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Atypical localization of urinoma detected by renogram in a kidney transplanted patient with scrotal edema
Urinoma de localización atípica detectado en renograma de control a un paciente trasplantado renal con edema escrotal
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Se observa injerto renal en fosa iliaca derecha y eliminación por sonda vesical (A). Se aprecia un incremento progresivo de la captación del trazador por el injerto renal sin alteraciones morfológicas evidentes y acumulación progresiva del radiofármaco en la zona infra vesical derecha que corresponde anatómicamente a las regiones inguinal y escrotal (B).</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "V. Marín-Oyaga, J.L. Tirado-Hospital, J.I. Cuenca-Cuenca, F.M. González-Roncero, R. Vázquez-Albertino" "autores" => array:5 [ 0 => array:2 [ "nombre" => "V." "apellidos" => "Marín-Oyaga" ] 1 => array:2 [ "nombre" => "J.L." "apellidos" => "Tirado-Hospital" ] 2 => array:2 [ "nombre" => "J.I." "apellidos" => "Cuenca-Cuenca" ] 3 => array:2 [ "nombre" => "F.M." "apellidos" => "González-Roncero" ] 4 => array:2 [ "nombre" => "R." "apellidos" => "Vázquez-Albertino" ] ] ] ] ] "idiomaDefecto" => "es" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S2253808913000074" "doi" => "10.1016/j.remnie.2013.01.005" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2253808913000074?idApp=UINPBA00004N" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2253654X12001394?idApp=UINPBA00004N" "url" => "/2253654X/0000003200000002/v1_201305061031/S2253654X12001394/v1_201305061031/es/main.assets" ] ] "itemSiguiente" => array:18 [ "pii" => "S225380891300027X" "issn" => "22538089" "doi" => "10.1016/j.remnie.2013.01.018" "estado" => "S300" "fechaPublicacion" => "2013-03-01" "aid" => "64" "copyright" => "Elsevier España, S.L. and SEMNIM" "documento" => "article" "crossmark" => 0 "subdocumento" => "sco" "cita" => "Rev Esp Med Nucl Imagen Mol. 2013;32:134-5" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 572 "formatos" => array:2 [ "HTML" => 440 "PDF" => 132 ] ] "en" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Interesting image</span>" "titulo" => "<span class="elsevierStyleSup">90</span>Yttrium PET-CT images assessing radioisotopic knee synoviorthesis" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "134" "paginaFinal" => "135" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Imágenes PET-TAC para la valoración de sinoviortesis radioisotópica de rodilla con <span class="elsevierStyleSup">90</span>Ytrio" ] ] "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" => 1970 "Ancho" => 2713 "Tamanyo" => 422095 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">In patient 1, after <span class="elsevierStyleSup">90</span>Y administration, tomographic PET-CT images revealed trough increased intra-articular activity, reflecting optimal synovial distribution of <span class="elsevierStyleSup">90</span>Y. Contrarily, in patient 2, after an achieved anterior-external injection, a non expected and non optimal synovial distribution of <span class="elsevierStyleSup">90</span>Y was observed, showing increased activity deposition exclusively in the anterior and superior lateral aspect of the knee. No changes were visualized when repeat images after slight walk. Although not achieved optimal fibrosis of the synovial membrane, no complications were recorded during clinical follow-up period.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "E. Riera, A. Collado, E. Llinares, G. Moragas, J.R. Garcia, F. Lomeña" "autores" => array:6 [ 0 => array:2 [ "nombre" => "E." "apellidos" => "Riera" ] 1 => array:2 [ "nombre" => "A." "apellidos" => "Collado" ] 2 => array:2 [ "nombre" => "E." "apellidos" => "Llinares" ] 3 => array:2 [ "nombre" => "G." "apellidos" => "Moragas" ] 4 => array:2 [ "nombre" => "J.R." "apellidos" => "Garcia" ] 5 => array:2 [ "nombre" => "F." "apellidos" => "Lomeña" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S225380891300027X?idApp=UINPBA00004N" "url" => "/22538089/0000003200000002/v1_201305061041/S225380891300027X/v1_201305061041/en/main.assets" ] "itemAnterior" => array:19 [ "pii" => "S2253808913000062" "issn" => "22538089" "doi" => "10.1016/j.remnie.2013.01.004" "estado" => "S300" "fechaPublicacion" => "2013-03-01" "aid" => "50" "copyright" => "Elsevier España, S.L. and SEMNIM" "documento" => "article" "crossmark" => 0 "subdocumento" => "sco" "cita" => "Rev Esp Med Nucl Imagen Mol. 