Korean J Nucl Med.  2003 Jun;37(3):199-201.

Infarction of Renal Transplant with Extrarenal Excretion of Tc-99m MAG3 Demonstrated by Renal Scintigraphy

Affiliations
  • 1Department of Nuclear Medicine, Chonbuk National University Medical School, Chonju, Korea. mhsohn@moak.chonbuk.ac.kr
  • 2Research Institute of Clinical Medicine, Chonbuk National University Medical School, Chonju, Korea.
  • 3Institute for Medical Sciences, Chonbuk National University Medical School, Chonju, Korea.

Abstract

A 38-year-old woman with end stage renal disease received a living related donor-renal transplant to the right iliac fossa. She developed anuria a week later. Tc-99m MAG3 renal scintigraphy demonstrated no perfusion, uptake, or excretion of the radioactive tracer from the renal transplant. The expected area of the renal allograft appeared as a photopenic area with increased rim activity. The gallbladder and bowel activities were observed on delayed images at 24 hours. There was no blood flow within the renal artery on renal doppler examination. This case shows total absence of perfusion and function in the infarcted renal transplant with extrarenal excretion of Tc-99m MAG3 caused by acute renal artery thrombosis.

Keyword

Kidney transplant; Infarction; Extrarenal excretion; Tc-99m MAG3; Renal scintigraphy

MeSH Terms

Adult
Allografts
Anuria
Female
Gallbladder
Humans
Infarction*
Kidney Failure, Chronic
Perfusion
Radionuclide Imaging*
Renal Artery
Thrombosis
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