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
Modality: Ultrasound

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

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

Modality: MRI

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: 10th Jan 2016
Inclusion in quiz mode: Included

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