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Unraveling the Cause of Anuria Post Kidney Transplantation by Renal Scintigraphy

Van Keerberghen, Ciska-Anne, MD*; Naesens, Maarten, MD, PhD; Gheysens, Olivier, MD, PhD*; Jochmans, Ina, MD, PhD; Pirenne, Jacques, MD, PhD; Goffin, Karolien, MD, PhD*

doi: 10.1097/RLU.0000000000002286
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A dynamic renal scintigraphy is widely used after renal transplantation to evaluate transplant function and possible complications. We report the case of a 27-year-old man with persisting anuria after kidney transplantation. A renal scintigraphy using 99mTc-ethylenedicysteine followed by SPECT/CT of the abdomen was performed showing tracer accumulation in the colon without any activity in the bladder, as a result of ureter reimplantation onto the sigmoid instead of onto the previously reconstructed bladder. Renal scintigraphy identified the cause and localization of the urinary leak, which led to immediate surgical reimplantation of the ureter onto the augmented bladder with onset of diuresis.

From the Departments of *Nuclear Medicine and Molecular Imaging,

Nephrology and Renal Transplantation, and

Abdominal Transplant Surgery, University Hospitals Leuven, Leuven, Belgium.

Received for publication May 3, 2018; revision accepted August 15, 2018.

Conflicts of interest and sources of funding: none declared.

Correspondence to: Ciska-Anne Van Keerberghen, MD, Department of Nuclear Medicine and Molecular Imaging, University Hospitals Leuven, Herestraat 49, 3000 Leuven, Belgium. E-mail: ciskaaa@gmail.com.

Copyright © 2018 Wolters Kluwer Health, Inc. All rights reserved.