Diagnosis of common iliac artery thrombosis and renal artery thrombosis in a kidney transplant by radionuclide renography.
In a 58-year-old woman, the external iliac artery was accidentally dissected during the arterial anastomosis of a kidney transplant. An immediate CT angiogram showed an almost total occlusion of the common iliac artery. After the transplantation, radionuclide renography with Tc-99m MAG3 showed no flow across the right common iliac artery and no graft vascularization. Sequential images showed a photopenic area corresponding to the renal graft. These findings were interpreted as common iliac artery thrombosis and renal artery thrombosis associated with renal graft infarct. Excision of the transplant and iliofemoral bypass were performed. Pathologic examination of the graft showed massive acute renal infarct and renal artery thrombosis.
Sainz-Esteban
Aurora
A
Servicio de Medicina Nuclear, Hospital Universitario Marqués de Valdecilla, Universidad de Cantabria, Santander, Spain. aurorasainz10@hotmail.com
Banzo
Ignacio
I
Quirce
Remedios
R
Jiménez-Bonilla
Julio
J
Martínez-Rodríguez
Isabel
I
Barragán
Jorge
J
Carril
Jose M
JM
D058186:Acute Kidney Injury / Q000209:etiology / Q000601:surgery; D000714:Anastomosis, Surgical; D000784:Aortic Dissection / Q000209:etiology / Q000503:physiopathology; D005260:Female; D006083:Graft Occlusion, Vascular / Q000209:etiology / Q000601:surgery; D006801:Humans; D007083:Iliac Artery / Q000000981:diagnostic imaging* / Q000293:injuries / Q000503:physiopathology; D016030:Kidney Transplantation / Q000009:adverse effects*; D019300:Medical Errors; D008875:Middle Aged; D011866:Radioisotope Renography; D012077:Renal Artery / Q000000981:diagnostic imaging / Q000503:physiopathology; D012078:Renal Artery Obstruction / Q000000981:diagnostic imaging* / Q000209:etiology; D017263:Technetium Tc 99m Mertiatide; D013927:Thrombosis / Q000000981:diagnostic imaging / Q000209:etiology
D017263:Technetium Tc 99m Mertiatide