Winter Thomas C, Clarke Andrea Lynn, Campsen Jeffrey
Abdominal Imaging Section, Department of Diagnostic Radiology, University of Utah Medical Center, Salt Lake City, UT, USA.
Ultrasound Q. 2013 Sep;29(3):203-4. doi: 10.1097/RUQ.0b013e31829d35cf.
When imaging a renal transplant, the combination of absent flow in the main renal vein and reversed diastolic flow in the intrarenal arteries is considered highly suggestive of renal vein thrombosis. We present a case of torsion of a transplant kidney presenting with identical findings. Renal transplant torsion in general is a rare entity, previously described only in intraperitoneally placed organs; this case is the first that we are aware of with torsion occurring in a retroperitoneally placed graft.
在对肾移植进行成像时,主肾静脉无血流且肾内动脉舒张期血流逆转的组合被认为高度提示肾静脉血栓形成。我们报告一例移植肾扭转病例,其表现出相同的影像学特征。一般来说,移植肾扭转是一种罕见的情况,此前仅在腹腔内放置的器官中有所描述;据我们所知,该病例是第一例发生在腹膜后放置的移植肾的扭转病例。