[Cortical necrosis of the transplanted kidney. MR tomographic confirmation of the diagnosis?].
Cortical necrosis is a rare complication of renal transplants, which requires urgent diagnosis and management to avoid unnecessary immunosuppression. Seven renal transplants with suspected cortical necrosis were evaluated by Doppler-US, 99mTc-DTPA-perfusion study and Gd-DTPA-enhanced dynamic MRI. In four transplants, cortical necrosis was confirmed by angiography and histology. In diagnosing cortical necrosis with preserved medullary perfusion (n = 2) dynamic MRI was superior to the other modalities. Totally necrotic renal transplants (n = 2) were reliably diagnosed by all imaging methods.
Vestring
T
T
Institut für Klinische Radiologie, Westfälische Wilhelms-Universität, Münster.
Dietl
K H
KH
Fahrenkamp
A
A
Stöber
U
U
Sciuk
Heidenreich
S
S
Braun-Anhalt
I
I
Baumgart
P
P
Buchholz
B
B
D000328:Adult; D003287:Contrast Media; D005260:Female; D019786:Gadolinium DTPA; D006801:Humans; D007673:Kidney Cortex Necrosis / Q000175:diagnosis* / Q000000981:diagnostic imaging; D016030:Kidney Transplantation; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D009942:Organometallic Compounds; D004369:Pentetic Acid; D011183:Postoperative Complications / Q000175:diagnosis* / Q000000981:diagnostic imaging; D011877:Radionuclide Imaging; D016284:Technetium Tc 99m Pentetate; D014465:Ultrasonics; D014463:Ultrasonography
D003287:Contrast Media; D009942:Organometallic Compounds; D004369:Pentetic Acid; D019786:Gadolinium DTPA; D016284:Technetium Tc 99m Pentetate
Die Rindennekrose der Transplantatniere. MR-tomographische Sicherung der Diagnose?