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[Cortical necrosis of the transplanted kidney. MR tomographic confirmation of the diagnosis?]. 1992
T Vestring, and
K H Dietl, and
A Fahrenkamp, and
U Stöber, and
Sciuk, and
S Heidenreich, and
I Braun-Anhalt, and
P Baumgart, and
B Buchholz
Institut für Klinische Radiologie, Westfälische Wilhelms-Universität, Münster.
Cortical necrosis is a rare complication of renal transplants, which requires urgent diagnosis and management to avoid unnecessary immunosuppression. Seven renal transplants with suspected cortical necrosis were evaluated by Doppler-US, 99mTc-DTPA-perfusion study and Gd-DTPA-enhanced dynamic MRI. In four transplants, cortical necrosis was confirmed by angiography and histology. In diagnosing cortical necrosis with preserved medullary perfusion (n = 2) dynamic MRI was superior to the other modalities. Totally necrotic renal transplants (n = 2) were reliably diagnosed by all imaging methods.
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