Scintigraphic Detection of the Loss of One Kidney Following En Bloc Transplantation of Paired Pediatric Kidneys

Vascular occlusion of one of the transplanted kidneys represents a potential complication following en bloc transplantation of two pediatric kidneys into adults. Serial renal scans with Tc-99m DTPA, performed on a 26-year-old woman who underwent en bloc transplantation, revealed good perfusion and f...

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Bibliographic Details
Published in:Clinical nuclear medicine 1994-03, Vol.19 (3), p.233-235
Main Authors: ROSEN, JOEL M, KNIGHT, RICHARD, SCHANZER, HARRY R, BURROWS, LEWIS
Format: Article
Language:English
Subjects:
Adult
Biological and medical sciences
Cadaver
Female
Humans
Infant
Kidney Transplantation - diagnostic imaging
Kidney Transplantation - methods
Medical sciences
Postoperative Complications - diagnostic imaging
Radioisotope Renography
Renal Artery Obstruction - diagnostic imaging
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the urinary system
Technetium Tc 99m Pentetate
Thrombosis - diagnostic imaging
Tissue Donors
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Summary:Vascular occlusion of one of the transplanted kidneys represents a potential complication following en bloc transplantation of two pediatric kidneys into adults. Serial renal scans with Tc-99m DTPA, performed on a 26-year-old woman who underwent en bloc transplantation, revealed good perfusion and function of both kidneys in the early postoperative period but acute loss of perfusion and function in one kidney on the ninth postoperative day. Surgical exploration and open biopsy excluded rejection and twisting of the vascular pedicle as possible causes for the acute loss of perfusion and function in this kidney.
ISSN:0363-9762
1536-0229
DOI:10.1097/00003072-199403000-00015