Page kidney - renal transplant

Case contributed by Donna D'Souza , 16 Nov 2008
Diagnosis almost certain
Changed by Mostafa Elfeky, 5 Mar 2021

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Note: This case has been tagged as "legacy" as it no longer meets image preparation and/or other case publication guidelines.

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Page kidney - renal transplant
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This patient had a transplant kidney biopsy complicated by a large subcapsular haematoma. The haematoma is confined around the kidney, compressing and distorting it. Over

Over time, he developed worsening of his hypertension and worsening renal function. CO2 angiography excluded a treatable bleeding source such as AVM or false aneurysm.

Percutaneous drainage was initially unsuccessful due to the thick nature of the clot. Over time, the haematoma liquefied and some of it was evacuated via a percutaneous drain tube. Surgical evacuation of the clot carries a high risk of nephrectomy and was thus avoided.

  • -<p>This patient had a transplant kidney biopsy complicated by a large subcapsular haematoma. The haematoma is confined around the kidney, compressing and distorting it. Over time he developed worsening of his hypertension and worsening renal function. CO2 angiography excluded a treatable bleeding source such as AVM or <a href="/articles/false-aneurysm">false aneurysm</a>. Percutaneous drainage was initially unsuccessful due to the thick nature of the clot. Over time the haematoma liquefied and some of it was evacuated via a percutaneous drain tube. Surgical evacuation of the clot carries a high risk of nephrectomy and was thus avoided.</p>
  • +<p>This patient had a transplant kidney biopsy complicated by a large <a title="Subcapsular perirenal haematoma" href="/articles/subcapsular-perirenal-haematoma">subcapsular haematoma</a>. The haematoma is confined around the kidney, compressing and distorting it. </p><p>Over time, he developed worsening of his hypertension and worsening renal function. CO2 angiography excluded a treatable bleeding source such as AVM or <a href="/articles/false-aneurysm">false aneurysm</a>.</p><p>Percutaneous drainage was initially unsuccessful due to the thick nature of the clot. Over time, the haematoma liquefied and some of it was evacuated via a percutaneous drain tube. Surgical evacuation of the clot carries a high risk of nephrectomy and was thus avoided.</p>
Gender was set to Male.

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Findings was changed:

PageA perirenal hypoechoic collection with echogenic areas and thin septations, compressing parenchyma of the transplanted kidney, suggestive of a perirenal hematoma compressing the kidney (page kidney).

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Page kidney
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