2013;32:130-1" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 1073 "formatos" => array:2 [ "HTML" => 799 "PDF" => 274 ] ] "en" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Interesting images</span>" "titulo" => "Extrapulmonary uptake of <span class="elsevierStyleSup">99m</span>Tc-labeled macro-aggregates of albumin in a ventilation/perfusion study" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "130" "paginaFinal" => "131" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Captación extrapulmonar de macroagregados de albúmina marcada con <span class="elsevierStyleSup">99m</span>Tc en un estudio de ventilación-perfusión" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0010" "etiqueta" => "Fig. 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 2272 "Ancho" => 2500 "Tamanyo" => 846740 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Selected slices of the thoracoabdominal CT study with contrast showing (A) the presence of left loculated and pericardic pleural effusions, both being of moderate quantity. Following administration of the contrast the presence of important collateral circulation was confirmed, secondary to chronic thrombosis of the superior vena cava, with repermeabilization through the azygos vein and the presence of numerous collaterals in the bilateral anterolateral thoracic wall, right middle lateral focal pleural repletion and in the prevascular space, subcarinal space extending caudally toward the anterior abdominal wall and the mesenteric vessels. (B) Dilatation and repermeabilization of the umbilical vein (black arrow).</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "C. Ramos Font, E. Sánchez de Mora, J. López Martín, C. Salgado-García, M.D. Lerma del Vallle, A. Jiménez Hefferman" "autores" => array:6 [ 0 => array:2 [ "nombre" => "C." "apellidos" => "Ramos Font" ] 1 => array:2 [ "nombre" => "E." "apellidos" => "Sánchez de Mora" ] 2 => array:2 [ "nombre" => "J." "apellidos" => "López Martín" ] 3 => array:2 [ "nombre" => "C." 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"apellidos" => "Jiménez Hefferman" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S2253654X12001321" "doi" => "10.1016/j.remn.2012.05.001" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2253654X12001321?idApp=UINPBA00004N" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2253808913000062?idApp=UINPBA00004N" "url" => "/22538089/0000003200000002/v1_201305061041/S2253808913000062/v1_201305061041/en/main.assets" ] "en" => array:16 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Interesting images</span>" "titulo" => "Atypical localization of urinoma detected by renogram in a kidney transplanted patient with scrotal edema" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "132" "paginaFinal" => "133" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "V. Marín-Oyaga, J.L. Tirado-Hospital, J.I. Cuenca-Cuenca, F.M. González-Roncero, R. Vázquez-Albertino" "autores" => array:5 [ 0 => array:4 [ "nombre" => "V." "apellidos" => "Marín-Oyaga" "email" => array:1 [ 0 => "vicmar40@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" => "J.L." "apellidos" => "Tirado-Hospital" "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" => "F.M." "apellidos" => "González-Roncero" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 4 => array:3 [ "nombre" => "R." "apellidos" => "Vázquez-Albertino" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Servicio de Medicina Nuclear, UDIM. Hospital Universitario Virgen del Rocío, Sevilla, Spain" "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Servicio de Nefrología, Hospital Universitario Virgen del Rocío, Sevilla, Spain" "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Urinoma de localización atípica detectado en renograma de control a un paciente trasplantado renal con edema escrotal" ] ] "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" => 1243 "Ancho" => 3167 "Tamanyo" => 198956 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Basal isotopic renogram in anterior projection with a dynamic study of 50 images of 20<span class="elsevierStyleHsp" style=""></span>s/image after the intravenous injection of 148<span class="elsevierStyleHsp" style=""></span>MBq of <span class="elsevierStyleSup">99m</span>Tc-MAG-3. The kidney graft is observed in the right iliac fossa and elimination by vesical catheter (A). A progressive increase in the uptake of the tracer by the kidney graft is seen with no evident morphologic alterations and progressive accumulation of the radiotracer in the right infra-vesical zone, anatomically corresponding to the inguinal and scrotal regions (B).