Presentation
Post-operative control of kidney and pancreatic transplantation
Patient Data
In the left iliac fossa, the transplanted kidney has a normal shape and size, without dilatation of the excretory system. Hypoechogenicity of the pyramids can be observed without being a pathological finding.
At the level of the arterial and venous anastomosis, patency is visualized. The maximum velocity of the arterial anastomosis is 160 cm/s. The resistance index of intraparenchymal arteries is 0.7 on average. The wave morphology of the renal intraparenchymal arteries is normal.
In the right iliac fossa, the transplanted pancreas is of normal size and shape. Note that it is visualized with its cephalic portion inferiorly. In the deep plane of the pancreatic head, the "Y" vascular structures of the graft are found.
In this case, the systolic peak velocity in the anastomosis is 106 cm/s. Intraparenchymal arterial flow waves are of conserved morphology and velocities. The resistance index of the intraparenchymal vessels is 0.62 in this case.
The splenic and mesenteric veins, as well as the portal, have flows towards the iliac vein, the velocity of the portal is of 101 cm/s, monophasic waveform.
Case Discussion
Carrying out a successful follow-up postoperative ultrasound in patients with kidney and pancreas transplants requires a methodical and orderly operator, with adequate use of color and spectral Doppler tools. In this way, the study provides reproducibility for later comparisons, very useful for discovering diagnoses.
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