Transplant with a twist: A pitfall in sonographic diagnosis of renal transplant torsion.
Publication Title
Journal of clinical ultrasound : JCU
Document Type
Article
Publication Date
10-1-2017
Keywords
Adult; Diagnosis, Differential; Fallopian Tubes; Female; Humans; Kidney; Kidney Diseases; Kidney Transplantation; Ovarian Cysts; Ovary; Postoperative Complications; Tomography, X-Ray Computed; Torsion Abnormality; Ultrasonography, Doppler, Color
Abstract
Torsion is an uncommon cause of impaired function in a renal transplant. We present a case of intraperitoneal transplant torsion secondary to adhesions to the left fallopian tube and ovary. Inability to confirm renal venous flow with Doppler misled to the erroneous sonographic diagnosis of renal vein thrombosis, although end diastolic flow was absent rather than reversed. The correct diagnosis was made with CT. The combination of abnormal orientation of the graft on ultrasonography, acutely impaired renal function, and abnormal Doppler study should have led to a diagnosis of transplant torsion. The case is also unusual in that the lead point was adnexal pathology. © 2017 Wiley Periodicals, Inc. J Clin Ultrasound 45:528-530, 2017.
Clinical Institute
Women & Children
Specialty/Research Institute
Obstetrics & Gynecology
Specialty/Research Institute
Nephrology
Specialty/Research Institute
Graduate Medical Education
