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RadioGraphics, Vol 10, 687-699, Copyright © 1990 by Radiological Society of North America

REVIEWS

Sonography of complications in pediatric renal allografts

JT Surratt, MJ Siegel and WD Middleton
Mallinckrodt Institute of Radiology, Washington University School of Medicine St. Louis, MO 63110.

A total of 420 sonograms of renal transplants in 80 children were obtained because of decreased renal function or to establish a baseline after surgery. We describe normal anatomy of a renal transplant on sonograms, including duplex Doppler and color flow images, and a spectrum of complications. The complications are categorized as follows: parenchymal (drug toxicity rejection, acute tubular necrosis, infection), vascular (pseudoaneurysm, arteriovenous fistula, renal artery stenosis and occlusion), obstructive uropathy, and postoperative fluid collections.




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