Renal transplant

Case contributed by Dr Henry Knipe

Presentation

Bowels not open post op.

Patient Data

Age: 40 years
Gender: Male
X-ray

Tenckhoff catheter projects over the pelvis. Left iliac fossa double J stent and surgical clips in keeping with renal transplant. 

Prominent the non-dilated loops of small bowel with multiple non-specific air fluid levels. Gas is still present in the rectum. Features favour an ileus over a mechanical bowel obstruction.

Changes of avascular necrosis are noted in both femoral heads.

Case Discussion

All the clues are here on the x-ray to:

  • work out the cause of the patient's symptoms: paralytic ileus
  • underlying cause: recent left iliac fossa renal transplant
  • assess for complications: femoral head avascular necrosis (although this is not related to the current transplant but the underlying cause for renal failure / previous failed renal transplant; the cause in this patient is not known)
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Case information

rID: 44824
Case created: 5th May 2016
Last edited: 30th May 2017
Inclusion in quiz mode: Included

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