The Korean Journal of Nuclear Medicine (대한핵의학회지)

The Korean Society of Nuclear Medicine (대한핵의학회)
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Infarction of Renal Transplant with Extrarenal Excretion of Tc-99m $MAG_3$ Demonstrated by Renal Scintigraphy

Tc-99m $MAG_3$ 신장스캔에서 신외 배설과 함께 발견된 이식신 경색

  • Lim, Seok-Tae (Department of Nuclear Medicine, Chonbuk National University Medical School) ;
  • Kim, Min-Woo (Department of Nuclear Medicine, Chonbuk National University Medical School) ;
  • Sohn, Myung-Hee (Department of Nuclear Medicine, Chonbuk National University Medical School)
  • 임석태 (전북대학교 의과대학 핵의학교실) ;
  • 김민우 (전북대학교 의과대학 핵의학교실) ;
  • 손명희 (전북대학교 의과대학 핵의학교실)
  • Published : 2003.06.30
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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 $MAG_3$ 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 $MAG_3$ caused by acute renal artery thrombosis.

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