</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 59-year-old patient with stage 5 chronic renal disease secondary to IgA glomerulopathy diagnosed in 2001 and on dialysis since 2011 underwent heterotopic kidney transplant from a cadaveric donor in the right iliac fossa without complications during the intervention. The patient initiated immunosuppressive treatment and was transferred to the intensive care unit.</p><p id="par0010" class="elsevierStylePara elsevierViewall">The patient presented oligoanuria from the day of the transplant to the fourth day, requiring a session of hemodialysis the second day. From the fourth day a progressive increase in diuresis was observed up to maintenance of 2000<span class="elsevierStyleHsp" style=""></span>ml over 24<span class="elsevierStyleHsp" style=""></span>h and serum creatinine levels of 5.14<span class="elsevierStyleHsp" style=""></span>mg/dl.</p><p id="par0015" class="elsevierStylePara elsevierViewall">On withdrawal of the double J ureteral catheter the ninth day post-transplant, new oliguria was observed with pain and tumefaction in the right inguinal region as well as testicular pain and serum creatinine levels of 5.8<span class="elsevierStyleHsp" style=""></span>mg/dl, with suspicion of urinary leakage and referral to our department for a graft study. We performed a basal renogram after the intravenous injection of 148<span class="elsevierStyleHsp" style=""></span>MBq of <span class="elsevierStyleSup">99m</span>Tc-MAG-3 which showed adequate perfusion with progressive incorporation of the tracer by the graft with delayed excretion. Bladder activity of the radiotracer was observed in the phase of elimination as was a progressive increase of uptake at the inguinoscrotal level (<a class="elsevierStyleCrossRefs" href="#fig0005">Figs. 1 and 2</a>a), suggestive of urinary leakage in the distal third of the ureter and progressive accumulation of the radiotracer in the right infravesical zone anatomically corresponding to the inguinal and scrotal regions suggestive of the formation of a urinoma at this localization. In this case SPECT/CT was not considered necessary since this would not have modified the urgent surgical approach carried out in the patient.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia><p id="par0020" class="elsevierStylePara elsevierViewall">A renal echo-Doppler was performed which was normal and a testicular echography showed a right hydrocele (<a class="elsevierStyleCrossRef" href="#fig0010">Fig. 2</a>b).</p><p id="par0025" class="elsevierStylePara elsevierViewall">The patient underwent another surgical intervention which confirmed the presence of urinary leakage secondary to necrosis of the distal ureter. The latter was resected until bleeding margins and an uneventful end-to-lateral anastomosis of the native ureter was performed.</p><p id="par0030" class="elsevierStylePara elsevierViewall">Two weeks later the patient returned for withdrawal of the new double J ureteral stent showing a favorable evolution with no relevant symptoms and maintaining good urine output and renal function, being stable and with serum creatinine values of 1.6<span class="elsevierStyleHsp" style=""></span>mg/dl.</p><p id="par0035" class="elsevierStylePara elsevierViewall">Urinary leakage with or without urinoma formation is one of the most frequent surgical complications of kidney transplant, with necrosis of the distal ureter due to ischemia and surgical problems in the ureterovesical junction being the most frequent causes. Isotopic renogram is a very sensitive test for the diagnosis of urinary leakage.<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a> Urine may arrive to the scrotum through the inguinal region and along the spermatic cord.<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">2</span></a> However, scrotal edema and the presence of urine in the inguinoscrotal region are very infrequent signs of urinary fistulas and the presence of this pathology should be ruled out when present.<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">3</span></a></p></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2012-04-11" "fechaAceptado" => "2012-05-12" "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara">Please cite this article as: Marín-Oyaga V, et al. Urinoma de localización atípica detectado en renograma de control a un paciente trasplantado renal con edema escrotal. Rev Esp Med Nucl Imagen Mol. 2013;32:132–3.