Transplant with a twist: A pitfall in sonographic diagnosis of renal transplant torsion |
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| Authors: | Evan Narasimhan MD Anne Kennedy MB BCh BAO Jeffrey Campsen MD |
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| Affiliation: | 1. Swedish Medical Center, General Surgery Residency, Seattle, WA;2. Department of Radiology and Imaging Sciences, University of Utah Medical Center, Salt Lake City, UT;3. Transplant Surgery Division, Department of Surgery, University of Utah Medical Center, Salt Lake City, UT |
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| 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 |
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| Keywords: | renal transplant torsion Doppler ultrasonography pitfall |
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