Pediatric Radiology

, Volume 37, Issue 8, pp 826–828 | Cite as

Uncomplicated duplex kidney and DMSA scintigraphy in children with urinary tract infection

  • Eira StoklandEmail author
  • Ulf Jodal
  • Rune Sixt
  • Svante Swerkersson
  • Sverker Hansson
Original Article



Renal duplication is the most common malformation of the urinary tract and is frequently seen among children with urinary tract infection (UTI).


To evaluate problems in the interpretation of dimercaptosuccinic acid (DMSA) scintigraphy and to establish the range of relative function in uncomplicated unilateral duplication.

Materials and methods

Retrospective analysis of 303 children less than 2 years of age with first time non-obstructive urinary tract infection investigated by both urography and DMSA scintigraphy. At DMSA scintigraphy, renal lesions and/or relative function below 45% was considered abnormal. Urography was used as reference for the diagnosis of duplication.


Duplex kidneys were found in 22 of 303 patients (7%). Of the 16 children with unilateral duplication, 10 had bilaterally undamaged kidneys with a range of relative function varying between 51% and 57% in the duplex kidney. In two of the children with unilateral duplication the imaging results were discordant.


There was risk of underdiagnosis as well as overdiagnosis of renal damage at scintigraphy. Although it is important to be aware of this risk, the rate of misinterpretation was low. A range of 51% to 57% can be used as the limit for normality of the relative function of a unilateral duplex kidney.


Kidney Duplication Urinary tract infection DMSA 



This work was supported by grants from Frimurare-Barnhusdirektionen and Health and Medical Care Executive Board of the Västra Götaland Region.


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Copyright information

© Springer-Verlag 2007

Authors and Affiliations

  • Eira Stokland
    • 1
    • 2
    Email author
  • Ulf Jodal
    • 3
  • Rune Sixt
    • 4
  • Svante Swerkersson
    • 3
  • Sverker Hansson
    • 3
  1. 1.Department of Paediatric RadiologyThe Sahlgrenska Academy at Göteborg UniversityGöteborgSweden
  2. 2.Department of Paediatric RadiologyThe Queen Silvia Children’s HospitalGöteborgSweden
  3. 3.Department of PaediatricsThe Sahlgrenska Academy at Göteborg UniversityGöteborgSweden
  4. 4.Department of Paediatric Clinical PhysiologyThe Sahlgrenska Academy at Göteborg UniversityGöteborgSweden

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