'Bench' MRI before transplant on harvested kidneys: a possible tool for diagnosis of acute pyelonephritis.
We present the first case in which magnetic resonance imaging (MRI) has been utilized to rule out lesions compatible with acute pyelonephritis in kidneys from a cadaveric organ donor before transplanting them. A 40-year-old female underwent diagnosis of brain death following a septic shock. The ecotomography of the kidneys showed areas compatible with micro-abscesses raising the hypothesis of acute pyelonephritis. Our radiologist proposed to perform a bench-MRI (maintaining kidneys within the sterile preservation bags constantly on ice); this did not show lesions except little cysts not relevant by the clinical point of view. We transplanted kidneys without infective complications and results were very good.
Mezza
Elisabetta
E
Renal Transplant Unit, ASO San Giovanni della Città di Torino, Turin, Italy. emezza@hotmail.com
Biancone
Luigi
L
Tattoli
Fabio
F
Messina
Maria
M
Rizzo
Laura
L
Tola
Elisabetta
E
Segoloni
Giuseppe Paolo
GP
D000328:Adult; D002102:Cadaver; D005260:Female; D006801:Humans; D007668:Kidney / Q000473:pathology*; D016030:Kidney Transplantation / Q000473:pathology; D008279:Magnetic Resonance Imaging / Q000379:methods*; D011704:Pyelonephritis / Q000175:diagnosis*; D014019:Tissue Donors; D020858:Tissue and Organ Harvesting