Reversed diastolic flow in a renal transplant due to ureteric obstruction from intraluminal blood clot
| Autor: | Stefanie Y. Lee, Arbaaz Patel, Alp Sener |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
business.industry Urinary system urologic and male genital diseases medicine.disease Decreased urine output surgical procedures operative Ureter medicine.anatomical_structure medicine.artery Internal medicine medicine Cardiology Perirenal hematoma Radiology Nuclear Medicine and imaging Renal artery business Kidney transplantation Acute tubular necrosis Diastolic flow |
| Zdroj: | Journal of Clinical Ultrasound. 50:521-524 |
| ISSN: | 1097-0096 0091-2751 |
| Popis: | Reversal of arterial diastolic flow is commonly considered a sign of transplant renal vein thrombosis until proven otherwise, with the differential including acute rejection, acute tubular necrosis, and perirenal hematoma. We discuss a case of a patient who presented with decreased urine output on the second postoperative day following living unrelated kidney transplantation. Doppler ultrasound was performed and demonstrated reversal of diastolic flow in the transplant renal artery. Prompt surgical exploration revealed intraluminal blood clot obstructing the ureter. To our knowledge, this is the first reported case of reversed diastolic flow secondary to ureteral obstruction by an intraluminal blood clot. |
| Databáze: | OpenAIRE |
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