Scintigraphic demonstration of postural induced drainage stasis in an en bloc renal allograft.
Within 6 months after an en bloc transplantation of two kidneys from a cadaveric pediatric donor, the recipient was referred for further scintigraphic evaluation because of clinical suspicion of having a postural related function impairment of the grafted kidneys. Tc-99m MAG3 imaging, modified by varying the position of the patient during the procedure, resulted in detection of drainage stasis only with the patient standing. This drainage stasis had not been appreciated in the preceding routine examinations performed with the patient supine. Although the positional outflow stasis by itself may not be severe enough to cause alarming dysfunction of the grafted kidneys, it could conceivably be a significant contributing factor.
Dunn
E K
EK
Department of Radiology, State University of New York Health Science Center at Brooklyn.
Matthews
A G
AG
Strashun
A M
AM
D000293:Adolescent; D002102:Cadaver; D006801:Humans; D016030:Kidney Transplantation / Q000000981:diagnostic imaging* / Q000502:physiology; D008181:Lupus Nephritis / Q000601:surgery; D008297:Male; D011183:Postoperative Complications / Q000000981:diagnostic imaging* / Q000503:physiopathology; D011187:Posture; D011866:Radioisotope Renography; D017263:Technetium Tc 99m Mertiatide
D017263:Technetium Tc 99m Mertiatide