Document Detail


Noninvasive radiological diagnosis of renal vein thrombosis in renal transplantation.
MedLine Citation:
PMID:  1856941     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Thrombosis of the allograft renal vein is a rare complication of renal transplantation. Of 557 consecutive renal transplants performed between January 1, 1985 and November 30, 1989, 3 cases occurred for an over-all incidence of 0.4%. In 2 cases the diagnosis was made preoperatively with renal scintigraphy and duplex Doppler sonography. No graft was salvaged, despite timely diagnosis in 2 patients. We conclude that the diagnosis of renal vein thrombosis in the renal allograft recipient should be suspected clinically and by the radiographic findings of absent perfusion on renal scintigraphy, and the detection of an arterial signal, albeit abnormal, on duplex Doppler sonography. When diagnosed, nephrectomy appears to be the only treatment.
Authors:
T Duckett; P N Bretan; S T Cochran; J Rajfer; J T Rosenthal
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Journal of urology     Volume:  146     ISSN:  0022-5347     ISO Abbreviation:  J. Urol.     Publication Date:  1991 Aug 
Date Detail:
Created Date:  1991-08-29     Completed Date:  1991-08-29     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0376374     Medline TA:  J Urol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  403-6     Citation Subset:  AIM; IM    
Affiliation:
Department of Surgery, UCLA School of Medicine 90024.
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MeSH Terms
Descriptor/Qualifier:
Adult
Female
Humans
Kidney Transplantation / adverse effects*
Male
Middle Aged
Nephrectomy
Postoperative Complications / diagnosis*,  surgery
Renal Veins / radiography*,  radionuclide imaging,  ultrasonography
Reoperation
Technetium Tc 99m Pentetate / diagnostic use
Thrombosis / diagnosis*,  surgery
Transplantation, Homologous
Chemical
Reg. No./Substance:
65454-61-7/Technetium Tc 99m Pentetate

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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