Post renal transplant pseudoaneurysm

Case contributed by Dr Ian Bickle

Presentation

Renal transplant performed 5 months earlier. High viral load. Patient attends for transplant biopsy.

Patient Data

Age: 55
Gender: Male
Ultrasound

Planning scan prior to transplant biopsy - abnormality identified at renal hilum.

Kind thanks to Matt Skalski for his assistance in video editing.

Creatinine 120. For further delineation MRA chosen.

3.5cm pseudoaneurysm at the hilum of the right renal transplant, with the internal yin-yang sign on doppler ultrasound.

Renal artery pseudoanuerysm at the anastomosis site.

Case Discussion

This case demonstrates a post-operative renal transplant pseudoaneurysm, presumably at the anastomosis site with the iliac artery.

It was detected incidentally prior to an ultrasound guided biopsy - ironic given one of the very rare complications of a renal biopsy is a pseudoaneursym formation.

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Case information

rID: 24089
Case created: 27th Jul 2013
Last edited: 29th Aug 2017
Inclusion in quiz mode: Included

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