Renal transplant

Dr Ian Bickle et al.

Renal transplantation is one, if not the most, common transplant procedures undertaken worldwide. Consequently, purposeful and incidental imaging of renal transplants and renal transplant-related complications are increasingly common. These include acute renal transplant rejection and chronic renal transplant rejection. Both renal donors and recipients undergo a pre-operative workup. 

Radiographic features

Most renal transplants are sited in the extraperitoneal right iliac fossa. For a variety of surgical reasons (including vessel suitability or previous failed renal transplants), they may occur in the left iliac fossa or elsewhere.  

Plain radiographs
  • renal transplant not often visualised directly as obscured by other soft tissues of the pelvis but may be visible if calcified (i.e. failed)
  • surgical paraphernalia such as clips and ureteric stents may be visible
  • complications related to underlying disease, or the renal transplant and its associated anti-rejection medications (e.g. osteonecrosis)
Ultrasound

Renal transplant ultrasound is commonly utilised to evaluate for complications post-operatively. Read the separate article on this for US features.

See also

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Article Information

rID: 44860
System: Urogenital
Section: Gamuts
Synonyms or Alternate Spellings:
  • Renal transplantation

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Cases and Figures

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    Case 1: on CT
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    Case 2: on radiograph
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    Case 3: retrograde pyelogram of a transplant
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    Case 4: with nephrostomy
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    Case 5: calcified transplants
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    Case 6: normal immediate post-op ultrasound
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