Indian Journal of Nuclear Medicine
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CASE REPORT
Year : 2012  |  Volume : 27  |  Issue : 3  |  Page : 192-195

Post re-anastomosis demonstration of regain in function in non-visualized upper half of kidney in a dual arterial allogenic renal graft on renal scintigraphy


Department of Nuclear Medicine and PET, Bombay Hospital and Medical Research Centre, Mumbai, India

Correspondence Address:
Sunita Tarsarya Sonavane
Department of Nuclear Medicine and PET, Bombay Hospital and Medical Research Centre, 12, Marine Lines, Mumbai-400 020
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0972-3919.112734

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A young male patient with end stage renal disease underwent renal allograft having dual arterial supply. Immediate post-operative urine output dropped, an urgent Technetium-99m-mercaptoacetyltriglycine ( 99m Tc-MAG3) renogram revealed non-visualized upper-half and the preserved perfusion and parenchymal function of the small transplant kidney. Patient was re-explored and re-anastomosis was performed.A renogram at 24h post re-anastomosis revealed increase in the size of renal allograft, with preserved perfusion to the upper-half of transplant. Transplant kidney biopsy of the Upper-half showed acute tubular necrosis. 99mTc-MAG3renogram at 10 days post re-vascularization remains unchanged with persistent improvement at 2 months follow-up. We conclude that early recognition of renal functional loss allows early management and the high probability of salvaging the renal function.


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