</p>" ] ] "multimedia" => array:2 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1243 "Ancho" => 3167 "Tamanyo" => 198956 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Basal isotopic renogram in anterior projection with a dynamic study of 50 images of 20<span class="elsevierStyleHsp" style=""></span>s/image after the intravenous injection of 148<span class="elsevierStyleHsp" style=""></span>MBq of <span class="elsevierStyleSup">99m</span>Tc-MAG-3. The kidney graft is observed in the right iliac fossa and elimination by vesical catheter (A). A progressive increase in the uptake of the tracer by the kidney graft is seen with no evident morphologic alterations and progressive accumulation of the radiotracer in the right infra-vesical zone, anatomically corresponding to the inguinal and scrotal regions (B).</p>" ] ] 1 => array:7 [ "identificador" => "fig0010" "etiqueta" => "Fig. 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 1060 "Ancho" => 1667 "Tamanyo" => 156394 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">(a) Sectorial planar image in anterior projection of the abdomen upon finalizing the dynamic study, showing the kidney graft (A), inguinoscrotal urinoma (B) and drainage by the vesical catheter (C). (b) Right testicular echography showing a testicle with normal characteristics (D) associated with a moderate hydrocele (E).</p>" ] ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:3 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Atlas de imágenes del renograma isotópico en las complicaciones del trasplante renal" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "I. Banzo" 1 => "R. Quirce" 2 => "I. Martínez-Rodríguez" 3 => "J. Jiménez-Bonilla" 4 => "A. Sainz" 5 => "J.M. Carril" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Rev Esp Med Nucl" "fecha" => "2006" "volumen" => "25" "paginaInicial" => "329" "paginaFinal" => "348" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/17173782" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0010" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Urine extravasation into the scrotum" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "A.W. Noel" 1 => "M.G. Velchik" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "J Nucl Med" "fecha" => "1986" "volumen" => "27" "paginaInicial" => "807" "paginaFinal" => "809" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/3519902" "web" => "Medline" ] ] ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib0015" "etiqueta" => "3" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Edema escrotal en un paciente portador de trasplante renal reciente" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "L. Fernández Rodríguez" 1 => "R. Amann" 2 => "M.J. Gutiérrez Sánchez" 3 => "E. 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| Year/Month | Html | Total | |
|---|---|---|---|
| 2023 March | 2 | 2 | 4 |
| 2018 February | 8 | 1 | 9 |
| 2018 January | 4 | 1 | 5 |
| 2017 December | 10 | 1 | 11 |
| 2017 November | 6 | 1 | 7 |
| 2017 October | 10 | 6 | 16 |
| 2017 September | 6 | 4 | 10 |
| 2017 August | 21 | 4 | 25 |
| 2017 July | 13 | 3 | 16 |
| 2017 June | 13 | 12 | 25 |
| 2017 May | 24 | 0 | 24 |
| 2017 April | 14 | 3 | 17 |
| 2017 March | 22 | 12 | 34 |
| 2017 February | 11 | 2 | 13 |
| 2017 January | 22 | 1 | 23 |
| 2016 December | 17 | 3 | 20 |
| 2016 November | 13 | 2 | 15 |
| 2016 October | 8 | 11 | 19 |
| 2016 September | 16 | 7 | 23 |
| 2016 August | 22 | 1 | 23 |
| 2016 July | 11 | 0 | 11 |
| 2016 June | 4 | 6 | 10 |
| 2016 May | 7 | 9 | 16 |
| 2016 April | 17 | 11 | 28 |
| 2016 March | 10 | 13 | 23 |
| 2016 February | 6 | 4 | 10 |
| 2016 January | 16 | 5 | 21 |
| 2015 December | 16 | 5 | 21 |
| 2015 November | 12 | 4 | 16 |
| 2015 October | 22 | 6 | 28 |
| 2015 September | 16 | 4 | 20 |
| 2015 August | 16 | 2 | 18 |
| 2015 July | 8 | 2 | 10 |
| 2015 June | 4 | 2 | 6 |
| 2015 May | 9 | 6 | 15 |
| 2015 April | 15 | 7 | 22 |
| 2015 March | 15 | 4 | 19 |
| 2015 February | 15 | 1 | 16 |
| 2015 January | 23 | 2 | 25 |
| 2014 December | 32 | 3 | 35 |
| 2014 November | 16 | 0 | 16 |
| 2014 October | 26 | 1 | 27 |
| 2014 September | 4 | 0 | 4 |
| 2014 August | 22 | 0 | 22 |
| 2014 July | 14 | 3 | 17 |
| 2014 June | 12 | 3 | 15 |
| 2014 May | 5 | 1 | 6 |
| 2014 April | 12 | 3 | 15 |
| 2014 March | 12 | 2 | 14 |
| 2013 July | 4 | 2 | 6 |
| 2013 June | 11 | 0 | 11 |
| 2013 May | 2 | 0 | 2 |
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