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Published on: July 18, 2017
'Bench' MRI before transplant on harvested kidneys: a possible tool for diagnosis of acute pyelonephritis
Elisabetta Mezza1, Luigi Biancone, Fabio Tattoli
1Renal Transplant Unit, ASO San Giovanni della Città di Torino, Turin, Italy. emezza@hotmail.com
Abstract:
We present the first case in which magnetic resonance imaging (MRI) has been utilized to rule out lesions compatible with acute pyelonephritis in kidneys from a cadaveric organ donor before transplanting them. A 40-year-old female underwent diagnosis of brain death following a septic shock. The ecotomography of the kidneys showed areas compatible with micro-abscesses raising the hypothesis of acute pyelonephritis. Our radiologist proposed to perform a bench-MRI (maintaining kidneys within the sterile preservation bags constantly on ice); this did not show lesions except little cysts not relevant by the clinical point of view. We transplanted kidneys without infective complications and results were very good.
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