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Sonography in the Diagnosis of Renal Transplant Torsion

Virginia Mason Hospital and Medical Center, Seattle, Washington, scuffk9{at}aol.com

Torsion following kidney transplant is a complication occurring when the kidney rotates around the vascular pedicle. It is a relatively rare occurrence but one that the sonographer should be aware of when a patient presents with severe abdominal pain and decreased urine output. In the best of circumstances, renal torsion can be repaired; in the worst cases, the kidney is lost. Prompt diagnosis of renal vein thrombosis, renal artery stenosis, and occlusion resulting from torsion permits graft detorsion and possible salvage of the kidney.

Key Words: Doppler sonography • vascular torsion • prune-belly syndrome • combined kidney pancreas transplant • nephropexy

This version was published on September 1, 2009

Journal of Diagnostic Medical Sonography, Vol. 25, No. 5, 231-238 (2009)
DOI: 10.1177/8756479309344624


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