Intracystic Hemorrhage in a Patient of Polycystic Kidney with Renocolic Fistula Diagnosed by Contrast-Enhanced Ultrasonography

Emi Ishikawa; Masatoshi Kudo; Yasunori Minami; Kazuomi Ueshima; Hobyung Chung; Sosuke Hayaishi; Kiyoshi Maekawa

doi:10.2169/internalmedicine.47.1184

CASE REPORTS

Intracystic Hemorrhage in a Patient of Polycystic Kidney with Renocolic Fistula Diagnosed by Contrast-Enhanced Ultrasonography

Emi Ishikawa, Masatoshi Kudo, Yasunori Minami, Kazuomi Ueshima, Hobyung Chung, Sosuke Hayaishi, Kiyoshi Maekawa

Author information

Keywords: contrast-enhanced ultrasonography, levovist, polycystic kidney, intracystic hemorrhage

JOURNAL OPEN ACCESS

2008 Volume 47 Issue 22 Pages 1977-1979

DOI https://doi.org/10.2169/internalmedicine.47.1184

Details

Abstract

A 60-year-old woman with polycystic kidney presented with intracystic hemorrhage; renocolic fistula was diagnosed by contrast-enhanced. The patient was admitted due to hematuria, pyuria and pneumaturia. Abdominal B-mode ultrasonography showed that this renal cyst had thickened walls and debris-like internal echo. Truagent Detection, a power Doppler imaging mode, could depict intracystic color signals after Levovist injection by real-time scan. Enhanced spots had increased in the cyst, and were shown as minimal intracystic hemorrhage in real-time. The case of polycystic kidney with renocolic fistula is rare, however contrast-enhanced ultrasonography could successfully identify the site of minute bleeding.

Corresponding author

Register with J-STAGE for free!