CASE 130: TRANSPLANT KIDNEY of 13 YEARS: Dr PHAN THANH HẢI, MEDIC MEDICAL CENTER, HCMC, VIETNAM

Woman 40 yo had transplant kidney for 13 years, now  BUN and creatinine raise. Ultrasound of kidney graft.

Image 1: B mode the graft kidney at right iliac fossa, size of  9,9cm x  6 cm, cortico-medullary index is normal.

Image 2:  CDI hypovascular perfusion of kidney.

Image 3:  Spectral Doppler with RI= 0,57.

Image 4 : Spectral Doppler of arterial waveform at kidney hilus no stenosis.

DISCUSSION: Graft kidney during 13 years, renal function is  getting insufficiency slowly. Ultrasound is the best modality for survey of transplant kidney. The size is normal, no hydronephrosis, vascular supply is low but without evident of renal arterial stenosis. RI is in low value. It is a case of renal fibrosis.

FURTHER READINGS:

Multiwave technology introducing shear wave elastography of the kidney

[Siêu âm SWE định lượng xơ hoá trong bệnh lý thận mạn tính]
ARFI in TRANSPLANTED KIDNEY