A 17-year-old female kidney transplant patient was admitted to the hospital with a fever and right lower quadrant pain. Although she was 14 weeks' pregnant, renal DTPA imaging was performed because graft rejection was suspected. The study revealed fetal uptake of DTPA medial to the transplanted kidney. This has not been previously reported. Uptake in a normal uterus has been described using Tc-99m pertechnetate, Tc-99m glucoheptonate, and Tc-99m MDP. There have also been reports of fetal uptake of Tc-99m MDP. It is essential to recognize uptake in the gravid uterus and to differentiate it from uptake secondary to a pathologic entity.
From the Department of Diagnostic Radiloloty, university of Maryland Medical System, Baltimore, Maryland