50,000 live births while 97% of patients are male.<a class="elsevierStyleCrossRef" href="#bib0025"><span class="elsevierStyleSup">2</span></a> Urethral hypoplasia or atresia is present in around 18% of cases, leading to a very poor prognosis and death unless there was an associated patent urachus or vesico-cutaneous fistula.<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">3</span></a> The reported average age at transplantation usually does not exceed 15-years-old. Awareness of PBS in renogram would contribute to the correct diagnosis.</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Conflict of interest</span><p id="par0020" class="elsevierStylePara elsevierViewall">The authors have no funding or conflicts of interest to declare.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:2 [ 0 => array:2 [ "identificador" => "sec0005" "titulo" => "Conflict of interest" ] 1 => array:1 [ "titulo" => "References" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "multimedia" => array:1 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1694 "Ancho" => 3250 "Tamanyo" => 434758 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleSup">99m</span>Tc-mercapto-acetyl-triglycine post-kidney transplant renogram. (A) Vascular phase, showing good perfusion without morphological changes. (B) Elimination phase, revealing a patent urachus with a functional “urachal bladder” (red arrow), without significant activity being observed in the urinary bladder (white arrow).</p>" ] ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:3 [ 0 => array:3 [ "identificador" => "bib0020" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Prune belly syndrome" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "R.W. Jennings" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Semin Pediatr Surg" "fecha" => "2000" "volumen" => "9" "paginaInicial" => "115" "paginaFinal" => "120" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10949420" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0025" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Prune belly syndrome" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "T.E. Herman" 1 => "M.J. Siegel" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1038/jp.2008.88" "Revista" => array:6 [ "tituloSerie" => "J Perinatol" "fecha" => "2009" "volumen" => "29" "paginaInicial" => "69" "paginaFinal" => "71" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/19112462" "web" => "Medline" ] ] ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib0030" "etiqueta" => "3" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Prune belly syndrome with urethral hypoplasia and vesico-cutaneous fistula: a case report and review of literature" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "O.M. Sarhan" 1 => "M.S. Al-Ghanbar" 2 => "Z.M. Nakshabandi" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.4103/0974-7796.120299" "Revista" => array:6 [ "tituloSerie" => "Urol Ann" "fecha" => "2013" "volumen" => "5" "paginaInicial" => "296" "paginaFinal" => "298" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/24311916" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/2253654X/0000003400000004/v1_201506220006/S2253654X15000025/v1_201506220006/en/main.assets" "Apartado" => array:4 [ "identificador" => "7907" "tipo" => "SECCION" "es" => array:2 [ "titulo" => "Imágenes de interés" "idiomaDefecto" => true ] "idiomaDefecto" => "es" ] "PDF" => "https://static.elsevier.es/multimedia/2253654X/0000003400000004/v1_201506220006/S2253654X15000025/v1_201506220006/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2253654X15000025?idApp=UINPBA00004N" ]
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