The Scintigraphic Drooping Lily Sign

Karine Sahakyan; Melissa R. Spevak; Harvey Ziessman; Michael Gorin; Steven P. Rowe

doi:10.1097/RLU.0000000000002049

The Scintigraphic Drooping Lily Sign

Karine Sahakyan
, Melissa R. Spevak
, Harvey Ziessman
, Michael Gorin
, Steven P. Rowe

School of Medicine

Research output: Contribution to journal › Article › peer-review

Abstract

The "drooping lily" sign is identified on intravenous urography or voiding cystourethrography in patients with a duplicated renal collecting system and refers to inferolateral displacement of a functioning lower pole moiety by an obstructed upper pole collecting system. In this case, a 2-month-old girl with a prenatal diagnosis of hydronephrosis was found to have a "scintigraphic drooping lily" sign on ^99mTc-dimercaptosuccinic acid renal scan. Evaluation with ultrasound and voiding cystourethrography confirmed a duplicated collecting system and obstructed upper pole moiety. Correlation with anatomic imaging can help avoid mistaking the scintigraphic "drooped" lower pole for an inferiorly positioned normal kidney.

Original language	English (US)
Pages (from-to)	352-353
Number of pages	2
Journal	Clinical nuclear medicine
Volume	43
Issue number	5
DOIs	https://doi.org/10.1097/RLU.0000000000002049
State	Published - May 1 2018

Keywords

DMSA
drooping lily
duplicated collecting system
renal scintigraphy

ASJC Scopus subject areas

Radiology Nuclear Medicine and imaging

Access to Document

10.1097/RLU.0000000000002049

Cite this

@article{486972c44a03414ab08aaabf63c737f0,

title = "The Scintigraphic Drooping Lily Sign",

abstract = "The {"}drooping lily{"} sign is identified on intravenous urography or voiding cystourethrography in patients with a duplicated renal collecting system and refers to inferolateral displacement of a functioning lower pole moiety by an obstructed upper pole collecting system. In this case, a 2-month-old girl with a prenatal diagnosis of hydronephrosis was found to have a {"}scintigraphic drooping lily{"} sign on 99mTc-dimercaptosuccinic acid renal scan. Evaluation with ultrasound and voiding cystourethrography confirmed a duplicated collecting system and obstructed upper pole moiety. Correlation with anatomic imaging can help avoid mistaking the scintigraphic {"}drooped{"} lower pole for an inferiorly positioned normal kidney.",

keywords = "DMSA, drooping lily, duplicated collecting system, renal scintigraphy",

author = "Karine Sahakyan and Spevak, \{Melissa R.\} and Harvey Ziessman and Michael Gorin and Rowe, \{Steven P.\}",

year = "2018",

month = may,

day = "1",

doi = "10.1097/RLU.0000000000002049",

language = "English (US)",

volume = "43",

pages = "352--353",

journal = "Clinical nuclear medicine",

issn = "0363-9762",

publisher = "Lippincott Williams and Wilkins",

number = "5",

}

TY - JOUR

T1 - The Scintigraphic Drooping Lily Sign

AU - Sahakyan, Karine

AU - Spevak, Melissa R.

AU - Ziessman, Harvey

AU - Gorin, Michael

AU - Rowe, Steven P.

PY - 2018/5/1

Y1 - 2018/5/1

N2 - The "drooping lily" sign is identified on intravenous urography or voiding cystourethrography in patients with a duplicated renal collecting system and refers to inferolateral displacement of a functioning lower pole moiety by an obstructed upper pole collecting system. In this case, a 2-month-old girl with a prenatal diagnosis of hydronephrosis was found to have a "scintigraphic drooping lily" sign on 99mTc-dimercaptosuccinic acid renal scan. Evaluation with ultrasound and voiding cystourethrography confirmed a duplicated collecting system and obstructed upper pole moiety. Correlation with anatomic imaging can help avoid mistaking the scintigraphic "drooped" lower pole for an inferiorly positioned normal kidney.

AB - The "drooping lily" sign is identified on intravenous urography or voiding cystourethrography in patients with a duplicated renal collecting system and refers to inferolateral displacement of a functioning lower pole moiety by an obstructed upper pole collecting system. In this case, a 2-month-old girl with a prenatal diagnosis of hydronephrosis was found to have a "scintigraphic drooping lily" sign on 99mTc-dimercaptosuccinic acid renal scan. Evaluation with ultrasound and voiding cystourethrography confirmed a duplicated collecting system and obstructed upper pole moiety. Correlation with anatomic imaging can help avoid mistaking the scintigraphic "drooped" lower pole for an inferiorly positioned normal kidney.

KW - DMSA

KW - drooping lily

KW - duplicated collecting system

KW - renal scintigraphy

UR - https://www.scopus.com/pages/publications/85045640741

UR - https://www.scopus.com/pages/publications/85045640741#tab=citedBy

U2 - 10.1097/RLU.0000000000002049

DO - 10.1097/RLU.0000000000002049

M3 - Article

C2 - 29538027

AN - SCOPUS:85045640741

SN - 0363-9762

VL - 43

SP - 352

EP - 353

JO - Clinical nuclear medicine

JF - Clinical nuclear medicine

IS - 5

ER -

The Scintigraphic Drooping Lily Sign

Abstract

Keywords

ASJC Scopus subject areas

Access to Document

Other files and links

Fingerprint

Cite this